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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 475 - 483 (9page)
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초록· 키워드
오류제보하기
Background/Aims: We aimed to assess the rate of histologic discrepancy (HD) between endoscopic forceps biopsy (EFB) and totally resected specimens in colorectal polyp and analyze the risk factors of discordant group, especially under-diagnosis (UD) cases before complete removal of colorectal polyp. Methods: From 2010 to 2015, a total of 290 polyps in 210 patients which had baseline pathology report before endoscopic resection (ER) were analyzed. UD cases were defined as those in which the diagnosis changed to a more advanced histologic feature after ER. Results: A change in the final histology after ER was noted in 137 cases (47.2%), and after excluding 9 insignificant cases, 128 cases were further categorized into over-diagnosed and under-diagnosed group. UD occurred in 86 cases (29.7%) and change from benign to malignancy was noted in 26 cases (8.9%). On univariate analysis, a larger polyp size (>10 mm) was significantly associated with both HD (P<0.001) and UD (P<0.001). Regarding polyp morphology, protruding or flat was not significantly important. On multivariate analysis, polyp size >10 mm was the single most significant predictor of both HD (P<0.001) and UD (P<0.001). Conclusions: The HD and UD rates were 47.2% and 29.7%, respectively. Polyp size >10 mm was the most important predictor of both HD and UD. We should be careful in making treatment strategy of colorectal polyp based on histologic report of EFB especially when the size of polyp is >10 mm.
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참고문헌 (27)
참고문헌 신청
El Zoghbi M / 2016 / New era of colorectal cancer screening / World J Gastrointest Endosc 8:252~258
Min Jung Kwon / 2015 / Risk Factors for Delayed Post-Polypectomy Bleeding / Intestinal research 13(2):160~165
Vogelstein B / 1988 / Genetic alterations during colorectal-tumor development / N Engl J Med 319:525~532
이정록 / 2017 / Determining the optimal surveillance interval after a colonoscopic polypectomy for the Korean population? / Intestinal research 15(1):109~117
김경옥 / 2014 / Surveillance Colonoscopy after Polypectomy: Actual Practice in Korea / Intestinal research 12(1):83~84
Min Jung Kwon / 2015 / Risk Factors for Delayed Post-Polypectomy Bleeding / Intestinal research 13(2):160~165
Vogelstein B / 1988 / Genetic alterations during colorectal-tumor development / N Engl J Med 319:525~532
이정록 / 2017 / Determining the optimal surveillance interval after a colonoscopic polypectomy for the Korean population? / Intestinal research 15(1):109~117
김경옥 / 2014 / Surveillance Colonoscopy after Polypectomy: Actual Practice in Korea / Intestinal research 12(1):83~84
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