| Theme | Current destination of "de novo cancer" | |
|---|---|---|
| Title | Endocytoscopic diagnosis of depressed tumors | |
| Publish Date | 2020/04 | |
| Author | Toyoki Kudo | Digestive Disease Center, Showa University Northern Yokohama Hospital |
| Author | Hiroki Miyata | Digestive Disease Center, Showa University Northern Yokohama Hospital |
| Author | Yuichi Mori | Digestive Disease Center, Showa University Northern Yokohama Hospital |
| Author | Masashi Misawa | Digestive Disease Center, Showa University Northern Yokohama Hospital |
| Author | Yosuke Minegishi | Digestive Disease Center, Showa University Northern Yokohama Hospital |
| Author | Takemasa Hayashi | Digestive Disease Center, Showa University Northern Yokohama Hospital |
| Author | Kunihiko Wakamura | Digestive Disease Center, Showa University Northern Yokohama Hospital |
| Author | Hideyuki Miyachi | Digestive Disease Center, Showa University Northern Yokohama Hospital |
| Author | Shin-ei Kudo | Digestive Disease Center, Showa University Northern Yokohama Hospital |
| [ Summary ] | It is important for us to pay attention to and diagnose the high degree of nuclear enlargement and multilayered nuclei findings in addition to the form of the glandular lumens for the endocyto (EC) diagnosis of depressed-type tumors. In addition, the fine granular structures in the EC image may correlate with the desmoplastic reaction of the invasive cancer; therefore, future studies to clarify these points are necessary. Furthermore, there is a possibility that the morphological types of colorectal tumors have a considerable effect on the precision of EC diagnosis because EC diagnosis must contact the scope tip with the surface of the lesion. In our retrospective study, there was no significant difference in the accuracies of pit pattern and EC diagnosis. However, there was a significant difference in the results of the protruding type and LST-NG, respectively, and it is required that we achieve a better sense of the characteristics of EC diagnosis and effectively combine it with the pit pattern diagnosis in the clinical cases. | |