Clinical Gastroenterology Vol.21 No.4(9)

Theme Current Status of Magnifying Endoscopy
Title Magnifying Colonoscopic Diagnosis of Invasion Depths Deeper than 1,000μm in Early Colorectal Carcinoma
Publish Date 2006/04
Author Shiro Oka Department of Endoscopy, Hiroshima University Hospital
Author Shinji Tanaka Department of Endoscopy, Hiroshima University Hospital
Author Iwao Kaneko Department of Medicine and Molecular Science, Division of Frontier Medical Science, Programs for Biomedical Research, Graduate School of Biomedical Science, Hiroshima University
Author Ritsuo Mohri Department of Medicine and Molecular Science, Division of Frontier Medical Science, Programs for Biomedical Research, Graduate School of Biomedical Science, Hiroshima University
Author Shigeto Yoshida Department of Medicine and Molecular Science, Division of Frontier Medical Science, Programs for Biomedical Research, Graduate School of Biomedical Science, Hiroshima University
Author Kazuaki Chayama Department of Medicine and Molecular Science, Division of Frontier Medical Science, Programs for Biomedical Research, Graduate School of Biomedical Science, Hiroshima University
[ Summary ] We assessed magnifying endoscopic findings for diagnosis of the depth of submucosal invasion deeper than 1,000μm in early colorectal carcinoma. With a classification based on the Hakone consensus, type V pit pattern is divived into VI (irregular) and VN (non-structure). In addition, we classified the type VI pit pattern into two groups ; VIA and VIB. Regardless of macroscopic type, the incidence of submucosal invaion deeper than 1,000μm with type VN pit pattern was significantly higher than with non-VN pit patterns. This classification was useful in diagnosing early colorectal carcinoma displaying invasions deeper than 1,000μm, subclassifying the type VI pit pattern.
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