Pettis Jaron, Paruch Jennifer
Ochsner Clinic Foundation, Department of Colon and Rectal Surgery, New Orleans, Louisiana.
Clin Colon Rectal Surg. 2023 Jul 17;37(5):271-276. doi: 10.1055/s-0043-1770940. eCollection 2024 Sep.
Colorectal cancer is the third most common cancer among men and the second among women. In the United States alone, there are 150,000 cases diagnosed each year. Colonoscopy remains the best method for identifying, evaluating, and intervening on patients with precancerous lesions. Multiple guidelines and techniques are available to assist the endoscopist with accurate diagnosis of these lesions. These include the Paris, Narrow-Band Imaging (NBI) International Colorectal Endoscopic (NICE), Japan NBI Expert Team (JNET), Kudo, Hiroshima, and Shudo classifications which utilize techniques such as chromoendoscopy, narrow-band imaging, and endocytoscopy to evaluate pit pattern and surface morphology. Utilization of these tools can help the endoscopist predict the cytology of a colonic lesion and select the most appropriate method for resection while maximizing organ preservation.
结直肠癌是男性中第三大常见癌症，女性中第二大常见癌症。仅在美国，每年就有15万例确诊病例。结肠镜检查仍然是识别、评估和干预癌前病变患者的最佳方法。有多种指南和技术可协助内镜医师准确诊断这些病变。这些包括巴黎分类、窄带成像（NBI）国际结直肠内镜（NICE）分类、日本NBI专家团队（JNET）分类、工藤分类、广岛分类和修堂分类，它们利用诸如色素内镜检查、窄带成像和细胞内镜检查等技术来评估凹陷模式和表面形态。使用这些工具可以帮助内镜医师预测结肠病变的细胞学特征，并选择最合适的切除方法，同时最大限度地保留器官。
