Endoscopic features suggesting gastric cancer in biopsy-proven gastric adenoma with high-grade neoplasia

doi:10.3748/wjg.v20.i34.12233

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World Journal of Gastroenterology

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1007-9327

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Gastroenterol. Sep 14, 2014; 20(34): 12233-12240
Published online Sep 14, 2014. doi: 10.3748/wjg.v20.i34.12233

Endoscopic features suggesting gastric cancer in biopsy-proven gastric adenoma with high-grade neoplasia

Jung Ho Kim, Yoon Jae Kim, Jungsuk An, Jong Joon Lee, Jae Hee Cho, Kyoung Oh Kim, Jun-Won Chung, Kwang An Kwon, Dong Kyun Park, Ju Hyun Kim

Jung Ho Kim, Yoon Jae Kim, Jong Joon Lee, Jae Hee Cho, Kyoung Oh Kim, Jun-Won Chung, Kwang An Kwon, Dong Kyun Park, Ju Hyun Kim, Department of Internal Medicine, Gachon University Gil Medical Center, Namdong-gu, Incheon 405-760, South Korea

Jungsuk An, Department of Pathology, Gachon University Gil Medical Center, 21 Namdong-daero 774 beon-gil, Namdong-gu, Incheon 405-760, South Korea

Author contributions: Kim JH and Kim YJ designed the research; Lee JJ and Cho JH performed research; Kim KO and Chung JW collected data; An J, Kwon KA and Park DK analysed data; Kim JH coordinated and supported the statistical analysis; Kim JH wrote the paper.

Supported by Grants of the Gachon University Gil Medical Center, No. 2013-35 and 37

Correspondence to: Yoon Jae Kim, MD, Department of Internal Medicine, Gachon University Gil Medical Center, 21 Namdong-daero 774 beon-gil, Namdong-gu, Incheon 405-760, South Korea. yoonmed@gachon.ac.kr

Telephone: +82-32-4603778 Fax: +82-32-4603408

Received: March 8, 2014
Revised: May 12, 2014
Accepted: May 25, 2014
Published online: September 14, 2014

Core Tip

Core tip: A discrepancy may exist between the diagnosis using endoscopic forceps biopsies (EFB) samples and totally resected specimens because only a small portion is sampled. Considering the risk of missing a cancer diagnosis, it is necessary to identify morphological characteristics on endoscopy that suggest coexisting cancer in patients diagnosed with high-grade neoplasia (HGN) on initial EFB. HGN with a red color change or mucosal ulceration correlated with the presence of gastric cancer. Characteristic endoscopic findings suggesting gastric cancer may help to determine the diagnosis and guide treatment in patients with HGN.