Predictive factors of histological upstaging and downstaging in gastric endoscopic submucosal dissection specimens

The diagnostic discrepancy rate between the initial forceps biopsy and the ESD specimen was 34.9%. Patients with larger or ulcerated lesions were more likely to have an upstaging pathological result. Therefore, it is essential to perform a thorough evaluation of the lesions, including chromoendoscopy and magnification.

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Publication Details

Journal
Scandinavian Journal of Gastroenterology
Published
2025-10-15
DOI
https://doi.org/10.1080/00365521.2025.2573728
Primary Topic
Gastric Cancer Management and Outcomes
Type
article
Field-Weighted Citation Impact
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article

Predictive factors of histological upstaging and downstaging in gastric endoscopic submucosal dissection specimens

Sofıa Xavier, Vítor Macedo Silva, Ana Isabel Ferreira, Pedro Boal Carvalho et al.
Scandinavian Journal of Gastroenterology
Gastric Cancer Management and Outcomes
article

Predictive factors of histological upstaging and downstaging in gastric endoscopic submucosal dissection specimens

Sofıa Xavier, Vítor Macedo Silva, Ana Isabel Ferreira, Pedro Boal Carvalho, José Cotter, Tiago Lima Capela, Joana Magalhães
article en

Abstract

The diagnostic discrepancy rate between the initial forceps biopsy and the ESD specimen was 34.9%. Patients with larger or ulcerated lesions were more likely to have an upstaging pathological result. Therefore, it is essential to perform a thorough evaluation of the lesions, including chromoendoscopy and magnification.

Scandinavian Journal of GastroenterologyVol. 60(12)
Administração Regional de Saúde de Lisboa e Vale do Tejo (PT), University of Minho (PT)
Openalex Percentile: Top 58%
Gastric Cancer Management and Outcomes
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