An abdominal CT scan demonstrated a mass in the third part of the duodenum, as well as sessile lesions in the ileocecal region and ascending colon ... and three hyperplastic polyps (HPs).

It is possible that hyperplastic polyps, SSA/Ps and TSAs, are divergent pathways from inception. Figure 5. Typical appearance of a sessile serrated adenoma/polyp in the ascending colon.