Small and diminutive polyps: No cancer, no risk!

"To be or not to be, that is the question" is the opening phrase of William Shakespeare's play hamlet. "To be or not to be" is also the legitimate question when we are discussing the management of small (i.e. 6–9mm in size) or diminutive (i.e. <5mm in size) colorectal polyps. The background is that most of the tiny lesions in the colorectum, especially when they are located in the rectosigmoid, have only a low prevalence of advanced histology even after accounting for interobserver variation in the pathologic assessment of villous elements and high-grade intraepithelial neoplasia [1].

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