INTESTINE Vol.19 No.5(2)

Theme <Comprehensible explanation> "JGES guidelines for colorectal endoscopic submucosal dissection/endoscopic mucosal resection"
Title Definition and pathology of laterally spreading tumor (LST)
Publish Date 2015/09
Author Yasuhiko Maeyama Division of Gastroenterology, Department of Medicine, Kurume University / Department of Endoscopy, Center for Gastroenterology, Kurume University
Author Osamu Tsuruta Division of Gastroenterology, Department of Medicine, Kurume University / Department of Endoscopy, Center for Gastroenterology, Kurume University
Author Tetsuhiro Noda Division of Gastroenterology, Department of Medicine, Kurume University / Department of Endoscopy, Center for Gastroenterology, Kurume University
Author Shuichiro Nagata Division of Gastroenterology, Department of Medicine, Kurume University / Department of Endoscopy, Center for Gastroenterology, Kurume University
Author Michita Mukasa Division of Gastroenterology, Department of Medicine, Kurume University / Department of Endoscopy, Center for Gastroenterology, Kurume University
Author Hiroaki Sumie Division of Gastroenterology, Department of Medicine, Kurume University / Department of Endoscopy, Center for Gastroenterology, Kurume University
Author Hiroshi Kawano Department of Gastroenterology, St. Mary's Hospital
Author Keiichi Mitsuyama Division of Gastroenterology, Department of Medicine, Kurume University / Department of Endoscopy, Center for Gastroenterology, Kurume University
Author Takuji Torimura Division of Gastroenterology, Department of Medicine, Kurume University / Department of Endoscopy, Center for Gastroenterology, Kurume University
[ Summary ] The term laterally spreading tumor (LST) was originally proposed by Kudo et al. to define colorectal tumors spreading laterally to greater than 10 mm in diameter. The term LST is now commonly used worldwide. However, the term LST does not apply to macroscopic carcinoma, which has a subclassification similar to that of superficial spreading tumors in esophageal and gastric carcinomas. This definition and representative colonoscopic images of LST have now been included in the eighth edition of the revised version of "Japanese Classification of Colorectal Carcinoma", published in July 2013.
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