Gastrointestinal Pathology · Pathology

Which of the following polyps has the highest potential for malignant transformation into adenocarcinoma?

  1. Hyperplastic polyp
  2. Villous colonic adenoma
  3. Peutz-Jeghers polyp
  4. Inflammatory pseudopolyp
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Correct answer: Villous colonic adenoma

Adenomatous polyps are true neoplastic precursors. Among them, villous adenomas (finger-like projections) carry a much higher risk of malignancy compared to tubular or tubulovillous adenomas.

Difficulty: Medium Question 9 of 20

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