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This paper proposes a practical GP classification according to the risk of malignant transformation: “good,” “bad,” and “ugly.” Literature review and clinical case analysis assess implications for diagnosis, management, and endoscopic application. Good polyps show low malignant potential with minimal intervention, bad polyps require closer monitoring or removal, and ugly polyps warrant urgent comprehensive treatment, while acknowledging misclassification challenges.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/new-classification-of-gastric-polyps-an-in-depth-analysis-and-critical-evaluation/370234/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/new-classification-of-gastric-polyps-an-in-depth-analysis-and-critical-evaluation/370234.png","ImageObject",300,407,{"name":92,"@type":93},"Finn","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-28","2026-09-23",true,{"@type":102,"interactionType":103,"userInteractionCount":39},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What clinical problem does the paper address in managing gastric polyps?","Question",{"text":112,"@type":113},"Traditional management often depends on histopathology, which can be time-consuming and may not support immediate clinical action. The paper targets the need for a clearer, faster framework for diagnosis and management.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How does the proposed classification categorize gastric polyps?",{"text":117,"@type":113},"It classifies gastric polyps into “good,” “bad,” and “ugly” groups based on the potential risk of malignant transformation.",{"name":119,"@type":110,"acceptedAnswer":120},"What management actions are suggested for each classification group?",{"text":121,"@type":113},"“Good” polyps typically require minimal or no intervention; “bad” polyps need closer monitoring or removal; and “ugly” polyps indicate high malignant potential and call for urgent and comprehensive treatment.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},370234,1790240830,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":39,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":39,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":46},34359740700684,"https://ap-avatar.wpscdn.com/avatar/1f400023980c374ae676?_k=1777273430885731487","| W | J | G | World Journal of\u003Cbr>Gastroenterology |\n| --- | --- | --- | --- |\n\nSubmit a Manuscript: [https://www.f6publishing.com](https://www.f6publishing.com) World J Gastroenterol 2025 February 21; 31(7): 101467  \nDOI: 10.3748/wjg.v31.i7.101467 ISSN 1007-9327 (print) ISSN 2219-2840 (online)  \nLETTER TO THE EDITOR  \nNew classification of gastric polyps: An in-depth analysis and critical evaluation  \nXiao-Hui Liao, Ying-Ming Sun, Hong-Bin Chen  \nSpecialty type: Gastroenterology and hepatology  \nProvenance and peer review:  \nUnsolicited article; Externally peer reviewed.  \nPeer-review model: Single blind  \nPeer-review report’s classification Scientific Quality: Grade C  \nNovelty: Grade B  \nCreativity or Innovation: Grade B  \nScientific Significance: Grade B  \nP-Reviewer: El-Shabrawi MH  \nReceived: September 15, 2024  \nRevised: December 2, 2024  \nAccepted: December 17, 2024  \nPublished online: February 21, 2025  \nProcessing time: 126 Days and 23.2 Hours  \nXiao-Hui Liao, Department of Gastroenterology, The First Hospital of Sanming Affiliated to Fujian Medical University, Fujian Medical University, Sanming 365000, Fujian Province, China  \nYing-Ming Sun, Department of Medical and Radiation Oncology, Sanming First Hospital, Fujian Medical University, Sanming 365000, Fujian Province, China  \nHong-Bin Chen, Department of Gastroenterology I, Sanming First Hospital, Fujian Medical University, Sanming 365000, Fujian Province, China  \nCo-corresponding authors: Ying-Ming Sun and Hong-Bin Chen.  \nCorresponding author: Hong-Bin Chen, PhD, Chief Physician, Department of Gastroenterology I, Sanming First Hospital, Fujian Medical University, No. 29 Liedong Street, Sanyuan District, Sanming 365000, Fujian Province, [China.](China. smchb2008@qq.com)[ smchb2008@qq.com](China. smchb2008@qq.com)  \nAbstract  \nWith the widespread use of upper gastrointestinal endoscopy, more and more gastric polyps (GPs) are being detected. Traditional management strategies often rely on histopathologic examination, which can be time-consuming and may not guide immediate clinical decisions. This paper aims to introduce a novel classification system for GPs based on their potential risk of malignant transformation, categorizing them as \"good\", \"bad\", and \"ugly\". A review of the literature and clinical case analysis were conducted to explore the clinical implications, management strategies, and the system's application in endoscopic practice. Good polyps, mainly including fundic gland polyps and inflammatory fibrous polyps, have a low risk of malignancy and typically require minimal or no intervention. Bad polyps, mainly including hyperplastic polyps and adenomas, pose an intermediate risk of malignancy, necessitating closer monitoring or removal. Ugly polyps, mainly including type 3 neuroendocrine tumors and early gastric cancer, indicate a high potential for malignancy and require urgent and comprehensive treatment. The new classification system provides a simplified and practical framework for diagnosing and managing GPs, improving diagnostic accuracy, guiding individualized treatment, and promoting advancements in endoscopic techniques. Despite some challenges, such as the risk of misclassification due to similar endoscopic appearances, this system is essential for the standardized management of GPs. It also lays the foundation for future research into biomarkers and the development of personalized medicine.  \n WJG  [https://www.wjgnet.com](https://www.wjgnet.com) 1 February 21, 2025  Volume 31  Issue 7   \nLiao XH et al. Classification of gastric polyps  \nKey Words: Gastric polyps; Classification; Fundic gland polyps; Inflammatory fibroid polyps; Hyperplastic polyps; Adenomas; Neuroendocrine tumors; Early gastric cancer; Patient management  \n©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.  \nCore Tip: When performing endoscopy of the upper gastrointestinal tract, physicians often find gastric polyps (GPs), which are, for the","cbCaibv6uH8yy61O","https://ap.wps.com/l/cbCaibv6uH8yy61O","pdf",51374229,"English","# Abstract\n## Core aim and proposed “good–bad–ugly” framework\n## “Good” gastric polyps\n## Traditional vs new classification approach\n## Clinical implications and management guidance","[{\"question\":\"What clinical problem does the paper address in managing gastric polyps?\",\"answer\":\"Traditional management often depends on histopathology, which can be time-consuming and may not support immediate clinical action. The paper targets the need for a clearer, faster framework for diagnosis and management.\"},{\"question\":\"How does the proposed classification categorize gastric polyps?\",\"answer\":\"It classifies gastric polyps into “good,” “bad,” and “ugly” groups based on the potential risk of malignant transformation.\"},{\"question\":\"What management actions are suggested for each classification group?\",\"answer\":\"“Good” polyps typically require minimal or no intervention; “bad” polyps need closer monitoring or removal; and “ugly” polyps indicate high malignant potential and call for urgent and comprehensive treatment.\"}]","New classification of gastric polyps - An in-depth analysis and critical evaluation | PDF",1790187520]