دورية أكاديمية
Prediction of the invasion depth of superficial nonampullary duodenal adenocarcinoma.
| العنوان: | Prediction of the invasion depth of superficial nonampullary duodenal adenocarcinoma. |
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| المؤلفون: | Morita Y; Department of Gastroenterology, Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo, Japan., Yoshimizu S; Department of Gastroenterology, Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo, Japan., Takamatsu M; Department of Pathology, Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo, Japan.; Division of Pathology, Cancer Institute, Japanese Foundation for Cancer Research, Tokyo, Japan., Kawachi H; Department of Pathology, Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo, Japan.; Division of Pathology, Cancer Institute, Japanese Foundation for Cancer Research, Tokyo, Japan., Nakano K; Department of Pathology, Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo, Japan.; Division of Pathology, Cancer Institute, Japanese Foundation for Cancer Research, Tokyo, Japan., Ikenoyama Y; Department of Gastroenterology, Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo, Japan., Tokai Y; Department of Gastroenterology, Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo, Japan., Namikawa K; Department of Gastroenterology, Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo, Japan., Horiuchi Y; Department of Gastroenterology, Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo, Japan., Ishiyama A; Department of Gastroenterology, Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo, Japan., Yoshio T; Department of Gastroenterology, Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo, Japan., Hirasawa T; Department of Gastroenterology, Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo, Japan., Fujisaki J; Department of Gastroenterology, Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo, Japan. |
| المصدر: | Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society [Dig Endosc] 2024 Aug; Vol. 36 (8), pp. 927-938. Date of Electronic Publication: 2023 Dec 27. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: John Wiley & Sons Australia, Ltd Country of Publication: Australia NLM ID: 9101419 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1443-1661 (Electronic) Linking ISSN: 09155635 NLM ISO Abbreviation: Dig Endosc Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2019- : Richmond, Vic., Australia : John Wiley & Sons Australia, Ltd. Original Publication: Tokyo, Japan : The Society, c1989- |
| مواضيع طبية MeSH: | Adenocarcinoma*/pathology , Adenocarcinoma*/diagnostic imaging , Adenocarcinoma*/surgery , Neoplasm Invasiveness* , Duodenal Neoplasms*/pathology , Duodenal Neoplasms*/diagnostic imaging , Duodenal Neoplasms*/surgery , Endosonography*, Humans ; Male ; Female ; Retrospective Studies ; Aged ; Middle Aged ; Aged, 80 and over ; Intestinal Mucosa/pathology ; Intestinal Mucosa/diagnostic imaging ; Adult ; Neoplasm Staging ; Biopsy |
| مستخلص: | Objectives: Distinguishing between intramucosal cancer and submucosal invasive cancer is vital for optimal treatment selection for patients with superficial nonampullary duodenal adenocarcinoma (SNADAC); however, standard diagnostic systems for diagnosing invasion depth are as yet undetermined. Methods: Of 205 patients with SNADAC who underwent treatment at our institution between 2006 and 2022, 188 had intramucosal cancer and 17 had submucosal invasive cancer. The clinical, endoscopic, and pathological features used in the preoperative diagnosis of invasion depth and the diagnostic performance of endoscopic ultrasonography (EUS) were retrospectively analyzed in 85 patients. Results: The oral side of the papilla tumor location, protruded or mixed macroscopic type, and moderately-to-poorly differentiated adenocarcinoma based on biopsy specimens were significantly more frequent in submucosal invasive cancer than in intramucosal cancer (88% vs. 48%; 94% vs. 42%; 47% vs. 0%, respectively). From the relationship between the endoscopic features and the submucosal invasive cancer incidence, submucosal invasion risk was stratified as: (i) low-risk (risk, 2%), all lesions located on the anal side of the papilla and superficial macroscopic type on the oral side of the papilla; and (ii) high-risk (risk, 23%), protruded or mixed macroscopic type on the oral side of the papilla. Based on the biopsy specimens, all eight patients with moderately-to-poorly differentiated adenocarcinoma had submucosal invasive cancer. Furthermore, EUS was not associated with invasion depth's diagnostic accuracy improvements. Conclusion: Optimal treatment indications for SNADAC can be selected based on the risk factors of submucosal invasion by tumor location, macroscopic type, and biopsy diagnosis. (© 2023 Japan Gastroenterological Endoscopy Society.) |
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| فهرسة مساهمة: | Keywords: diagnosis; duodenal neoplasm; endoscopic ultrasonography; endoscopy; tumor staging |
| تواريخ الأحداث: | Date Created: 20231121 Date Completed: 20240809 Latest Revision: 20240809 |
| رمز التحديث: | 20240809 |
| DOI: | 10.1111/den.14729 |
| PMID: | 37986266 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1443-1661 |
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| DOI: | 10.1111/den.14729 |