title: Magnifying endoscopic findings of the surface structure of non-cancerous mucosa surrounding differentiated and undifferentiated gastric carcinoma.
abstract: BACKGROUND
  Several reports have described the usefulness of magnifying endoscopy in observing the surface structure in gastric neoplasia. The aim of the present study was to evaluate the characteristics of the surface structure of non-cancerous mucosa surrounding gastric cancer.
  
  
  METHODS
  Sixty Japanese patients with early gastric cancer were enrolled in this study. We observed the non-cancerous gastric mucosa surrounding gastric carcinoma by magnifying endoscopy and classified the magnified view into four patterns: (A) dotted; (B) short-linear; (C) striped; and (D) granular, according to Sakaki's classification.
  
  
  RESULTS
  All patients were diagnosed as having Helicobacter pylori infection, and histological evaluation revealed 46 types of differentiated and 14 types of undifferentiated-type gastric carcinomas. There were significant differences in the gender, age and endoscopic-atrophic-border scale between patients with these two types. In all, the surface structure at 240 points (4 points each in 60 patients) of non-cancerous mucosa was observed by magnifying endoscopy. The prevalences of the surface patterns of the mucosa surrounding differentiated carcinoma were: A, 1.1%; B, 8.1%; C, 28.3%; D, 62.5%, and those of the mucosa surrounding undifferentiated carcinoma were: A, 8.9%; B, 73.2%; C, 14.3%; D, 3.6%. There were significant differences in the surface structure of the non-cancerous mucosa surrounding differentiated and undifferentiated gastric carcinoma.
  
  
  CONCLUSIONS
  The microsurface structure of the gastric mucosa surrounding gastric cancer lesions differed between patients with differentiated and undifferentiated gastric cancer. These findings are expected to be useful for the early detection of gastric carcinoma lesions or for the determination of extensions of carcinoma lesions.
authors.affiliation: Department of Gastroenterology, JR Sendai Hospital, Japan. dq8m-kwmr@asahi-net.or.jp
authors.forename: Masashi
authors.initials: M
authors.lastname: Kawamura
authors.forename: Shu
authors.initials: S
authors.lastname: Abe
authors.forename: Keisuke
authors.initials: K
authors.lastname: Oikawa
authors.forename: Shiho
authors.initials: S
authors.lastname: Terai
authors.forename: Masahiro
authors.initials: M
authors.lastname: Saito
authors.forename: Daisuke
authors.initials: D
authors.lastname: Shibuya
authors.forename: Katsuaki
authors.initials: K
authors.lastname: Kato
authors.forename: Yoshifumi
authors.initials: Y
authors.lastname: Inomata
authors.forename: Shuichi
authors.initials: S
authors.lastname: Ohara
authors.forename: Tooru
authors.initials: T
authors.lastname: Shimosegawa
mesh_terms: D000368:Aged; D003937:Diagnosis, Differential; D005260:Female; D005753:Gastric Mucosa / Q000473:pathology*; D005773:Gastroscopy / Q000379:methods*; D006801:Humans; D008297:Male; D013274:Stomach Neoplasms / Q000473:pathology*