The document discusses pre-malignant polyps in the colon and rectum, including adenomatous polyps and familial adenomatous polyposis (FAP). It notes that adenomatous polyps are benign growths that can develop into colorectal cancer over 5-10 years if left untreated. FAP is a hereditary condition where hundreds of polyps develop by age 15-20, making colon cancer almost inevitable by age 40 without treatment. Treatment for FAP typically involves screening colonoscopies starting at age 10 and prophylactic colectomy (removal of the entire colon) by age 14 to prevent cancer.