Architecture in Surgery — 58yo Man | General Surgery | SMLE Q#18429

SMLE Question #18429

Surgery General Surgery

Objective: OBJ-COLO-ADENOMA-01

Last updated: February 2026
A 58-year-old man undergoes screening colonoscopy. A 2.5 cm pedunculated sigmoid colon polyp is completely removed by snare polypectomy. Histology confirms an adenomatous polyp, and the report is being reviewed for architecture. Which histologic type of colonic polyp carries the highest risk of malignant transformation?

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