Predictors of neoplastic progression in gastroesophageal lesions indefinite for dysplasia

IND is a challenging diagnosis for pathologists and implies an increased risk for neoplasia, especially in BE patients, without providing definitive information for patient management. This study highlights that neoplastic progression of IND lesions is primarily associated with HIM type. For BE-IND, interval endoscopy significantly reduces progression risk, while in G-IND, OLGA staging (III-IV) is a strong predictor of progression. These findings emphasise the importance of identifying HIM and using OLGA staging in G-IND for better risk stratification and follow-up strategies.

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Publication Details

Journal
Histopathology
Published
2025-03-25
DOI
https://doi.org/10.1111/his.15449
Citations
1
Primary Topic
Esophageal Cancer Research and Treatment
Type
article
Field-Weighted Citation Impact
2.01
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article

Predictors of neoplastic progression in gastroesophageal lesions indefinite for dysplasia

Francesca Galuppini, Valentina Angerilli, Paola Parente, Angelo Paolo Dei Tos et al.
1 citations
Histopathology
Esophageal Cancer Research and Treatment
2.01
article

Predictors of neoplastic progression in gastroesophageal lesions indefinite for dysplasia

Francesca Galuppini, Valentina Angerilli, Paola Parente, Angelo Paolo Dei Tos, Stefano Brignola, Matteo Fassan, Alberto Fantin, Stefano Realdon, Jessica Gasparello, Gianluca Businello, Edoardo Vincenzo Savarino, Gianmaria Pennelli, Beatrice Filippin
article en
1 citations

Abstract

IND is a challenging diagnosis for pathologists and implies an increased risk for neoplasia, especially in BE patients, without providing definitive information for patient management. This study highlights that neoplastic progression of IND lesions is primarily associated with HIM type. For BE-IND, interval endoscopy significantly reduces progression risk, while in G-IND, OLGA staging (III-IV) is a strong predictor of progression. These findings emphasise the importance of identifying HIM and using OLGA staging in G-IND for better risk stratification and follow-up strategies.

HistopathologyVol. 87(3)
University of Padua (IT), Casa Sollievo della Sofferenza (IT), AULSS 2 Marca Trevigiana (IT), Istituto Oncologico Veneto (IT), Centro di Riferimento Oncologico (IT), Istituti di Ricovero e Cura a Carattere Scientifico (IT)
Good health and well-being
Openalex Percentile: Top 18%
Esophageal Cancer Research and Treatment
2.01
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