Colorectal polyp count discrepancies and their impact on colonoscopy surveillance interval decisions: a retrospective analysis of 1293 specimens

Discrepancies in polyp counts more often occur when more than 1 polyp is submitted in a single container. These discrepancies may alter the recommended surveillance colonoscopy intervals. Therefore, close collaboration between pathology and colonoscopy providers-through improved endoscopic documentation, specimen handling, reporting strategies, and feedback-is essential to ensure accurate polyp counts and mitigate these effects. Adopting a single polyp per container approach in those cases where polyp count matters would significantly improve report accuracy and ensure the most appropriate surveillance intervals.