Italy-Japan agreement and discrepancies in diagnosis of superficial gastric lesions.
The agreement between Italian and Japanese endoscopists and pathologists on endoscopic and histopathological diagnoses of superficial gastric lesions is verified with the use of Paris and Vienna classifications. The correlations between Paris endoscopic types and Vienna histopathological categories is high in both the independent Italian and Japanese evaluations. However, the agreement between Italian and Japanese endoscopists is moderate due to the difficult evaluation of the height of the lesions, in particular when they are mixed. The agreement on the size of the lesions is fairly good. The probability of the same allocation to the Vienna categories of a single case is 87 per cent, disagreements remaining in dysplasia grading, between dysplasia, not only high-grade but also low-grade, and in situ carcinoma, and on cancer invasion of the lamina propria. The results indicate that use of the Paris and Vienna classifications has reduced the discrepancies between Western and Japanese endoscopists and pathologists in the diagnosis of these lesions.
Vindigni
Carla
C
Department of Human Pathology and Oncology, Division of Pathological Anatomy and Histopathology, University of Siena, Siena, Italy.
Marini
Mario
M
Cevenini
Gabriele
G
Raffaella Ambrosio
Maria
M
Onorati
Monica
M
Frosini
Giorgio
G
Gotoda
Takuji
T
Taniguchi
Hirokazu
H
Tosi
Piero
P
D000704:Analysis of Variance; D002277:Carcinoma / Q000145:classification* / Q000175:diagnosis* / Q000473:pathology; D004724:Endoscopy / Q000379:methods*; D005770:Gastrointestinal Neoplasms / Q000145:classification* / Q000175:diagnosis* / Q000473:pathology; D006801:Humans; D007203:Indigo Carmine; D007391:International Cooperation; D018709:Statistics, Nonparametric
D007203:Indigo Carmine