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. Author manuscript; available in PMC: 2022 Aug 4.
Published in final edited form as: Am J Gastroenterol. 2020 Jul;115(7):980–988. doi: 10.14309/ajg.0000000000000639

Table 2.

Colorectal Polyp Definitions

Type of colorectal polyp Definition

Advanced adenoma AA Large tubular adenoma ≥1cm, or any adenoma with villous histology or high-grade dysplasia

Advanced serrated polyp ASP Large sessile serrated polyp ≥1cm, or SSP with any grade of cytological dysplasia, or traditional serrated adenoma ≥1cm or large hyperplastic polyp ≥1cm diagnosed proximal to the splenic flexure and/or with endoscopic features suggestive of SSP*

Advanced colorectal polyp ACP Advanced adenoma or advanced serrated polyp (AA+ASP)

High-risk adenoma HRA Advanced adenoma, or the presence of ≥3 adenomas
*

Flat or sessile shape, indistinct border, mucus cap, rim of debris, cloud-like surface, lacy vessel pattern45