The subsequent management of patients with endoscopically removed mali
gnant colorectal polyps depends on the pathologist's diagnosis. Accord
ing to the correlation with clinical outcome previously published the
histological criteria of potential adverse outcome are : the presence
of tumour at or near the resection margins, the invasion of colonic su
bmucosa, the lymphatic invasion and the high grade of malignancy. This
article aims at providing guidelines for an adequate examination of t
he polyp specimen and an unambiguous pathology reporting.