Pathology definitions and resection strategies for early colorectal neoplasia: Eastern versus Western approaches in the post-Vienna era

被引：10

作者：

Nishimura, Makoto ^{[1
]}

Saito, Yutaka ^{[3
]}

Nakanishi, Yukihiro ^{[4
,5
,6
]}

Shia, Jinru ^{[2
]}

Lauwers, Gregory Y. ^{[4
,5
,6
]}

Wallace, Michael B. ^{[7
,8
,9
]}

机构：

[1] Mem Sloan Kettering Canc Ctr, Gastroenterol Hepatol & Nutr Serv, 1275 York Ave, New York, NY 10065 USA

[2] Mem Sloan Kettering Canc Ctr, Gastrointestinal Pathol, 1275 York Ave, New York, NY 10021 USA

[3] Natl Canc Hosp, Endoscopy Div, Tokyo, Japan

[4] H Lee Moffitt Canc Ctr & Res Inst, Dept Pathol, Tampa, FL USA

[5] Univ S Florida, Dept Pathol, Tampa, FL 33620 USA

[6] Univ S Florida, Dept Cell Biol & Oncol Sci, Tampa, FL 33620 USA

[7] H Lee Moffitt Canc Ctr & Res Inst, Tampa, FL USA

[8] Univ S Florida, Tampa, FL 33620 USA

[9] Mayo Clin, Dept Gastroenterol & Hepatol, Jacksonville, FL 32224 USA

来源：

GASTROINTESTINAL ENDOSCOPY | 2020年 / 91卷 / 05期

关键词：

ENDOSCOPIC SUBMUCOSAL DISSECTION; LATERALLY SPREADING TUMORS; MUCOSAL RESECTION; DIAGNOSTIC-CRITERIA; CANCER; CLASSIFICATION; CARCINOMA; JAPANESE; RISK; RECURRENCE;

D O I：

10.1016/j.gie.2019.12.021

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

There is a well-known discrepancy between East and West classifications of colorectal neoplasm, especially "intramucosal carcinoma," categorized as subgroup 4.4 in the Vienna classification, usually recognized as high-grade dysplasia in the United States and as carcinoma in situ in Japan. Focusing on management, in the current National Comprehensive Cancer Network algorithm, high-grade dysplasia, carcinoma in situ, and intramucosal carcinoma are managed similarly, whereas submucosal invasion by carcinoma requires en bloc resection. To bridge the differences with regard to these conceptual problems in the definition and management of carcinoma in situ and intramucosal carcinoma, endoscopists and pathologists from Japan and the United States gathered and discussed from their perspectives how to accurately assess specimens of en bloc/piecemeal resection and to effectively predict lymph node metastasis risk.

引用

页码：983 / 988

页数：6