Synonyms
Gastric intraepithelial neoplasia, adenoma.
Definition
Gastric epithelial dysplasia represents unequivocal gastric epithelial neoplastic proliferation characterized by variable cytological and architectural atypia, without convincing evidence of invasive growth.
Clinical Features
Incidence
Incidence of gastric epithelial dysplasia shows considerable geographic differences and is usually associated with the regional prevalence of Helicobacter pylori infection. The incidence of dysplasia varies from 0.5% to 4% in western populations and from 9% to 20% in high-risk areas for gastric carcinomas.
Age
The incidence of gastric epithelial dysplasia increases with age. It is much more prevalent after sixth decade.
Sex
Gastric epithelial dysplasia is more frequent in males than in females, with a male to female ratio of 1.2–3:1.
Site
Gastric epithelial dysplasia occurs more frequently in the gastric antrum and incisura angularis, although it can involve the whole stomach.
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References and Further Reading
de Vries, A. C., & Kuipers, E. J. (2007). Epidemiology of premalignant gastric lesions: Implications for the development of screening and surveillance strategies. Helicobacter, 12(Suppl 2), 22–31. Review. PubMed PMID: 17991173.
Dixon, M. F. (2002). Gastrointestinal epithelial neoplasia: Vienna revisited. Gut, 51(1), 130–131. PubMed PMID: 12077106; PubMed Central PMCID: PMC1773259.
Lauwers, G. Y., & Riddell, R. H. (1999). Gastric epithelial dysplasia. Gut, 45(5), 784–790. Review. PubMed PMID: 10517922; PubMed Central PMCID:PMC1727726.
Raftopoulos, S. C., Kumarasinghe, P., de Boer, B., Iacobelli, J., et al. (2012). Gastric intraepithelial neoplasia in a Western population. European Journal of Gastroenterology and Hepatology, 24(1), 48–54. PubMed PMID: 22081007.
You, W. C., Blot, W. J., Li, J. Y., Chang, Y. S., Jin, M. L., Kneller, R., Zhang, L., Han, Z. X., Zeng, X. R., & Liu, W. D. (1993). Precancerous gastric lesions in a population at high risk of stomach cancer. Cancer Research, 53(6), 1317–1321. PubMed Central PMCID:PMC1 8443811.
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Wen, X. (2017). Gastric Epithelial Dysplasia. In: Carneiro, F., Chaves, P., Ensari, A. (eds) Pathology of the Gastrointestinal Tract. Encyclopedia of Pathology. Springer, Cham. https://doi.org/10.1007/978-3-319-40560-5_1585
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DOI: https://doi.org/10.1007/978-3-319-40560-5_1585
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