Characteristics of chromoendoscopically identified lesions and correlation of chromoendoscopic and gastrectomy findings in patients with signet ring cell carcinoma detected on chromoendoscopic biopsy
Case | Age sex | Index chromoendoscopy* | Previous chromoendoscopies and pale lesions | Gastrectomy findings‡ | |||||
---|---|---|---|---|---|---|---|---|---|
Pale lesions H/L†: size (mm) | Biopsy result | Previous scopes | Pale lesions H/L†: size (mm) | Biopsy result | Total foci | Foci <4 mm | Foci 4–10 mm | ||
*Most recent chromoendoscopy with pale lesions (in A–J, biopsy of ⩾1 lesion detected carcinoma). | |||||||||
†High or low suspicion for carcinoma (see methods). | |||||||||
‡All gastrectomies were macroscopically normal with no nodal metastases. Gastrectomies underwent detailed pathological mapping of total mucosal area except case A where only 30% of the mucosal area was mapped.13 | |||||||||
A | 39 M | H 10 | Carcinoma | 1 | H NS | Normal | 45 | 40 | 5 |
L <3 | Normal | ||||||||
B | 28 M | H 8 | Carcinoma | 2 | 214 | 212 | 2 | ||
L <3 | Normal | ||||||||
C | 15 F | H 3 | Carcinoma | 1 | 318 | 311 | 7 | ||
H 3 | Carcinoma | ||||||||
L 3 | Carcinoma | ||||||||
L 3 | Carcinoma | ||||||||
L 3 | Normal | ||||||||
D | 34 F | L 3 | Carcinoma | 4 | 111 | 110 | 1 | ||
E | 16 M | L 3 | Carcinoma | Nil | 15 | 15 | Nil | ||
F | 45 F | H 3 | Carcinoma | 4 | Gastric mapping pending | ||||
H 3 | Carcinoma | ||||||||
L <3 | Carcinoma | ||||||||
L <3 | Carcinoma | ||||||||
L <3 | Carcinoma | ||||||||
G | 27 F | L 3 | Carcinoma | 4 | Mapping pending | ||||
L 3 | Normal | ||||||||
H | 20 F | H 5 | Carcinoma | 1 | L 3 | Normal | 238 | 236 | 2 |
H 5 | Carcinoma, | L 3 | Normal | ||||||
L 3 | Carcinoma | ||||||||
L 3 | Carcinoma | ||||||||
L 3 | Carcinoma | ||||||||
L <3 | Normal | ||||||||
I | 19 M | H 5 | Carcinoma | 1 | L <3 | Normal | Operation pending | ||
H 5 | Carcinoma | L <3 | Normal | ||||||
L 3 | Carcinoma | ||||||||
L 3 | Normal | ||||||||
L 3 | Normal | ||||||||
L 3 | Normal | ||||||||
J | 40 M | L 3 | Carcinoma | 5 | L 3 | Normal | Operation pending | ||
K | 28 M | L 3 | Normal | L <3 | Gastritis | ||||
L <3 | Normal | L <3 | Gastritis | ||||||
L | 42 M | L 3 | Normal | L NS | Gastritis | ||||
L 3 | Normal | L NS | Gastritis | ||||||
M | 45 F | L NS | Gastritis | ||||||
L NS | Gastritis | ||||||||
L NS | Gastritis | ||||||||
N | 39 F | L NS | Normal | ||||||
L NS | Normal | ||||||||
O | 36 M | L <5 | Gastritis | Nil | |||||
L <5 | Gastritis | ||||||||
L <5 | Gastritis | ||||||||
P | 49 M | L NS | Normal | ||||||
Q | 20 M | L 2 | Normal | ||||||
R | 18 F | L 2 | Normal |