Mucin phenotype and narrow-band imaging with magnifying endoscopy for differentiated-type mucosal gastric cancer

Background Several studies have described the surface glandular structure in differentiated early gastric cancer observed by narrow-band imaging with magnifying endoscopy (NBI-ME) in two main patterns, i.e., a papillary or granular structure in an intralobular loop pattern (ILL) and a pit structure...

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Veröffentlicht in:Journal of gastroenterology 2011-09, Vol.46 (9), p.1064-1070
Hauptverfasser: Kobayashi, Masaaki, Takeuchi, Manabu, Ajioka, Yoichi, Hashimoto, Satoru, Sato, Akito, Narisawa, Rintaro, Aoyagi, Yutaka
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container_end_page 1070
container_issue 9
container_start_page 1064
container_title Journal of gastroenterology
container_volume 46
creator Kobayashi, Masaaki
Takeuchi, Manabu
Ajioka, Yoichi
Hashimoto, Satoru
Sato, Akito
Narisawa, Rintaro
Aoyagi, Yutaka
description Background Several studies have described the surface glandular structure in differentiated early gastric cancer observed by narrow-band imaging with magnifying endoscopy (NBI-ME) in two main patterns, i.e., a papillary or granular structure in an intralobular loop pattern (ILL) and a pit structure in a fine network pattern (FNP). However, it is uncertain why the NBI-ME findings of differentiated-type carcinomas are divided into two main patterns. We investigated the significance of the mucin phenotype in the morphogenetic difference between ILL and FNP. Methods We evaluated 120 intramucosal, well- or predominantly well-differentiated tubular adenocarcinomas. In each lesion, one area that showed the predominant pattern of microsurface structures and microvessels was selected and marked by electrocoagulation for a strict comparative study by NBI-ME and pathological investigation. NBI-ME findings were classified into three patterns: ILL, FNP, and intermediate. Mucin phenotypes were judged as gastric, intestinal, or gastrointestinal type by immunohistochemistry. Results The mucin phenotype was gastric or gastrointestinal type in 24 (92.3%) of 26 ILL lesions. Intestinal phenotype was observed in 22 (84.6%) of 26 FNP lesions. The gastrointestinal phenotype was observed in 50 (73.5%) of 68 intermediate pattern lesions. The mucin phenotype and NBI-ME results were significantly correlated ( P  
doi_str_mv 10.1007/s00535-011-0418-6
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However, it is uncertain why the NBI-ME findings of differentiated-type carcinomas are divided into two main patterns. We investigated the significance of the mucin phenotype in the morphogenetic difference between ILL and FNP. Methods We evaluated 120 intramucosal, well- or predominantly well-differentiated tubular adenocarcinomas. In each lesion, one area that showed the predominant pattern of microsurface structures and microvessels was selected and marked by electrocoagulation for a strict comparative study by NBI-ME and pathological investigation. NBI-ME findings were classified into three patterns: ILL, FNP, and intermediate. Mucin phenotypes were judged as gastric, intestinal, or gastrointestinal type by immunohistochemistry. Results The mucin phenotype was gastric or gastrointestinal type in 24 (92.3%) of 26 ILL lesions. Intestinal phenotype was observed in 22 (84.6%) of 26 FNP lesions. The gastrointestinal phenotype was observed in 50 (73.5%) of 68 intermediate pattern lesions. The mucin phenotype and NBI-ME results were significantly correlated ( P  &lt; 0.001). Conclusions The mucin phenotype of differentiated early gastric cancer might be involved in morphogenetic differences between the papillary and pit structures visualized by NBI-ME.</description><identifier>ISSN: 0944-1174</identifier><identifier>EISSN: 1435-5922</identifier><identifier>DOI: 10.1007/s00535-011-0418-6</identifier><identifier>PMID: 21667151</identifier><language>eng</language><publisher>Japan: Springer Japan</publisher><subject>Abdominal Surgery ; Adenocarcinoma - blood supply ; Adenocarcinoma - classification ; Adenocarcinoma - pathology ; Aged ; Aged, 80 and over ; Cancer ; Colorectal Surgery ; Endoscopy ; Endoscopy, Gastrointestinal - methods ; Female ; Gastric Mucosa - pathology ; Gastroenterology ; Genetic aspects ; Hepatology ; Humans ; Male ; Medicine ; Medicine &amp; Public Health ; Microvessels ; Middle Aged ; Mucins - metabolism ; Oncology, Experimental ; Original Article—Alimentary Tract ; Phenotype ; Stomach cancer ; Stomach Neoplasms - blood supply ; Stomach Neoplasms - classification ; Stomach Neoplasms - pathology ; Surgical Oncology</subject><ispartof>Journal of gastroenterology, 2011-09, Vol.46 (9), p.1064-1070</ispartof><rights>Springer 2011</rights><rights>COPYRIGHT 2011 Springer</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c490t-7d4e4c0ee10bbc1f3bd900792f25ac126b60773662f3b714591f1a27e2c72e643</citedby><cites>FETCH-LOGICAL-c490t-7d4e4c0ee10bbc1f3bd900792f25ac126b60773662f3b714591f1a27e2c72e643</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00535-011-0418-6$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00535-011-0418-6$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27922,27923,41486,42555,51317</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21667151$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kobayashi, Masaaki</creatorcontrib><creatorcontrib>Takeuchi, Manabu</creatorcontrib><creatorcontrib>Ajioka, Yoichi</creatorcontrib><creatorcontrib>Hashimoto, Satoru</creatorcontrib><creatorcontrib>Sato, Akito</creatorcontrib><creatorcontrib>Narisawa, Rintaro</creatorcontrib><creatorcontrib>Aoyagi, Yutaka</creatorcontrib><title>Mucin phenotype and narrow-band imaging with magnifying endoscopy for differentiated-type mucosal gastric cancer</title><title>Journal of gastroenterology</title><addtitle>J Gastroenterol</addtitle><addtitle>J Gastroenterol</addtitle><description>Background Several studies have described the surface glandular structure in differentiated early gastric cancer observed by narrow-band imaging with magnifying endoscopy (NBI-ME) in two main patterns, i.e., a papillary or granular structure in an intralobular loop pattern (ILL) and a pit structure in a fine network pattern (FNP). However, it is uncertain why the NBI-ME findings of differentiated-type carcinomas are divided into two main patterns. We investigated the significance of the mucin phenotype in the morphogenetic difference between ILL and FNP. Methods We evaluated 120 intramucosal, well- or predominantly well-differentiated tubular adenocarcinomas. In each lesion, one area that showed the predominant pattern of microsurface structures and microvessels was selected and marked by electrocoagulation for a strict comparative study by NBI-ME and pathological investigation. NBI-ME findings were classified into three patterns: ILL, FNP, and intermediate. Mucin phenotypes were judged as gastric, intestinal, or gastrointestinal type by immunohistochemistry. Results The mucin phenotype was gastric or gastrointestinal type in 24 (92.3%) of 26 ILL lesions. Intestinal phenotype was observed in 22 (84.6%) of 26 FNP lesions. The gastrointestinal phenotype was observed in 50 (73.5%) of 68 intermediate pattern lesions. The mucin phenotype and NBI-ME results were significantly correlated ( P  &lt; 0.001). 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However, it is uncertain why the NBI-ME findings of differentiated-type carcinomas are divided into two main patterns. We investigated the significance of the mucin phenotype in the morphogenetic difference between ILL and FNP. Methods We evaluated 120 intramucosal, well- or predominantly well-differentiated tubular adenocarcinomas. In each lesion, one area that showed the predominant pattern of microsurface structures and microvessels was selected and marked by electrocoagulation for a strict comparative study by NBI-ME and pathological investigation. NBI-ME findings were classified into three patterns: ILL, FNP, and intermediate. Mucin phenotypes were judged as gastric, intestinal, or gastrointestinal type by immunohistochemistry. Results The mucin phenotype was gastric or gastrointestinal type in 24 (92.3%) of 26 ILL lesions. Intestinal phenotype was observed in 22 (84.6%) of 26 FNP lesions. The gastrointestinal phenotype was observed in 50 (73.5%) of 68 intermediate pattern lesions. The mucin phenotype and NBI-ME results were significantly correlated ( P  &lt; 0.001). Conclusions The mucin phenotype of differentiated early gastric cancer might be involved in morphogenetic differences between the papillary and pit structures visualized by NBI-ME.</abstract><cop>Japan</cop><pub>Springer Japan</pub><pmid>21667151</pmid><doi>10.1007/s00535-011-0418-6</doi><tpages>7</tpages></addata></record>
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subjects Abdominal Surgery
Adenocarcinoma - blood supply
Adenocarcinoma - classification
Adenocarcinoma - pathology
Aged
Aged, 80 and over
Cancer
Colorectal Surgery
Endoscopy
Endoscopy, Gastrointestinal - methods
Female
Gastric Mucosa - pathology
Gastroenterology
Genetic aspects
Hepatology
Humans
Male
Medicine
Medicine & Public Health
Microvessels
Middle Aged
Mucins - metabolism
Oncology, Experimental
Original Article—Alimentary Tract
Phenotype
Stomach cancer
Stomach Neoplasms - blood supply
Stomach Neoplasms - classification
Stomach Neoplasms - pathology
Surgical Oncology
title Mucin phenotype and narrow-band imaging with magnifying endoscopy for differentiated-type mucosal gastric cancer
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