Early Colorectal Epithelial Neoplasm in Korea: A Multicenter Survey of Pathologic Diagnosis

Title
Early Colorectal Epithelial Neoplasm in Korea: A Multicenter Survey of Pathologic Diagnosis
Author(s)
진소영[진소영]강윤경[강윤경]장미수[장미수]김정연[김정연]강경훈[강경훈]이혜승[이혜승]손진희[손진희]박호성[박호성]권기원[권기원]구미진맹영희[맹영희]주정은[주정은]강행지[강행지]김혜경[김혜경]장기택[장기택]이미자[이미자]장희경[장희경]김준미[김준미]한혜승[한혜승]이원애[이원애]최윤정[최윤정]강동욱[강동욱]박선후[박선후]이재혁[이재혁]조미연[조미연]
Keywords
CANCER REGISTRATION; GUIDELINE
Issue Date
201306
Publisher
KOREAN SOCIETY PATHOLOGISTS
Citation
KOREAN JOURNAL OF PATHOLOGY, v.47, no.3, pp.245 - 251
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 (HOD) 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 HOD 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.
URI
http://hdl.handle.net/YU.REPOSITORY/29872http://dx.doi.org/10.4132/KoreanJPathol.2013.47.3.245
ISSN
1738-1843
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의과대학 > 병리학교실 > Articles
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