Early Colorectal Epithelial Neoplasm in Korea: A Multicenter Survey of Pathologic Diagnosis
강윤경, 진소영, 장미수, 김정연, 강경훈, 이혜승, 손진희, 박호성, 권계원, 구미진, 맹영희, 주종은, 강행지, 김희경, 장기택, 이미자, 장희경, 김준미, 한혜승, 이원애, 최윤정, 강동욱, 박선후, 이제혁, 조미연,
소속 상세정보
강윤경 ( Kang Yun-Kyung )
Inje University Seoul Paik Hospital Department of Pathology
진소영 ( Jin So-Young )
Soonchunhyang University College of Medicine Soonchunhyang University Seoul Hospital Department of Pathology
장미수 ( Chang Mee-Soo )
Seoul National University Boramae Hospital Department of Pathology
김정연 ( Kim Jung-Yeon )
Inje University Sanggye Paik Hospital Department of Pathology
강경훈 ( Kang Gyeong-Hoon )
Seoul National University Hospital Department of Pathology
이혜승 ( Lee Hye-Seung )
Seoul National University Bundang Hospital Department of Pathology
손진희 ( Sohn Jin-Hee )
Sungkyunkwan University School of Medicine Kangbuk Samsung Hospital Department of Pathology
박호성 ( Park Ho-Sung )
Chonbuk National University Medical School Department of Pathology
권계원 ( Kwon Kye-Won )
Bundang Jesaeng General Hospital Department of Pathology
구미진 ( Gu Mi-Jin )
Yeungnam University College of Medicine Department of Pathology
맹영희 ( Maeng Young-Hee )
Jeju National University Hospital Department of Pathology
주종은 ( Joo Jong-Eun )
Eulji University School of Medicine Eulji General Hospital Department of Pathology
강행지 ( Kang Haeng-Ji )
Seoul Song Do Hospital Department of Pathology
김희경 ( Kim Hee-Kyung )
Soonchunhyang University Bucheon Hospital Department of Pathology
장기택 ( Jang Kee-Taek )
Sungkyunkwan University School of Medicine Samsung Medical Center Department of Pathology
이미자 ( Lee Mi-Ja )
Chosun University School of Medicine Chosun University Hospital Department of Pathology
장희경 ( Chang Hee-Kyung )
Kosin University Gospel Hospital Department of Pathology
김준미 ( Kim Joon-Mee )
Inha University Hospital Department of Pathology
한혜승 ( Han Hye-Seung )
Konkuk University College of Medicine Department of Pathology
이원애 ( Lee Won-Ae )
Dankook University Hospital Department of Pathology
최윤정 ( Choi Yoon-Jung )
National Health Insurance Service Ilsan Hospital Department of Pathology
강동욱 ( Kang Dong-Wook )
Eulji University School of Medicine Department of Pathology
박선후 ( Park Sun-Hoo )
Korea Cancer Center Hospital Department of Pathology
이제혁 ( Lee Jae-Hyuk )
Chonnam National University Hospital Department of Pathology
조미연 ( Cho Mee-Yon )
Yonsei University Wonju College of Medicirne Wonju Severance Christian Hospital Department of Pathology
KMID : 0357920130470030245
Abstract
Background: The incidence of early colorectal epithelial neoplasm (ECEN) is increasing, and its pathologic diagnosis is important for patient care. We investigated the incidence of ECEN and the current status of its pathologic diagnosis.
Methods: We collected datasheets from 25 institutes in Korea for the incidence of colorectal adenoma with high grade dysplasia (HGD) and low grade dysplasia in years 2005, 2007, and 2009; and early colorectal carcinoma in the year 2009. We also surveyed the diagnostic terminology of ECEN currently used by the participating pathologists.
Results: The average percentage of diagnoses of adenoma HGD was 7.0%, 5.0%, and 3.4% in years 2005, 2007, and 2009, respectively. The range of incidence rates of adenoma HGD across the participating institutes has gradually narrowed over the years 2005 to 2009. The incidence rate of early colorectal carcinoma in the year 2009 was 21.2%. The participants did not share a single criterion or terminology for the diagnosis of adenoma HGD. The majority accepted the diagnostic terms that distinguished noninvasive, mucosal confined, and submucosal invasive carcinoma.
Conclusions: Further research requirements suggested are a diagnostic consensus for the histopathologic diagnosis of ECEN; and standardization of diagnostic terminology critical for determining the disease code.
키워드
Colorectal neoplasms; Pathology; surgical; Multicenter study; Incidence; Diagnosis
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