Table 2. Correlation of clinicopathological characteristics of currently H. pylori – negative gastric cancers with NBI-ME appearance.
NBI-ME appearance | |||
Characteristic | Gastritis-like (64 lesions) | Conspicuous (130 lesions) | P value |
History of eradication therapy: positive/negative | 42/22 | 57/73 | 0.006 |
Endoscopic extent of atrophy: mild, moderate/severe1 | 50/14 | 55/75 | < 0.001 |
Size: ≤ 10 mm/ > 10 mm | 29/35 | 55/75 | 0.758 |
Location: | |||
upper, middle/lower | 43/21 | 67/63 | 0.046 |
less/gre, ant, post | 34/30 | 65/65 | 0.760 |
Macroscopic type: elevated/depressed | 22/42 | 42/88 | 0.871 |
Histological type, predominant: tub1 (low)/tub1 (high), tub2 | 51/13 | 68/62 | < 0.001 |
Depth of invasion: mucosa/submucosa | 58/6 | 117/13 | 1.000 |
Surface differentiation: positive/negative | 39/25 | 15/115 | < 0.001 |
Non-neoplastic epithelium: positive/negative | 26/38 | 17/113 | < 0.001 |
Histological grade of atrophy: normal, mild, moderate/marked2 | 38/26 | 47/83 | 0.003 |
Histological grade of intestinal metaplasia: normal, mild, moderate/marked2 | 58/6 | 77/53 | < 0.001 |
NBI-ME, narrow-band imaging with magnified endoscopy; less/gre, ant, post, lesser/greater curvature, anterior or posterior wall; tub1 (low/high), well-differentiated tubular adenocarcinoma, low/high grade atypia; tub2, moderately differentiated tubular adenocarcinoma.
Endoscopic extent of atrophy was determined according to the Kimura-Takemoto classification 18: mild, closed-1, closed-2; moderate, closed-3, open-1; severe, open-2, open-3.
Histological grades of atrophy and intestinal metaplasia were evaluated in the surrounding mucosa adjacent to the cancer according to the updated Sydney system 26.