Negative Histology after Endoscopic Resection: A Pathologist's Aspect

Lee, So Jeong; Park, Do Youn

doi:2018.18.1.21

Korean J Helicobacter Up Gastrointest Res > Volume 18(1); 2018 > Article

Review

The Korean Journal of Helicobacter and Upper Gastrointestinal Research 2018;18(1):21-24.
DOI: https://doi.org/10.7704/kjhugr.2018.18.1.21 Published online March 10, 2018.

Negative Histology after Endoscopic Resection: A Pathologist's Aspect

So Jeong Lee, Do Youn Park

Department of Pathology, Pusan National University Hospital, Pusan National University College of Medicine, Busan, Korea. pdy220@pusan.ac.kr

내시경 절제술 후 조직학적 음성 결과: 병리의의 관점

이소정, 박도윤

부산대학교 의과대학 부산대학교병원 병리과

Correspondence: Do Youn Park, Tel: +82-51-240-7717, Fax: +82-51-256-0788,
Email: pdy220@pusan.ac.kr

Received: 26 December 2017 • Revised: 21 January 2018 • Accepted: 22 January 2018

Abstract

Endoscopic biopsy is the most popular diagnostic procedure for gastric epithelial neoplasm. However, discrepancy between biopsy and endoscopic resection diagnosis occasionally occurs and leads to an unnecessary procedure. A negative pathologic diagnosis following endoscopic resection is particularly problematic. In this context, we reviewed factors that may be associated with a diagnostic discrepancy between endoscopic biopsy and endoscopic resection, with focus on crypt dysplasia.

Key Words: Biopsy; Crypt dysplasia; Endoscopic mucosal resection; Endoscopic submucosal dissection; Stomach