Diagnosis and therapies for gastric non-invasive neoplasia

Research output: Contribution to journalReview article

6 Citations (Scopus)

Abstract

There has been a great discrepancy of pathological diagnosis for gastric non-invasive neoplasia/dysplasia between Japanese and western pathologists. In Japan, lesions that most western pathologists diagnose as dysplasia are often considered adenocarcinoma based on nuclear and structural atypia regardless of the presence of invasion. In the Vienna classification, gastric non-invasive intraepithelial neoplasia (NIN) were divided into low grade and high grade (including intramucosal cancer of Japanese criteria). The diagnosis by both endoscopy and pathology of biopsy specimen is difficult. Recent advances of diagnostic modality such as magnified endoscopy and imaged enhanced endoscopy is expected to improve the diagnostic yield for NIN. There are two treatment strategies for NIN, observation and diagnostic therapy by endoscopic resection (ER). ER is acceptable because of its less invasiveness and high local control rate, on the other hand, cancer-developing rate of low-grade NIN is reported to be low. Therefore there is controversy for the treatment of gastric NIN. Prospective study based on unified pathological definition is required in the future.

Original languageEnglish
Pages (from-to)12513-12518
Number of pages6
JournalWorld Journal of Gastroenterology
Volume21
Issue number44
DOIs
Publication statusPublished - 2015 Nov 28
Externally publishedYes

Keywords

  • Adenocarcinoma
  • Adenoma
  • Diagnosis
  • Gastric
  • Gastric
  • Non invasive intraepithelial neoplasia

ASJC Scopus subject areas

  • Gastroenterology

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