A funny looking polyp
This lesion was found in the ascending colon.
WHAT IS THE MOST LIKELY DIAGNOSIS?
Hmm looks too translucent
■ Lymphangioectatic cyst
Well it looks cystic doesn't it!!!
I predict that the pillow sign will be positive
■ Serrated polyp
Doesn't look like a polyp
■ Adenomatous polyp
But the crypt pattern is normal !!!
The apparent lesion is covered with a normal layer of mucosa. In addition, it seems very soft. However, the lesion looks more translucent than yellow! Of course, it's another lymphangioectatic cyst ! Naturally, you confirm this by giving it a prod with your biopsy forceps. If soft, its either a lipoma or a cyst. If firm, it's either a GIST, leiomyoma or a metastasis (I guess).