Flat adenomas in the National Polyp Study: Is there increased risk for high-grade dysplasia initially or during surveillance? Michael J. O’Brien, Sidney.

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Presentation transcript:

Flat adenomas in the National Polyp Study: Is there increased risk for high-grade dysplasia initially or during surveillance? Michael J. O’Brien, Sidney J. Winawer, Ann G. Zauber, Marijayne T. Bushey, Stephen S. Sternberg, Leonard S. Gottlieb, John H. Bond, Jerome D. Waye, Melvin Schapiro Clinical Gastroenterology and Hepatology Volume 2, Issue 10, Pages 905-911 (October 2004) DOI: 10.1016/S1542-3565(04)00392-1 Copyright © 2004 American Gastroenterological Association Terms and Conditions

Figure 1 (A) A 7× lens with a 0.1-mm calibration scale is used to measure the AT. (B) Flat adenoma showing AR ratio less than 2.0. A ratio of adenoma to adjacent normal mucosa thickness of <2.0 or an absolute AT measurement of <1.3 mm indicates a flat adenoma. (C and D) A typical but nonspecific feature present is radiation of adenomatous epithelium superficial to nonadenomatous crypts. Clinical Gastroenterology and Hepatology 2004 2, 905-911DOI: (10.1016/S1542-3565(04)00392-1) Copyright © 2004 American Gastroenterological Association Terms and Conditions