Efficacy of additional tissue sections for diminutive colorectal adenomas pathologically diagnosed as normal mucosa: a retrospective, cross-sectional study in Japan Article Swipe
Tsuyoshi Ishii
,
Toshihiro Nishizawa
,
Hidenobu Watanabe
,
Masaya Sano
,
Ai Fujimoto
,
Yoshiyuki Takahashi
,
Ryo Shimizu
,
Hirotoshi Ebinuma
,
Takahisa Matsuda
,
Osamu Toyoshima
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.5946/ce.2024.265
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.5946/ce.2024.265
Background/Aims: Endoscopists occasionally encounter discrepancies between endoscopic and pathological diagnoses after colorectal polypectomies. This study aimed to evaluate the efficacy of additional sections for diagnostic discrepancies.Methods: We examined polyps endoscopically diagnosed as adenomas or suspected adenomas that were resected and pathologically diagnosed as adenomas or normal mucosa. Adenomas pathologically diagnosed with initial sections were categorized as the “adenoma by initial section” group. Based on the re-diagnosis with additional sectioning, they were assigned to the “adenoma by additional section” or “normal mucosa by both sections” groups.Results: In the initial pathological diagnosis of 993 lesions, 850 were diagnosed as adenomas and 143 as normal mucosa. Additional sections corrected the pathological diagnoses in 23.8% (34/143) of cases. The rate of high confidence was significantly higher in the “adenoma by additional section” group than in the “normal mucosa by both sections” group (64.7% vs. 38.5%, p<0.01). Lesions in the “adenoma by additional section” group were significantly smaller than those in the “adenoma by initial section” group (2.7 vs. 3.8 mm, p<0.05).Conclusions: Diminutive adenomas can cause discrepancies between endoscopic and pathological diagnoses. Additional sections may help revise the pathological diagnoses, particularly for lesions with high confidence.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.5946/ce.2024.265
- OA Status
- gold
- References
- 35
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4412097529
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4412097529Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.5946/ce.2024.265Digital Object Identifier
- Title
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Efficacy of additional tissue sections for diminutive colorectal adenomas pathologically diagnosed as normal mucosa: a retrospective, cross-sectional study in JapanWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2025Year of publication
- Publication date
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2025-07-07Full publication date if available
- Authors
-
Tsuyoshi Ishii, Toshihiro Nishizawa, Hidenobu Watanabe, Masaya Sano, Ai Fujimoto, Yoshiyuki Takahashi, Ryo Shimizu, Hirotoshi Ebinuma, Takahisa Matsuda, Osamu ToyoshimaList of authors in order
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https://doi.org/10.5946/ce.2024.265Publisher landing page
- Open access
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YesWhether a free full text is available
- OA status
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goldOpen access status per OpenAlex
- OA URL
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https://doi.org/10.5946/ce.2024.265Direct OA link when available
- Concepts
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Medicine, Diminutive, Cross-sectional study, Internal medicine, Retrospective cohort study, Gastroenterology, Colorectal cancer, Pathology, Cancer, Philosophy, LinguisticsTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
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35Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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