PREVALENCE AND CLINICOPATHOLOGICAL FEATURES OF NONPOLYPOID COLORECTAL NEOPLASMS: SHOULD WE PAY MORE ATTENTION TO IDENTIFYING FLAT AND DEPRESSED LESIONS?

被引:26
作者
Matsuda, Takahisa [1 ]
Saito, Yutaka [1 ]
Hotta, Kinichi [3 ]
Sano, Yasushi [4 ]
Fujii, Takahiro [2 ,5 ]
机构
[1] Natl Canc Ctr, Endoscopy Div, Tokyo 1040045, Japan
[2] TF Clin, Tokyo, Japan
[3] Saku Cent Hosp, Dept Gastroenterol, Nagano, Japan
[4] Sano Hosp, Kobe, Hyogo, Japan
[5] Sano Hosp, Kobe, Hyogo, Japan
关键词
Japan Polyp Study; nonpolypoid colorectal neoplasm; screening colonoscopy; POPULATION; ADENOMAS; CANCERS;
D O I
10.1111/j.1443-1661.2010.00967.x
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Flat and depressed (nonpolypoid) colorectal lesions have been described for over two decades by Japanese investigators. These neoplastic lesions are typically smaller than polypoid ones and can be more difficult to identify during screening colonoscopy. In particular, depressed type colorectal lesions are usually small in size, with a number of studies showing them to be at greater risk for developing high-grade dysplasia or submucosal invasive cancer. It has also been suggested that they may follow a different carcinogenic pathway to flat elevated or protruding adenomas. This paper summarizes recent data of nonpolypoid colorectal neoplasms from Western and Asian countries.
引用
收藏
页码:S57 / S62
页数:6
相关论文
共 16 条
[1]   Prevalence and Characteristics of Nonpolypoid Colorectal Neoplasm in an Asymptomatic and Average-Risk Chinese Population [J].
Chiu, Han-Mo ;
Lin, Jaw-Town ;
Chen, Chien-Chuan ;
Lee, Yi-Chia ;
Liao, Wei-Chih ;
Liang, Jin-Tung ;
Shun, Chia-Tung ;
Wang, Hsiu-Po ;
Wu, Ming-Shiang .
CLINICAL GASTROENTEROLOGY AND HEPATOLOGY, 2009, 7 (04) :463-470
[2]   Flat adenomas in the United Kingdom: Are treatable cancers being missed? [J].
Fujii, T ;
Rembacken, BJ ;
Dixon, MF ;
Yoshida, S ;
Axon, ATR .
ENDOSCOPY, 1998, 30 (05) :437-443
[3]   Proportion of de novo cancers among colorectal cancers in Japan [J].
Goto, Hideyo ;
Oda, Yasushi ;
Murakami, Yoshitaka ;
Tanaka, Tomofumi ;
Hasuda, Kiwamu ;
Goto, Sayoko ;
Sasaki, Yutaka ;
Sakisaka, Shotaro ;
Hattori, Masahiro .
GASTROENTEROLOGY, 2006, 131 (01) :40-46
[4]  
*JAP RES SOC CANC, 1983, GEN RUL CLIN PATH ST
[5]  
KARIYA A, 1977, STOMACH INTEST, V12, P1359
[6]   ENDOSCOPIC MUCOSAL RESECTION OF FLAT AND DEPRESSED TYPES OF EARLY COLORECTAL-CANCER [J].
KUDO, S .
ENDOSCOPY, 1993, 25 (07) :455-461
[7]   Natural history of early colorectal cancer [J].
Matsui, T ;
Yao, T ;
Iwashita, A .
WORLD JOURNAL OF SURGERY, 2000, 24 (09) :1022-1028
[8]  
MUTO T, 1985, DIS COLON RECTUM, V28, P847, DOI 10.1007/BF02555490
[9]   Flat Adenomas in the National Polyp Study: Is There Increased Risk for High-Grade Dysplasia Initially or During Surveillance? [J].
O'Brien, Michael J. ;
Winawer, Sidney J. ;
Zauber, Ann G. ;
Bushey, Marijayne T. ;
Sternberg, Stephen S. ;
Gottlieb, Leonard S. ;
Bond, John H. ;
Waye, Jerome D. ;
Schapiro, Melvin .
CLINICAL GASTROENTEROLOGY AND HEPATOLOGY, 2004, 2 (10) :905-911
[10]  
Parra-Blanco Adolfo, 2006, Gastroenterol Hepatol, V29, P602, DOI 10.1157/13095195