Clinical Implication and Risk Factors for Malignancy of Atypical Gastric Gland during Forceps Biopsy.
- Author:
Min Seong KIM
1
;
Sang Gyun KIM
;
Hyunsoo CHUNG
;
Jung KIM
;
Hyoungju HONG
;
Hee Jong LEE
;
Hyun Ju KIM
;
Min A KIM
;
Woo Ho KIM
;
Hyun Chae JUNG
Author Information
- Publication Type:Original Article
- Keywords: Atypical gland; Forcep biopsy; Stomach neoplasms; Adenoma; Gastritis
- MeSH: Adenoma; Biopsy*; Diagnosis; Endoscopy; Gastric Mucosa*; Gastritis; Humans; Medical Records; Multivariate Analysis; Retrospective Studies; Risk Factors*; Stomach Neoplasms; Surgical Instruments*; Uncertainty
- From:Gut and Liver 2018;12(5):523-529
- CountryRepublic of Korea
- Language:English
- Abstract: BACKGROUND/AIMS: Although forceps biopsy is performed for suspicious gastric tumors during endoscopy, it is difficult to determine treatment strategies for atypical gastric glands due to uncertainty of the diagnosis. The aim of this study was to investigate clinical implications and risk factors for predicting malignancy in atypical gastric glands during forceps biopsy. METHODS: We retrospectively reviewed medical records of 252 patients with a diagnosis of atypical gastric gland during forceps biopsy. Predictors of malignancy were analyzed using initial endoscopic findings and clinical data. RESULTS: The final diagnosis for 252 consecutive patients was gastric cancer in 189 (75%), adenoma in 26 (10.3%), and gastritis in 37 (14.7%). In the multivariate analysis, lesion sizes of more than 10 mm (odds ratio [OR], 3.021; 95% confidence interval [CI], 1.480 to 6.165; p=0.002), depressed morphology (OR, 3.181; 95% CI, 1.579 to 6.406, p=0.001), and surface nodularity (OR, 3.432; 95% CI, 1.667 to 7.064, p=0.001) were significant risk factors for malignancy. CONCLUSIONS: Further evaluation and treatment should be considered for atypical gastric gland during forceps biopsy if there is a large-sized (>10 mm) lesion, depressed morphology, or surface nodularity.
