Are tubular adenomas 100% cancerous?

Tubular adenomas are not 100% cancerous; they are benign tumors and most of the common intestinal polyps are tubular adenomas. Cancer is less likely, but there is some possibility.
The common types of tubular adenomas are colonic tubular adenomas and rectal tubular adenomas. Colonic tubular adenomas are benign colon polyps that are tumorigenic and may become cancerous as they continue to grow in size. Rectal tubular adenomas are benign tumors originating from the adenoepithelium of the rectal mucosa and have a certain rate of cancerous transformation, but the rate of cancerous transformation is lower compared to that of choriocapillaris adenomas.
When tubular adenomas are small in size, most of them can be completely cured through surgical treatment. If tubular adenomas are larger than 1cm and are not treated in time, frequent friction and irritation may lead to malignant changes.
Tubular adenomas have the potential to become cancerous, so it is important to undergo surgical resection of tubular adenomas as early as possible for treatment, in addition to regular follow-up colonoscopy for early detection of lesions.