Colorectal Case 13
Gastrointestinal endoscopist at LLC “GASTROCENTER” Olymed; Trainer at NGO “EndoAcademy”, Ukraine
Scope: CF-EZ1500DL
Organ: Colon (ascending colon)
Patient information: 47y.o. male come for opportunistic screening colonoscopy
Medical history: No family history of CRC. No alcohol abuse, no smoking.
1. Sessile Serrated Lesion (SSL)
WLI
White light imaging (WLI)
Enhancement: A7
2. Sessile Serrated Lesion (SSL)
WLI+CADe (AI)
White light imaging (WLI) + ENDO-AID CADe (AI)
Enhancement: A7
3. Sessile Serrated Lesion (SSL)
NBI
NBI Color Mode 3
Enhancement: A5
4. Sessile Serrated Lesion (SSL)
WLI+acetic acid
White light imaging (WLI)
Enhancement: A7
5. Sessile Serrated Lesion (SSL)
TXI+acetic acid
Texture and Color Enhancement Imaging (TXI): Mode 1
6. Sessile Serrated Lesion (SSL)
NBI+acetic acid
NBI Color Mode 3
Enhancement: A5
7. Sessile Serrated Lesion (SSL)
NBI Color Mode 3
Enhancement: A5
8. Sessile Serrated Lesion (SSL)
NBI Color Mode 3
Enhancement: A5
9. Sessile Serrated Lesion (SSL)
NBI Color Mode 3
Enhancement: A5
Case Video
Sessile Serrated Lesion (SSL) - JNET1
Overall Comment
The final optical diagnosis in this case was:
Location: ascending colon
Size: ~15mm
Morphology (Paris classification): 0-ІIa
Pit pattern: II+IIO (Kudo classification: asteroid pits and open pits)
JNET classification: JNET1 (vessel pattern – invisible; surface pattern – dark spots inside crypts)
Optical diagnosis: Sessile serrated lesion (SSL)
Treatment: cold snare polypectomy (CSP)
Pathology report: Sessile serrated lesion (polyp/adenoma) without cytologic dysplasia (ICD-O code: 8213/0)
* Specifications, design and accessories are subject to change without any notice or obligation on the part of the manufacturer
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