Not all colon polyps are biopsied. Typically, polyps that are larger or have concerning features during colonoscopy are biopsied to determine if they are cancerous or precancerous. Smaller, benign-looking polyps may be removed and sent for histological examination, but not all require a biopsy. The decision often depends on the size, type, and appearance of the polyp, as well as the patient's medical history.
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