[Magnifying endoscope and stereomicroscope in diagnosing colon tumor: experience with 139 cases].

Di Yi Jun Yi Da Xue Xue Bao

Institute for Digestive Diseases of PLA, Nanfang Hospital, First Military Medical University, Guangzhou 510515, China.

Published: September 2004

AI Article Synopsis

  • The study aimed to find effective ways to identify early large bowel cancer and precancerous lesions using a magnifying endoscope.
  • Researchers examined 139 patients, discovering polyps in 124 and advanced cancers in 9, while closely analyzing pit patterns to link them to pathologic diagnoses.
  • Results showed that pit patterns observed with the magnifying endoscope correlated well with those seen under a stereomicroscope, indicating that specific pit patterns, particularly Pit V, could signal early cancerous lesions, aiding in early detection of colorectal cancers.

Article Abstract

Objective: To explore the practical means for identifying early large bowel carcinoma and precancerous lesions with magnifying endoscope.

Methods: We examined 139 patients with polyp using colonoscopy and mucosal staining, and observed the pit patterns (proposed by Kudo) with magnifying endoscope and stereomicroscope to identify the relations between the pit patterns and the pathologic diagnosis.

Results: Polyps were identified in 124 patients and advanced cancers in 9. Five laterally spreading tumors (LST) ranging from 10 to 50 mm in diameter, including 1 of pit IIIL, and 4 of pit IV. were found. The findings of the pit patterns by magnifying endoscope were highly consistent with those by stereomicroscope in these patients.

Conclusions: Pit patterns are crucial to distinguish the cancerous lesions form non-cancerous one and helpful for early detection of colorectal cancers. Pit V may serve as warning sign of early cancerous lesions.

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