Hattori S, Iwatate M, Sano W, Hasuike N, Kosaka H, Ikumoto T, Kotaka M, Ichiyanagi A, Ebisutani C, Hisano Y, Fujimori T, Sano Y. Narrow-band imaging observation of colorectal lesions using NICE classification to avoid discarding significant lesions. World J Gastrointest Endosc 2014; 6(12): 600-605 [PMID: 25512769 DOI: 10.4253/wjge.v6.i12.600]
Corresponding Author of This Article
Santa Hattori, MD, PhD, Gastrointestinal Center and Institution of Minimally Invasive Endoscopic Care, Sano Hospital, 2-5-1 Shimizugaoka, Tarumi-ku, Kobe, Hyogo 655-0031, Japan. sahattor@hotmail.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Santa Hattori, Mineo Iwatate, Wataru Sano, Noriaki Hasuike, Hidekazu Kosaka, Taro Ikumoto, Masahito Kotaka, Akihiro Ichiyanagi, Yasushi Sano, Gastrointestinal Center and Institute of Minimally Invasive Endoscopic Care, Sano Hospital, Hyogo 655-0031, Japan
Chikara Ebisutani, Department of Gastroenterology, Kobe Minimally Invasive Treatment Center of Cancer, Hyogo 650-0046, Japan
Yasuko Hisano, Medical Oncology/Hematology, Kobe University Graduate School of Medicine, Hyogo 650-0017, Japan
Takahiro Fujimori, Department of Pathology, Shinko Hospital, Hyogo 651-0072, Japan
Author contributions: Hattori S, Iwatate M, Sano W, Hasuike N, Kosaka H, Ikumoto T, Kotaka M, Ichiyanagi A, Ebisutani C, Hisano Y, Fujimori T and Sano Y designed the study; Hattori S collected data; Hattori S and Sano Y drafted this study, analyzed data and wrote the manuscript.
Supported by Institute of Minimally Invasive Endoscopic Care (iMEC), Sano Hospital, No. 2014-02
Correspondence to: Santa Hattori, MD, PhD, Gastrointestinal Center and Institution of Minimally Invasive Endoscopic Care, Sano Hospital, 2-5-1 Shimizugaoka, Tarumi-ku, Kobe, Hyogo 655-0031, Japan. sahattor@hotmail.com
Telephone: +81-78-7851000 Fax: +81-78-7850077
Received: June 28, 2014 Revised: October 31, 2014 Accepted: November 7, 2014 Published online: December 16, 2014
Core Tip
Core tip: Discarding a polyp without performing histological evaluation runs the risk of failing to detect small invasive colorectal cancer. Retrospectively, we aimed to assess the risk of failing to detect diminutive and small colorectal invasive cancer with the “resect and discard” strategy by using the NICE classification scheme with a magnifying endoscope. We reviewed and assessed 878 polyps less than 1 cm in diameter detected in our hospital. Among them, 2 SM-d carcinomas were found and both of their optical features were classified as NICE type 3. We concluded that the risk of failing to detect diminutive and small invasive colorectal cancer with the “resect and discard” strategy might be prevented by employing NICE classification under narrow-band imaging magnification.
