The mucosa tends to look more granulatous with prolonged inflammation-- so that bumps can develop that do not turn into true polyps. Then, again, even when true polyps do show up, the experienced gastros are more concerned about
what type they are, which has bearing on their potential for turning malignant. The so-called hyperplastic polyps look yucky if you see them on the colonoscopy monitor, like multiple conjoined blobs, but they do not carry the risk for malignancy that flat lesions can. Some polyps look like Hershey's kisses; other may grow a stem & look like a toadstool. The idea is to monitor them regularly so that they can be snipped off thru the c-scope while still small. / Old Hat (nearly 30 yrs with left-sided UC ... [etc.]) P.S. I've had 4 of the bumpy kind removed at different times; 2 developed early on in my UC career, then I was clear for 18 yrs, had a hyperplastic removed in 2001 & another in 2006, after nothing at c-scope in between those yrs. I've heard from another longtime UCer that she has dozens of tiny polyps throughout her colon, which her gastro just biopsies annually but otherwise leaves them in place. Hope these examples will be helpful to you!
Post Edited (Old Hat) : 4/7/2008 9:42:03 PM (GMT-6)