Form-Vessel Classification of Cholangioscopy Findings to Diagnose Biliary Tract Carcinoma's Superficial Spread.


Journal

International journal of molecular sciences
ISSN: 1422-0067
Titre abrégé: Int J Mol Sci
Pays: Switzerland
ID NLM: 101092791

Informations de publication

Date de publication:
07 May 2020
Historique:
received: 08 04 2020
revised: 29 04 2020
accepted: 05 05 2020
entrez: 13 5 2020
pubmed: 13 5 2020
medline: 11 2 2021
Statut: epublish

Résumé

We aimed to evaluate a newly developed peroral cholangioscopy (POCS) classification system by comparing classified lesions with histological and genetic findings. We analyzed 30 biopsied specimens from 11 patients with biliary tract cancer (BTC) who underwent POCS. An original classification of POCS findings was made based on the biliary surface's form (F factor, 4 grades) and vessel structure (V-factor, 3 grades). Findings were then compared with those of corresponding biopsy specimens analyzed histologically and by next-generation sequencing to identify somatic mutations. In addition, the histology of postoperative surgical stumps and preoperative POCS findings were compared. Histological malignancy rate in biopsied specimens increased with increasing F- and V-factor scores (F1, 0%; F1, 25%; F3, 50%; F4, 62.5%;

Identifiants

pubmed: 32392821
pii: ijms21093311
doi: 10.3390/ijms21093311
pmc: PMC7246671
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : Japan Society for the Promotion of Science
ID : JP18K07999
Organisme : Japan Society for the Promotion of Science
ID : JP15K09044

Déclaration de conflit d'intérêts

The authors declare no conflict of interest.

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Auteurs

Yoshimitsu Fukasawa (Y)

First Department of Internal Medicine, Faculty of Medicine, University of Yamanashi, Chuo, Yamanashi 400-8510, Japan.

Shinichi Takano (S)

First Department of Internal Medicine, Faculty of Medicine, University of Yamanashi, Chuo, Yamanashi 400-8510, Japan.

Mitsuharu Fukasawa (M)

First Department of Internal Medicine, Faculty of Medicine, University of Yamanashi, Chuo, Yamanashi 400-8510, Japan.

Shinya Maekawa (S)

First Department of Internal Medicine, Faculty of Medicine, University of Yamanashi, Chuo, Yamanashi 400-8510, Japan.

Makoto Kadokura (M)

First Department of Internal Medicine, Faculty of Medicine, University of Yamanashi, Chuo, Yamanashi 400-8510, Japan.

Hiroko Shindo (H)

First Department of Internal Medicine, Faculty of Medicine, University of Yamanashi, Chuo, Yamanashi 400-8510, Japan.

Ei Takahashi (E)

First Department of Internal Medicine, Faculty of Medicine, University of Yamanashi, Chuo, Yamanashi 400-8510, Japan.

Sumio Hirose (S)

First Department of Internal Medicine, Faculty of Medicine, University of Yamanashi, Chuo, Yamanashi 400-8510, Japan.

Satoshi Kawakami (S)

First Department of Internal Medicine, Faculty of Medicine, University of Yamanashi, Chuo, Yamanashi 400-8510, Japan.

Hiroshi Hayakawa (H)

First Department of Internal Medicine, Faculty of Medicine, University of Yamanashi, Chuo, Yamanashi 400-8510, Japan.

Tatsuya Yamaguchi (T)

First Department of Internal Medicine, Faculty of Medicine, University of Yamanashi, Chuo, Yamanashi 400-8510, Japan.

Yasuhiro Nakayama (Y)

First Department of Internal Medicine, Faculty of Medicine, University of Yamanashi, Chuo, Yamanashi 400-8510, Japan.

Taisuke Inoue (T)

First Department of Internal Medicine, Faculty of Medicine, University of Yamanashi, Chuo, Yamanashi 400-8510, Japan.

Tadashi Sato (T)

First Department of Internal Medicine, Faculty of Medicine, University of Yamanashi, Chuo, Yamanashi 400-8510, Japan.

Nobuyuki Enomoto (N)

First Department of Internal Medicine, Faculty of Medicine, University of Yamanashi, Chuo, Yamanashi 400-8510, Japan.

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