A familiar feature?
This lesion was found in the ascending colon and referred for removal.
WHAT IS THE LIKELY DIAGNOSIS?
You must be joking!
You are not serious?
Short slit-like crypts, well Yes but there is more to it!
That non-lifting sign doesn't lie!
Must admit that I didn't like the look of this polyp. Sure, it does have an organised crypt pattern. I think that I can see short slits, making it a TA. This would fit with the fact that it probably is a LST-NG type of lesion (which are always TA's).
However, it also looks, 'chunky' and it's the 'thickness' of the lesion which made me suspicious. For this reason I was not surprised to find the non-lifting sign. As there is no lifting what-so-ever, I suspect that the lesion will turn out to be T2 at least.