Pragmatic classification of superficial neoplastic colorectal lesions

被引：94

作者：

Lambert, Rene ^{[2
]}

Kudo, Shin ei ^{[3
]}

Vieth, Michael ^{[4
]}

Allen, John I. ^{[5
]}

Fujii, Hiroaki ^{[6
]}

Fujii, Takahiro ^{[7
]}

Kashida, Hiroshi ^{[3
]}

Matsuda, Takahisa ^{[8
]}

Mori, Masaki ^{[9
]}

Saito, Hiroshi ^{[10
]}

Shimoda, Tadakazu ^{[8
]}

Tanaka, Shinji ^{[11
]}

Watanabe, Hidenobu ^{[12
]}

Sung, Joseph J. ^{[13
]}

Feld, Andrew D. ^{[14
]}

Inadomi, John M. ^{[15
]}

O'Brien, Michael J. ^{[16
]}

Lieberman, David A. ^{[17
]}

Ransohoff, David F. ^{[18
]}

Soetikno, Roy M. ^{[19
]}

Zauber, Ann ^{[20
]}

Teixeira, Claudio Rolim ^{[21
]}

Rey, Jean Francois ^{[22
]}

Jaramillo, Edgar ^{[23
]}

Rubio, Carlos A. ^{[24
]}

Van Gossum, Andre ^{[25
]}

Jung, Michael ^{[26
]}

Jass, Jeremy R. ^{[27
]}

Triadafilopoulos, George ^{[1
]}

机构：

[1] Stanford Univ, Div Gastroenterol & Hepatol, Sch Med, Stanford, CA 94035 USA

[2] Int Agcy Res Canc, Screening Grp, F-69372 Lyon, France

[3] Showa Univ, No Yokohama Hosp, Ctr Digest Dis, Yokohama, Kanagawa, Japan

[4] Klinikum Bayreuth, Inst Pathol, Bayreuth, Germany

[5] Univ Minnesota, Sch Med, Minnesota Gastroenterol, Minneapolis, MN 55455 USA

[6] Juntendo Univ, Sch Med, Dept Pathol, Tokyo 113, Japan

[7] TF Clin, Tokyo, Japan

[8] Natl Canc Ctr, Div Endoscopy, Tokyo, Japan

[9] Kyushu Univ Hosp, Med Inst Bioregulat, Dept Surg, Beppu, Oita, Japan

[10] Natl Canc Ctr, Div Technol, Res Ctr Canc Prevent & Screening, Tokyo 104, Japan

[11] Natl Canc Ctr, Clin Lab Div, Tokyo, Japan

[12] Niigata Univ, Div Mol & Diagnost Pathol, Grad Sch Med & Dent Sci, Niigata, Japan

[13] Chinese Univ Hong Kong, Inst Digest Dis, Prince Wales Hosp, Shatin, Hong Kong, Peoples R China

[14] Univ Washington, Cent Div Gastroenterol, Grp Hlth Cooperat, Seattle, WA 98195 USA

[15] Univ Calif San Francisco, GI Hlth Outcomes Res Program, San Francisco, CA 94143 USA

[16] Boston Univ, Dept Pathol, Med Ctr, Boston, MA USA

[17] Portland VA Hosp, Div Gastroenterol, Portland, OR USA

[18] Univ N Carolina, Dept Med, Chapel Hill, NC USA

[19] Palo Alto Hlth Care Syst, Gastroenterol Sect, Palo Alto, CA USA

[20] Mem Sloan Kettering Canc Ctr, Dept Epidemiol & Biostat, New York, NY 10021 USA

[21] Fdn Gastroenterol, Endoscopy Unit Rio Grande Sul, Porto Alegre, RS, Brazil

[22] Inst Arnault Tzanck, Dept Gastroenterol & Hepatol, St Laurent Du Var, France

[23] Karolinska Inst, Ersta Hosp, Ctr Gastrointestinal Dis, Stockholm, Sweden

[24] Karolinska Inst, Dept Pathol, Res Lab, S-10401 Stockholm, Sweden

[25] Free Univ Brussels, Hop Erasme, Dept Gastroenterol, Clin Intestinal Dis & Nutr Support, B-1070 Brussels, Belgium

[26] Johannes Gutenberg Univ Mainz, St Hildegardis Krankenhaus, Klin Innere Med & Gastroenterol, Mainz, Germany

[27] Univ London Imperial Coll Sci Technol & Med, Harrow, Middx, England

来源：

GASTROINTESTINAL ENDOSCOPY | 2009年 / 70卷 / 06期

关键词：

ISLAND METHYLATOR PHENOTYPE; SESSILE SERRATED ADENOMAS; LOW CIMP-LOW; HYPERPLASTIC POLYPS; MICROSATELLITE INSTABILITY; BRAF MUTATION; COLON-CANCER; CLINICAL-SIGNIFICANCE; EPIGENETIC CHANGES; COLONOSCOPY;

D O I：

10.1016/j.gie.2009.09.015

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Recently, the emerging role of nonpolypoid precursors of colorectal cancer has challenged the conventional polyp-cancer sequence. The impact of colonoscopy in cancer prevention depends on its reliability in the diagnosis of colorectal neoplasia when the lesion does not extend beyond the submucosa and is potentially curable. The estimation of the risk of progression is based on the prediction of histology from the morphological appearance of the lesion and includes (1) distinction between neoplastic and non-neoplastic lesions, (2) identification of different categories of non-serrated and serrated lesions, and (3) determination of the localization in the proximal or distal colon, which has an impact on the morphology and behavior of the lesion. The pragmatic classification Of superficial neoplastic lesions proposed in this text takes into account these changes and is based oil a 2-step strategy of endoscopic diagnosis with initial detection and characterization, followed by treatment implementation, Such as endoscopic resection, ablation, and Surgery

引用

页码：1182 / 1199

页数：18

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