Colorectal Case 14
Dr. Serhii Polishchuk
Gastrointestinal endoscopist at LLC “GASTROCENTER” Olymed; Trainer at NGO “EndoAcademy”, Ukraine
Disclaimer:
- NBI™ and TXI™ Technologies are not intended to replace histopathological sampling as a means of diagnosis
- The positions and statements made herein by Dr. Serhii Polishchuk are based on Dr. Polishchuk experiences, thoughts and opinions. As with any product, results may vary, and the techniques, instruments, and settings can vary from facility to facility. The content hereof should not be considered as a substitute for carefully reading all applicable labeling, including the Instructions for Use. Please thoroughly review the relevant user manual(s) for instructions, risks, warnings, and cautions. Techniques, instruments, and setting can vary from facility to facility. It is the clinician’s decision and responsibility in each clinical situation to decide which products, modes, medications, applications, and settings to use.
- The EVIS X1™ endoscopy system is not designed for cardiac applications. Other combinations of equipment may cause ventricular fibrillation or seriously affect the cardiac function of the patient. Improper use of endoscopes may result in patient injury, infection, bleeding, and/or perforation. Complete indications, contraindications, warnings, and cautions are available in the Instructions for Use (IFU)
Scope: CF-EZ1500DL
Organ: Colon (splenic flexure of the colon)
Patient information: 63 y.o. female, screening colonoscopy
Medical history: No family history of CRC. No alcohol abuse, no smoking.
1. Tubular adenoma with LGD
NBI Color Mode 3
Enhancement: A5
2. Tubular adenoma with LGD
NBI Color Mode 3
Enhancement: A5
3. Tubular adenoma with LGD
NBI Color Mode 3
Enhancement: A5
4. Tubular adenoma with LGD
NBI Color Mode 3
Enhancement: A5
5. Tubular adenoma with LGD
NBI Color Mode 3
Enhancement: A5
Case Video
Case_2_20399_JNET2A
Tubular adenoma with Low Grade Dysplasia (LGD) - JNET2A
Overall Comment
The final optical histological prediction in this case was:
Location: splenic flexure of the colon
Size: ~8mm
Morphology (Paris classification): 0-ІIa
Pit pattern: IIIL (Kudo classification: tubular pit pattern)
JNET classification: JNET2A (vessel pattern – regular caliber of vessels and regular distribution of meshed vessels; regular tubular surface pattern)
Optical histological prediction: Tubular adenoma with LGD
Treatment: cold snare polypectomy (CSP)
Pathology report: Tubular adenoma with low grade dysplasia (ICD-O code: 8211/0). No signs of cytological dysplasia in resection margins (complete removal).
* Specifications, design and accessories are subject to change without any notice or obligation on the part of the manufacturer
Dr. Supakij Khomvilai Case 15: Tubular adenoma with HGD - JNET2B
Dr. Serhii Polishchuk
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