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Zhu XN, Dong PW, Xiang LY, et al. [Risk Factors for Missed Diagnosis of Esophageal Low-grade Intraepithelial Neoplasia in Endoscopic Forceps Biopsy Compared with Endoscopic Submucosal Dissection]. Sichuan Da Xue Xue Bao Yi Xue Ban. 2018;49(6):854-858
Zhu, X. N., Dong, P. W., Xiang, L. Y., Wang, J., Zhu, L. L., Wang, Y. P., & Yang, J. L. (2018). [Risk Factors for Missed Diagnosis of Esophageal Low-grade Intraepithelial Neoplasia in Endoscopic Forceps Biopsy Compared with Endoscopic Submucosal Dissection]. Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition, 49(6), 854-858.
Zhu, Xiao-Nan, et al. "[Risk Factors for Missed Diagnosis of Esophageal Low-grade Intraepithelial Neoplasia in Endoscopic Forceps Biopsy Compared with Endoscopic Submucosal Dissection]." Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition vol. 49,6 (2018): 854-858.
Zhu XN, Dong PW, Xiang LY, Wang J, Zhu LL, Wang YP, Yang JL. [Risk Factors for Missed Diagnosis of Esophageal Low-grade Intraepithelial Neoplasia in Endoscopic Forceps Biopsy Compared with Endoscopic Submucosal Dissection]. Sichuan Da Xue Xue Bao Yi Xue Ban. 2018 Nov;49(6):854-858. Chinese. PMID: 32677392.
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Sichuan Da Xue Xue Bao Yi Xue Ban. 2018 Nov;49(6):854-858.

[Risk Factors for Missed Diagnosis of Esophageal Low-grade Intraepithelial Neoplasia in Endoscopic Forceps Biopsy Compared with Endoscopic Submucosal Dissection].

Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition

[Article in Chinese]
Xiao-Nan Zhu, Pei-Wen Dong, Ling-Ya Xiang, Jin Wang, Lin-Lin Zhu, Yi-Ping Wang, Jin-Lin Yang

Affiliations

  1. Department of Gastroenterology, West China Hospital, Sichuan University, Chengdu 610041, China.
  2. Department of International Medical Center, West China Hospital, Sichuan University, Chengdu 610041, China.

PMID: 32677392

Abstract

OBJECTIVE: To investigate the risk factors for pathological upgrading after endoscopic treatment of esophageal lesions which confirmed to be low-grade intraepithelial neoplasia (LGIN) by preoperative biopsy.

METHODS: A total of 148 patients who were confirmed to be LGIN in preoperative forceps underwent further endoscopic resection between November 2013 and July 2018. According to the final pathological results after endoscopic treatment, they were divided into pathological upgrading group and pathological non-upgrading group, and their clinicopathological characteristics were analyzed and compared through univariate and multivariate analysis.

RESULTS: The average age of the patients was (59.95±7.75) years old and the percent of male patients was 67.57% (100/148). Most lesions were located in the middle esophagus (99 cases) and lower esophagus (38 cases). Endoscopic gross type was mainly depressed type (72 cases). The en-bloc resection rate was 99.32% (147/148). Among the patients (77, 52.03%) who had pathological upgrading, 33 (22.3%) cases were HGIN, 25 (16.9%) cases were

CONCLUSIONS: For esophageal lesions diagnosed by biopsy as LGIN, clinicians should be highly alert to the pathological underestimate if the lesion surface is reddened and its longitudinal diameter is greater than 3 cm.

Copyright© by Editorial Board of Journal of Sichuan University (Medical Science Edition).

Keywords: Esophagus; Low-grade intraepithelial neoplasia; Pathological upgrade; Risk factors

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