Difference between revisions of "Kudo pit pattern"

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The '''Kudo pit pattern''' can be assessed on endoscopy and predicts the presence or absence of neoplasia and malignancy.
The '''Kudo pit pattern''' can be assessed on colonoscopy and predicts the presence or absence of neoplasia and malignancy.<ref name=pmid18853968>{{Cite journal  | last1 = Matsuda | first1 = T. | last2 = Fujii | first2 = T. | last3 = Saito | first3 = Y. | last4 = Nakajima | first4 = T. | last5 = Uraoka | first5 = T. | last6 = Kobayashi | first6 = N. | last7 = Ikehara | first7 = H. | last8 = Ikematsu | first8 = H. | last9 = Fu | first9 = KI. | title = Efficacy of the invasive/non-invasive pattern by magnifying chromoendoscopy to estimate the depth of invasion of early colorectal neoplasms. | journal = Am J Gastroenterol | volume = 103 | issue = 11 | pages = 2700-6 | month = Nov | year = 2008 | doi = 10.1111/j.1572-0241.2008.02190.x | PMID = 18853968 }}</ref>


==Tabular summary==
==Tabular summary==
It is as follows:<ref name=pmid21607587>{{Cite journal  | last1 = Kobayashi | first1 = Y. | last2 = Kudo | first2 = SE. | last3 = Miyachi | first3 = H. | last4 = Hosoya | first4 = T. | last5 = Ikehara | first5 = N. | last6 = Ohtsuka | first6 = K. | last7 = Kashida | first7 = H. | last8 = Hamatani | first8 = S. | last9 = Hinotsu | first9 = S. | title = Clinical usefulness of pit patterns for detecting colonic lesions requiring surgical treatment. | journal = Int J Colorectal Dis | volume = 26 | issue = 12 | pages = 1531-40 | month = Dec | year = 2011 | doi = 10.1007/s00384-011-1246-0 | PMID = 21607587 }}</ref>
It is as follows:<ref name=pmid21607587>{{Cite journal  | last1 = Kobayashi | first1 = Y. | last2 = Kudo | first2 = SE. | last3 = Miyachi | first3 = H. | last4 = Hosoya | first4 = T. | last5 = Ikehara | first5 = N. | last6 = Ohtsuka | first6 = K. | last7 = Kashida | first7 = H. | last8 = Hamatani | first8 = S. | last9 = Hinotsu | first9 = S. | title = Clinical usefulness of pit patterns for detecting colonic lesions requiring surgical treatment. | journal = Int J Colorectal Dis | volume = 26 | issue = 12 | pages = 1531-40 | month = Dec | year = 2011 | doi = 10.1007/s00384-011-1246-0 | PMID = 21607587 }}</ref>
{| class="wikitable sortable"  
{| class="wikitable sortable"  
! Type
! Pattern
! Pit morphology
! Pit morphology
! Significance
! Significance
|-
|-
| I
| Type I
| round
| round
| non-neoplastic
| non-neoplastic
|-
|-
| II
| Type II
| stellate or papillary
| stellate or papillary
| non-neoplastic
| non-neoplastic
|-
|-
| III
| Type III
| tubular
| tubular
| neoplastic ([[Adenomatous polyps|adenomatous]])
| neoplastic ([[Adenomatous polyps|adenomatous]])
|-
|-
| IV
| Type IV
| branch-like
| branch-like
| neoplastic (adenomatous)
| neoplastic (adenomatous)
|-
|-
| V
| Type V<sub>I</sub>
| irregular/non-structural
| irregular
| neoplastic (invasive)
| neoplastic (invasive)
|}
Pattern V is usually subdivided:
{| class="wikitable sortable"
! Type
! Pit morphology
! Significance
|-
|-
| V<sub>I</sub>
| Type V<sub>N</sub>
| irregular
| invasive cancer
|-
| V<sub>N</sub>
| non-structural areas
| non-structural areas
| invasive cancer
| neoplastic (invasive)
|}
|}
Notes:
*A modified version includes a ''Type II-O'' pattern that is highly specific for [[SSA]]s.<ref name=pmid22233696>{{Cite journal  | last1 = Kimura | first1 = T. | last2 = Yamamoto | first2 = E. | last3 = Yamano | first3 = HO. | last4 = Suzuki | first4 = H. | last5 = Kamimae | first5 = S. | last6 = Nojima | first6 = M. | last7 = Sawada | first7 = T. | last8 = Ashida | first8 = M. | last9 = Yoshikawa | first9 = K. | title = A novel pit pattern identifies the precursor of colorectal cancer derived from sessile serrated adenoma. | journal = Am J Gastroenterol | volume = 107 | issue = 3 | pages = 460-9 | month = Mar | year = 2012 | doi = 10.1038/ajg.2011.457 | PMID = 22233696 }}
</ref>


==See also==
==See also==
*[[GI polyps]].
*[[Gastrointestinal polyps]].
**[[Adenomatous polyps]].
*[[Colorectal adenocarcinoma]].


==References==
==References==
{{Reflist|1}}
{{Reflist|2}}


[[Category:Clinical]]
[[Category:Clinical]]

Latest revision as of 11:22, 16 April 2013

The Kudo pit pattern can be assessed on colonoscopy and predicts the presence or absence of neoplasia and malignancy.[1]

Tabular summary

It is as follows:[2]

Pattern Pit morphology Significance
Type I round non-neoplastic
Type II stellate or papillary non-neoplastic
Type III tubular neoplastic (adenomatous)
Type IV branch-like neoplastic (adenomatous)
Type VI irregular neoplastic (invasive)
Type VN non-structural areas neoplastic (invasive)

Notes:

  • A modified version includes a Type II-O pattern that is highly specific for SSAs.[3]

See also

References

  1. Matsuda, T.; Fujii, T.; Saito, Y.; Nakajima, T.; Uraoka, T.; Kobayashi, N.; Ikehara, H.; Ikematsu, H. et al. (Nov 2008). "Efficacy of the invasive/non-invasive pattern by magnifying chromoendoscopy to estimate the depth of invasion of early colorectal neoplasms.". Am J Gastroenterol 103 (11): 2700-6. doi:10.1111/j.1572-0241.2008.02190.x. PMID 18853968.
  2. Kobayashi, Y.; Kudo, SE.; Miyachi, H.; Hosoya, T.; Ikehara, N.; Ohtsuka, K.; Kashida, H.; Hamatani, S. et al. (Dec 2011). "Clinical usefulness of pit patterns for detecting colonic lesions requiring surgical treatment.". Int J Colorectal Dis 26 (12): 1531-40. doi:10.1007/s00384-011-1246-0. PMID 21607587.
  3. Kimura, T.; Yamamoto, E.; Yamano, HO.; Suzuki, H.; Kamimae, S.; Nojima, M.; Sawada, T.; Ashida, M. et al. (Mar 2012). "A novel pit pattern identifies the precursor of colorectal cancer derived from sessile serrated adenoma.". Am J Gastroenterol 107 (3): 460-9. doi:10.1038/ajg.2011.457. PMID 22233696.