Colonic tubular adenoma with mild atypical hyperplasia mostly requires surgical treatment, which can be endoscopic, laparoscopic resection or open surgery, with different choices for different cases.
Colonic adenomas are benign tumors of the colon, but they have a certain risk of malignancy and can be divided into three types: tubular adenomas, choriocapillary adenomas, and choriocapillary tubular adenomas. Tubular adenomas have a lower rate of malignancy than the other two. Mild atypical hyperplasia refers to heterogeneous hyperplastic cells involving <1/3 of the colonic mucosa and is a precancerous lesion.
Colonic tubular adenomas with mild atypical hyperplasia mostly require surgical resection, and endoscopic mucosal resection or dissection is usually feasible. If the lesion is large and difficult to be removed endoscopically, the lesion can be removed laparoscopically. If there are multiple tubular adenomas, or even cover the intestinal tube, it is necessary to perform bowel resection under open surgery.
It is recommended that the patient consult a specialist in time, analyze the condition comprehensively, and follow the doctor's instructions to choose the appropriate treatment.