Colorectal Malignant Polyps: Characterization and Endoscopic Resection Technique

Colorectal cancer, currently the third most common malignancy worldwide, can be significantly reduced through early detection and endoscopic resection of polyps. This review discusses the main classifications of colonic lesions and the most effective evidence-based technologies for their detection, characterization, and management. A practical roadmap for risk stratification and a management algorithm are proposed, based on the latest recommendations from the European and American Societies of Gastrointestinal Endoscopy. By combining clinical experience with a critical analysis of key studies from the past decade, this article provides practical tools to enhance optical diagnosis and guide therapeutic decisions, minimizing the need for surgical interventions. This review serves as an essential resource for clinicians, offering practical guidance for effective and individualized management of colorectal lesions, thereby enhancing cancer prevention and optimizing healthcare resource utilization.