
A hyperplastic rectal polyp is a noncancerous growth that arises from the delicate tissues lining the digestive tract. They are usually found during a colonoscopy and are relatively common and benign. They can vary in size, shape, and number, and their exact cause is unknown. Hyperplastic polyps rarely turn into colon cancer and are typically not a cause for concern. They can be removed through a segmental resection or colectomy, or by using a wire hoop to burn or cut them off.
| Characteristics | Values |
|---|---|
| Definition | Hyperplastic polyp is a type of gastric or colorectal polyp. |
| Location | Most hyperplastic polyps are found in the distal colon and rectum. They are more often located in the left colon and are the most common type of polyp in the rectosigmoid. |
| Types | The two main types of hyperplastic polyps are microvesicular mucin-rich type and goblet cell-rich type. A mucin-poor type with eosinophilic cytoplasm is rare. |
| Risk Factors | Low dietary fiber content, raised body mass index, increased alcohol consumption, and cigarette smoking are associated with an increased risk of hyperplastic polyp development. |
| Treatment | Small hyperplastic polyps may be removed through a routine endoscopic procedure. Larger polyps may require a separate appointment for removal. |
| Cancer Risk | Hyperplastic polyps are typically benign and non-cancerous. They have no malignant potential, and most will not become cancerous. However, in rare cases, they may be cancerous or precancerous. |
| Follow-up | Doctors may recommend follow-up endoscopies to monitor for new polyps and remove them promptly. |
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What You'll Learn

Hyperplastic polyps are noncancerous growths
A hyperplastic rectal polyp is a noncancerous growth that arises from the delicate tissues lining the digestive tract. They are usually found during a colonoscopy and are relatively common and benign. They can vary in size, shape, and number, and their exact cause is unknown. Hyperplastic polyps are typically found in the colon, the lining of the large intestine, but they can also appear in the stomach.
When found in the colon, hyperplastic polyps are typically benign and not a cause for concern. They are the most common type of colorectal polyp, and patients with these polyps are not thought to be at an increased risk of colorectal cancer. However, larger polyps or multiple polyps may increase the risk of cancer. If a hyperplastic polyp is suspected to be cancerous, a biopsy will be performed to confirm the diagnosis. If the polyp is cancerous, the next steps for cancer treatment will be discussed, which may include removing the polyp.
When found in the stomach, hyperplastic polyps are also typically benign and rarely develop into cancer. Small stomach polyps are generally harmless and do not cause noticeable symptoms. However, larger polyps may cause symptoms and increase the risk of cancer. Similar to colon polyps, a biopsy may be performed to determine if the polyp is cancerous, and further treatment will be discussed if necessary.
While hyperplastic polyps are usually noncancerous, there is a less common subset that is precancerous. Certain genetic alterations, including mutations in specific genes, have been found in these polyps. Therefore, it is important to monitor and treat hyperplastic polyps as recommended by a healthcare professional to lower the risk of cancer development.
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They are usually found during a colonoscopy
A hyperplastic rectal polyp is a noncancerous growth that arises from the delicate tissues lining the digestive tract. It is a type of gastric polyp or colorectal polyp. Most hyperplastic polyps are found in the distal colon and rectum, and they are usually discovered during a colonoscopy.
Colonoscopies are procedures that involve inserting a tube with a camera, a light, and a small metal hoop into the colon or rectum. Hyperplastic polyps are relatively common and typically benign, meaning they are not cancerous and are not a cause for concern. They vary in size, shape, and number, and their exact cause is unknown. However, researchers suggest that they may be associated with specific lifestyle risk factors and that the body may produce too many cells in the lining of the colon.
While hyperplastic polyps rarely turn into colon cancer, it is important to note that polyps on the right side of the colon can exhibit malignant potential due to DNA mutations during replication. This can lead to microsatellite instability and, eventually, malignant transformation. Additionally, inverted hyperplastic polyps are restricted to the sigmoid colon and rectum, where the epithelium is misplaced into the submucosa.
The two main types of hyperplastic polyps are microvesicular mucin-rich and goblet cell-rich. In some cases, doctors may recommend surgically removing hyperplastic polyps by performing a segmental resection or colectomy to remove the affected section of the colon. However, hyperplastic polyps do not typically require monitoring, and having only one or a few of these polyps significantly lowers the risk of colon cancer.
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They vary in size, shape and number
Hyperplastic polyps are noncancerous growths that develop from the delicate tissues lining the digestive tract. They are usually found during a colonoscopy and are relatively common. These polyps are typically benign and are not a cause for concern. They rarely turn into colon cancer and do not usually cause any other significant health issues.
The size, shape, and number of hyperplastic polyps can vary. They are usually found in the distal colon and rectum, but can also occur on the right side of the colon, where they may exhibit malignant potential. This occurs through multiple mutations affecting DNA-mismatch-repair pathways, resulting in microsatellite instability and potential malignant transformation.
The two main types of hyperplastic polyps are microvesicular mucin-rich and goblet cell-rich. A rare mucin-poor type with eosinophilic cytoplasm has also been described. Additionally, there are inverted hyperplastic polyps, which are characterised by misplaced epithelium in the submucosa. These polyps are typically found in the sigmoid colon and rectum, and the misplaced epithelium is mucin-depleted.
The exact cause of hyperplastic polyps is unknown, but they may arise when the body produces too many cells in the lining of the colon. Age is also a factor, as the risk of developing polyps increases with age. Certain lifestyle factors, such as low dietary fibre content, high body mass index, increased alcohol consumption, and cigarette smoking, are associated with an increased risk of hyperplastic polyp development.
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They rarely turn into colon cancer
A hyperplastic rectal polyp is a noncancerous growth that arises from the delicate tissues lining the digestive tract. In other words, it is a projection (growth) from the inner lining into the lumen (hollow centre) of the colon or rectum. These polyps are usually found during a colonoscopy and are relatively common, especially as people age. They can vary in size, shape, and number, and their exact cause is unknown.
Hyperplastic polyps rarely turn into colon cancer. They also do not tend to cause any other major health problems. Your risk of colon cancer is much lower if you only have one or a few of these polyps in your colon. However, larger hyperplastic polyps are more likely to develop into cancer. Having multiple hyperplastic polyps in your colon is known as hyperplastic polyposis, which puts you at a 50% higher risk of developing colorectal cancer.
It is important to note that while hyperplastic polyps are typically benign, they can be pre-cancerous in some cases. This means that they have the potential to turn into cancer, even though it is rare. Certain risk factors, such as a family history of cancerous polyps and older age, can increase the likelihood of hyperplastic polyps becoming cancerous. Therefore, it is crucial to consult a healthcare professional for proper diagnosis, treatment, and regular monitoring, especially if you have a higher risk of colon cancer.
Most hyperplastic polyps are harmless and can be easily removed during a routine endoscopic procedure. Follow-up endoscopies or colonoscopies are often recommended to ensure that any new polyps are detected and removed promptly and safely. While hyperplastic polyps rarely turn into colon cancer, it is still important to seek medical advice and adhere to recommended screening and removal procedures to mitigate any potential risks.
Although hyperplastic polyps are typically benign, it is worth noting that their presence may share lifestyle risk factors with colorectal adenoma and colorectal cancer. For example, low dietary fibre content, a high body mass index, increased alcohol consumption, and cigarette smoking are all associated with an increased risk of hyperplastic polyp development. As such, maintaining a healthy lifestyle and undergoing regular screenings can help mitigate the already low risk of hyperplastic polyps turning into colon cancer.
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They can be removed via colonoscopy or surgery
A hyperplastic rectal polyp is a noncancerous growth that arises from the delicate tissues lining the digestive tract. More specifically, it is a type of polyp that occurs in the rectum, which is the last 12 inches of the large intestine. These polyps are usually benign and extremely common, often varying in size, shape, and number. They are typically found during a colonoscopy, which is an examination of the large intestine using a lighted scope inserted through the anus.
While hyperplastic rectal polyps rarely turn into cancer, it is still important to remove them to prevent any potential health risks. These polyps can be removed through a simple procedure called a polypectomy, which can be performed during a colonoscopy or endoscopy exam. During the procedure, surgeons can pass small instruments through the scope, such as surgical forceps or a wire snare, to grasp or scrape off the polyp. The patient may feel a vague pressure or pulling sensation during the removal but should not experience any pain.
In most cases, no special preparation is required for a polypectomy. However, if the procedure involves a colonoscopy, the patient's bowels must be cleared beforehand. Healthcare providers will recommend a bowel prep formula and provide instructions on how to prepare, which may include a special diet in the days leading up to the procedure. The process can take up to 24 hours to complete.
For more complex cases, minimally invasive surgery methods such as laparoscopy may be necessary. This involves passing a scope through a small "keyhole incision" and operating through another incision. Healthcare providers will use different types of anesthesia and pain relievers to ensure the patient's comfort during the procedure. The patient may opt for general anesthesia to sleep through the procedure, but it is typically not necessary unless major surgery is required.
It is important to note that polyps are one of the most common conditions affecting the large intestine, with a prevalence of 15-20% in the adult population. Most polyps are asymptomatic and do not lead to cancer. However, a small percentage of polyps can gradually develop into rectal cancer over several years. Therefore, it is crucial to seek medical advice and undergo appropriate examinations, such as a colonoscopy, to detect and remove any polyps, reducing potential health risks.
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Frequently asked questions
Hyperplastic polyps are noncancerous growths that arise from the delicate tissues lining the digestive tract. They are usually found during a colonoscopy and are typically benign.
The exact cause of hyperplastic rectal polyps is unknown. However, researchers suggest that they may form when the body produces too many cells in the lining of the colon. Age, diet, body mass index, alcohol consumption and cigarette smoking are all associated with an increased risk of developing hyperplastic polyps.
Hyperplastic rectal polyps are extremely common and can vary in size, shape and number. They rarely turn into colon cancer and do not typically require monitoring.
Hyperplastic rectal polyps can be removed by burning or cutting them off using a wire hoop with a camera and light attached. In some cases, doctors may recommend surgically removing the affected section of the colon, known as a segmental resection or colectomy.





















