Colonoscopy pathology interpretation

I recently had a colonoscopy and am trying to tie the pathology report to published guidelines. The guidelines make various recommendations for re-testing based on the number, size and type of polyps.

My lab report includes “Tubular adenoma and sessile serrated lesion [SSP], multiple fragments. … consists of multiple tan fragments of tissue measuring 2.4 x 0.3 x 0.1cm in aggregate.”

Does it appear that my results fall into the category “patients with piecemeal resection of adenoma or SSP >20 mm”? Other categories for SSPs are 3-10 SSP polyps <10mm and SSP ≥ 10mm.

I suppose so, but this is a bit limited information.

Typically when patients receive their colonoscopy results from a gastroenterologist, it comes with a re-testing recommendation based on the results.

The recommendation was “Surveillance interval based on pathology results”. Fortunately a second message appeared that included that this was a single 5mm SSP (plus a 2mm polyp of another type), which means appears to me 3-5 year retest as I read https://www.asge.org/docs/default-source/guidelines/recommendations-for-follow-up-after-colonoscopy-and-polypectomy-a-consensus-update-by-the-us-multi-society-task-force-on-colorectal-cancer-2020-march-gie.pdf?sfvrsn=2b0f8952_2​

Thank you.

That should be 5-10 years since 1-2 SSPs <10 mm, a weak recommendation on very low quality evidence (table 5).