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Table 4 Risk factors associated with histological upgrade to ESCC in patients diagnosed with HGIN on biopsy

From: Endoscopic resections for superficial esophageal squamous cell epithelial neoplasia: focus on histological discrepancies between biopsy and resected specimens

Variables

Total (n = 83)

Final histology

p value

Non-ESCC (n = 49)

ESCC (n = 34)

 

Age(years)

   

0.654

 < 60

27 (32.5)

15 (30.6)

12 (35.3)

 

 ≥ 60

56 (67.5)

34 (69.4)

22 (64.7)

 

Sex

   

0.326

 Male

56 (67.5)

31 (63.3)

25 (73.5)

 

 Female

27 (32.5)

18 (36.7)

9 (26.5)

 

Lesion size (mm)

   

0.001

 < 10

13 (15.7)

13 (26.5)

0 (0)

 

 10–20

27 (32.5)

17 (34.7)

10 (29.4)

 

 ≥ 20

43 (51.5)

19 (38.8)

24 (70.6)

 

Circumferential extent of lesions

   

0.159

 < 50%

74 (89.2)

45 (91.8)

29 (85.3)

 

 50–75%

7 (8.4)

4 (8.2)

3 (8.8)

 

 > 75%

2 (2.4)

0 (0)

2 (5.9)

 

Location

   

0.018

 Upper esophagus

8 (19.7)

4 (8.2)

4 (11.8)

 

 Middle esophagus

65 (78.3)

43 (87.7)

22 (64.7)

 

 Lower esophagus

10 (12.0)

2 (4.1)

8 (23.5)

 

Color

    

 Reddish

55 (66.3)

32 (65.3)

23 (67.6)

0.090

 Whitish

15 (18.1)

8 (16.3)

7 (20.6)

 

 No obvious change

10 (12.0)

9 (18.4)

1 (2.8)

 

Gross type

   

0.073

 Elevated

2 (2.4)

0 (0)

2 (5.9)

 

 Flat

64 (77.1)

41 (83.7)

23 (67.6)

 

 Depressed

17 (20.5)

8 (16.3)

9 (26.5)

 

Pink color sign

   

0.002

 Yes

44 (53.0)

19 (38.8)

25 (73.5)

 

 No

39 (47.0)

30 (61.2)

9 (26.5)

 

IPCL

   

0.266*

 Type A

3 (3.6)

3 (6.1)

0 (0)

 

 Type B

80 (96.4)

46 (93.9)

34 (100)

 

Brownish color background

   

 0.101

 Yes

66 (79.5)

36 (73.5)

30 (88.2)

 

 No

17 (20.5)

13 (26.5)

4 (11.8)

 

Number of biopsies

   

0.131

 1

61 (73.5)

39 (79.6)

22 (64.7)

 

 ≥ 2

22 (26.5)

10 (20.4)

12 (35.3)

 
  1. p value < 0.05 was highlighted by bold values
  2. HGIN = high grade intraepithelial neoplasm, ESCC = esophageal squamous cell carcinoma, IPCL = intrapapillary capillary loops
  3. *Fisher’s exact test