medigraphic.com

2014, Number 2

<< Back Next >>

Cuba y Salud 2014; 9 (2)

Flat gastrointestinal lesions, diagnosis and classification

Bello NM, Rapado VM, García BLG

Language: Spanish
References: 32
Page: 36-41
PDF size: 433.64 Kb.


ABSTRACT

Objective: To support the significance of being aware with the current classification of flat gastrointestinal tract lesions and making its early endoscopic diagnosis.
Development: Esophagus, stomach and colon neoplasias are major causes of mortality worldwide. Generally, cancer represents, in Cuba, the second cause of death and particularly, gastrointestinal neoplasias, the forth cause in order of appearance. Flat gastrointestinal lesions, also defined as premalignant and/or, precursors of advanced cancer are considered to be difficult to diagnose during the development of a conventional endoscopic study as well as in non- invasive endoscopic studies . This type of lesion can become in an advanced cancer with a higher frequency than the ones called protruded polyps of similar size, therefore, its precocious diagnosis is essential. Currently, new guiding principles have been adopted globally for classifying these lesions taking into account their morphology and endoscopic appearance At the same time, the incorporation of exceptional novel and sophisticated endoscopic techniques has contributed to improve diagnosing this type of lesions.
Conclusions: The possibility of identifying the plane gastrointestinal tract lesions in a quick and precise way has had a great impact on preventing cancer of digestive origin, making possible its early detection when the lesion is even considered to be curable.


REFERENCES

  1. Parra Blanco A, Nicolás-Pérez D, Gimeno-García AZ, Fu KI, Hernández N, Quintero E. An early flat depressed lesion in the cecum progressing to an advanced cancer in 20 months. GastrointestEndosc. 2007 Oct; 66(4):859-61.

  2. Kudo S, Kashida H, Tamura S, Nakajima T. The problem of “flat” colonic adenoma. GastrointestEndoscClin N Am. 1997Jan; 7(1):87- 98.

  3. Liang H, Zhong Y, Zhou S, Peng L. Knockdown of RAGE expression inhibits colorectal cancer cell invasion and suppresses angiogenesis in vitro and in vivo. Cancer Letters 2011; 313: 91-8.

  4. YU J, ZHAO Q. The Demographic Characteristics of Histological types of Gastric Cancer with Gender, Age, and Tumor Location. J Gastrointest Canc. 2009; 40:98-100.

  5. Japanese Gastric Cancer Association. Japanese Classification of Gastric Carcinoma 2nd English Edition-. Gastric Cancer. 1998; 1:10- 24.

  6. Morales E, Rojas R A, Monasterio V, González I, Figueroa I, Manques B, Romero J, Llanos J, Valdés E, Cofré C. Lesiones gástricas en pacientes infectados con Helicobacter pylori: expresión de RAGE (receptor de productos de glicosilización avanzada) y otros inmunomarcadores. RevMed Chile 2013; 141: 1240-1248

  7. Guzmán P, Araya J, Villaseca M, Roa I, Melo A, Muñoz S. Expresión inmunohistoquímica del complejo E-caderina-catenina en cáncer gástrico. Relación con variables clínico-morfológicas y sobrevida de pacientes. Correlates with better prognosis and cyclin-dependent kinase inhibitors in human gastric cancer. BMC Gas¬troenterology 2010; 10: 91.

  8. Siani LM, Ferranti F, De Carlo A, Marzano M, Quintiliani A. [Modulation of the extent of lymphadenectomy in early gastric cancer. Review of the literature and role of laparoscopy].Chir Ital. 2009; 61(5-6):551-8.

  9. Ruiz-Tova J, Jiménez Miramón J, A. Valle, Limones M.Resección endoscópica de cáncer colorrectal temprano como único tratamiento Rev Española de EnfermDiag (Madrid) 2010.Vol 102;( N.° 7)435-441.

  10. Teixeira CR, Torresini RS, Canali C, Figueiredo LF, Mucenic M, Pereira Lima JC. Endoscopic classification of the capillary-vessel pattern of colorectal lesions by spectral estimation technology and magnifying zoom imaging. Gastrointest Endosc. 2009;69(3 Pt 2):750-6

  11. Taghavi SA, Membari ME, Eshraghian A, Dehghani SM, Hamidpour L, Khademalhoseini F. Comparison of chromoendoscopy and conventional endoscopy in the detection of premalignant gastric lesions. Can J Gastroenterol. 2009;23(2):105-8

  12. Huang LY, Cui J, Wu CR, Liu YX, Xu N. Narrow-band imaging in the diagnosis of early esophageal cancer and precancerous lesions. Chin Med J (Engl). 2009;122(7):776-80

  13. Kuznetsov K, Lambert R, Rey JF. Narrow-band imaging: potential and limitations. Endoscopy. 2006;38(1):76-81

  14. Spechler SJ, Davila R. Endoscopic therapy in Barrett’s esophagus: when and how? Surg Oncol Clin N Am. 2009 Jul;18(3):509-21

  15. Emura F, Saito Y, Ikematsu H. Narrow-band imaging optical chromocolonoscopy: advantages and limitations. World J Gastroenterol. 2008;14(31):4867-72

  16. Lambert R, Kudo SE, Vieth M, Allen JI, Fujii H, Fujii T. Pragmatic classification of superficial neoplastic colorectal lesions. Gastrointest Endosc. 2009 Dec; 70(6):1182-99Bornschein J, Kandulski A, Selgrad M, Malfertheiner P. From gastric inflammation to gastric cancer. Dig Dis 2010; 28 (4-5): 609-14.

  17. Kiesslich R, Burg J, Vieth M, Gnaendiger J, Enders M, Delaney P. Confocal laser endoscopy for diagnosing intraepithelial neoplasias and colorectal cancer in vivo. Gastroenterology. 2004;127(3):706-13

  18. Kara MA, Peters FP, Rosmolen WD, et al. High-resolution endoscopy plus chromoendoscopy or narrow-band imaging in Barrett’s esophagus: a prospective randomized crossover study. Endoscopy 2005; 37: 929-936

  19. Pech O, Rabenstein T, Manner H, Petrone MC, Pohl J, Vieth M, et al. Confocal laser endomicroscopy for in vivo diagnosis of early squamous cell carcinoma in the esophagus. Clin Gastroenterol Hepatol. 2008 Jan; 6(1):89-94.

  20. Huang LY, Cui J, Wu CR, Liu YX, Xu N. Narrow-band imaging in the diagnosis of early esophageal cancer and precancerous lesions. Chin Med J (Engl). 2009 Apr 5; 122(7):776-80.

  21. YU J, ZHAO Q. The Demographic Characteristics of Histological types of Gastric Cancer with Gender,Age, and Tumor Location. J Gastrointest Canc.2009; 40:98-100.

  22. Kudo SE, Takemura O, Ohtsuka K. Flat and depressed types of early colorectal cancers: from East to West. Gastrointest Endosc Clin N Am. 2008;18(3):581-93.

  23. Rubio CA, Kumagai J, Kanamori T, Yanagisawa A, Nakamura K, Kato Y. Flat adenomas and flat adenocarcinomas of the colorectal mucosa in Japanese and Swedish patients. Comparative histologic study. Dis Colon Rectum. 1995 Oct;38(10):1075-9

  24. Kudo SE, Mizuno K. [Endoscopic diagnosis of early colorectal cancer]. Nippon Shokakibyo Gakkai Zasshi. 2007 Jul;104(7):1008-17

  25. Update on the Paris classification of superficial neoplastic lesions in the digestive tract. Endoscopy. 2005;37(6):570-8

  26. The Paris endoscopic classification of superficial neoplastic lesions: esophagus, stomach, and colon: November 30 to December 1, 2002. Gastrointest Endosc. 2003;58(6 Suppl):S3-43

  27. Yin JX, Oda I, Suzuki H, Gotoda T, Shimoda T, Saito D. [Endoscopic diagnosis of gastric cancer invasion depth]. Nippon Shokakibyo Gakkai Zasshi. 2009; 106(11):1603-9

  28. Tanaka K, Toyoda H, Kadowaki S, Hamada Y, Kosaka R, Matsuzaki Sl. Surface pattern classification by enhanced-magnification endoscopy for identifying early gastric cancers. Gastrointest Endosc. 2008;67(3):430-7

  29. Davila RE. Chromoendoscopy. Gastrointest Endosc Clin N Am. 2009;19(2):193-208

  30. Matsuda T, Fujii T, Saito Y, Nakajima T, Uraoka T, Kobayashi N, et al. Efficacy of the invasive/non-invasive pattern by magnifying chromoendoscopy to estimate the depth of invasion of early colorectal neoplasms. Am J Gastroenterol. 2008;103(11):2700-6

  31. Bulois P. [Virtual chromoendoscopy]. Gastroenterol Clin Biol. 2009 Oct;33(10-11 Suppl):F12-9

  32. Yao K, Anagnostopoulos GK, Ragunath K. Magnifying endoscopy for diagnosing and delineating early gastric cancer. Endoscopy. 2009;41(5):462-7




2020     |     www.medigraphic.com