Introduction Classified into several subcategories hamartomas benign found in juvenile polyposis and Peutz-Jeghers syndrome inflammatory polyp benign found in inflammatory bowel disease neoplastic most commonly adenomas tubular adenoma smallest malignant potential usually pedunculated tubulovillous adenoma usually pedunculated villous adenoma greatest malignant potential usually sessile Mean age of patients is 55 Sigmoid and rectum most common site. Presentation Symptoms most are asymptomatic can present with rectal bleeding Evaluation Sigmoidoscopy / colonoscopy Differential Polyposis syndromes FAP Peutz-Jeghers Gardner's syndrome consists of polyposis with multiple soft tissue tumors: desmoid tumors osteomas of mandible or skull sebaceous cysts Cronkhite-Canada syndrome consists of polyposis with: alopecia fingernail dystrophy cutaneous hyperpigmentation Cowden syndrome consists of polyposis with: breast cancer thyroid cancer Turcot's syndrome consists of polyposis with: medulloblastoma or glioma Treatment Colonoscopic polypectomy or laparotomy with resection. If adenocarcinoma found in polyp only, then colectomy not required.