Table 1.
Characteristics of the 37 patients with nonpolypoid and polypoid precancerous lesions included in the study (42 lesions).
| Patienta | Age | Sex | Colon segment involvedb | Maximum lesion diameter (mm) | Macroscopic appearancec | Pit patternd | Microscopic appearancee | Dysplasiaf | No. lesions presentg |
|---|---|---|---|---|---|---|---|---|---|
| Nonpolypoid | |||||||||
| 1a* | 75 | F | Tra | 70 | IIa-IIb | 3S-3L | VA | high | 7 |
| 1b* | Tra | 20 | IIa | 3S-3L | VA | high | |||
| 2a* | 72 | F | Cec | 30 | IIa | 4 | TA | low | 9 |
| 2b* | Tra | 20 | IIa | 3S-3L | TA | low | |||
| 3 | 75 | F | Tra | 40 | IIa-IIc | 3S-3L | TA | high | 1 |
| 4 | 73 | F | Asc | 40 | IIa-IIc | 2-3L | SA (mixed) ≠ | high | 1 |
| 5 | 44 | M | HF | 35 | IIa | 3S-3L | TA | low | 2 |
| 6 | 79 | F | Asc | 20 | IIa | 4 | TA | low | 1 |
| 7 | 67 | F | Asc | 20 | IIa | 3L | TA | low | 1 |
| 8 | 48 | M | HF | 15 | IIa | 3L | TA | low | 1 |
| 9 | 69 | F | Asc | 40 | IIa | 3L | TVA | low | 1 |
| 10 | 83 | M | Asc | 25 | IIa | 3L | TA | low | 4 |
| 11 | 66 | M | Cec | 25 | IIa | 3L | TA | high | 2 |
| 12 | 79 | M | Asc | 35 | IIa-IIc | 5N | TVA | high | 2 |
| 13a* | 54 | F | Cec | 45 | IIa | 3L | TVA | low | 16 |
| 13b* | Asc | 12 | IIa | 3L | TA | low | |||
| 14 | 74 | F | Cec | 50 | IIa | 3L | TVA | low | 1 |
| 15 | 62 | F | Asc | 15 | IIa | 3S-3L | SA (mixed) | low | 1 |
| 16 | 52 | F | Tra | 15 | IIa | 2 | SSA ≠ | no dysplasia | 1 |
| 17a* | 54 | F | Cec | 50 | IIa | 2-3L | TA | high | 2 |
| 17b* | Asc | 20 | IIa | 2-3L | TA | low | |||
| 18 | 72 | M | Asc | 25 | IIa | 3S-3L | TA | low | 1 |
| 19a* | 79 | M | Asc | 25 | IIa | 3L | VA | low | 3 |
| 20 | 47 | M | Asc | 20-25 | IIa-IIc | 3S-3L | MVSP ≠ | no dysplasia | 3 |
| 21 | 66 | M | Asc | 12 | IIa | 3L | MVSP | no dysplasia | 1 |
| Polypoid | |||||||||
| 22 | 64 | F | Asc | 15 | Ip | nr | TA | low | 2 |
| 23 | 56 | M | Asc | 15 | Ip | nr | TA | low | 2 |
| 24 | 79 | M | Asc | 20 | Ip | nr | TVA | low | 3 |
| 25 | 27 | M | Asc | 15 | Ip | nr | TVA | high | 3 |
| 26 | 40 | F | Sig | 30 | Ip | nr | TVA | low | 51 § |
| 27 | 83 | M | Sig | 12 | Ip | nr | TVA | low | 3 |
| 28 | 50 | M | Sig | 30 | Ip | nr | TVA | high | 3 |
| 29 | 74 | F | Sig | 20 | Ip | nr | TVA | low | 1 |
| 30 | 69 | M | Rec | 40 | Ip | nr | TA | low | 3 |
| 31 | 69 | M | Sig | 30 | Ip | nr | TA | low | 7 |
| 32 | 56 | M | Sig | 30 | Ip | nr | TA | low | 3 |
| 33 | 58 | F | Des | 20 | Ip | nr | TA | low | 3 |
| 34 | 52 | F | Sig | 30 | Ip | nr | TA | low | 3 |
| 35 | 69 | F | Sig | 15 | Ip | nr | TVA | low | 3 |
| 36 | 58 | F | Asc | 15 | Ip | nr | TVA | low | 1 |
| 19b* | 79 | M | Tra | 30 | Ip | nr | VA | low | 3 |
| 37 | 73 | M | Asc | 30 | Ip | nr | TVA | high | 1 |
Two lesions were analyzed from patients marked with an asterisk.
Abbreviations: Cec, cecum; Asc, ascending colon; HF, hepatic flexure; Tra, transversum; Des, descending colon; Sig, sigma; Rec, rectum.
Classified according to the Paris Endoscopic Classification of Superficial Neoplastic Lesions (Paris Workshop Participants, 2003). All nonpolypoid lesions were slightly elevated (type IIa); a few also included a small region that was completely flat (IIb) or depressed (IIc).
Kudo classification of colonic crypt morphology (Kudo et al, 2001). Abbreviations: nr, Pit pattern not reported by the endoscopist.
Abbreviations: TA, tubular adenoma; TVA, tubulovillous adenoma; VA, villous adenoma; MVSP, microvescicular serrated polyp; SA, serrated adenoma; SSA, sessile serrated adenoma. ≠, Lesions carrying BRAFV600E mutation (valine to glutamate substitution at codon 600).
Highest degree of dysplasia in the lesion based on the WHO classification of tumors of the digestive system (Editorial and consensus conference in Lyon, France, November 6-9, 1999 [IARC]).
Total number of lesions noted during the study colonoscopy, including those used in the present study. §, Patient with suspected attenuated polyposis. The mutational analysis of the APC and MYH genes is currently not available.