Research Article

Potential Factors Predicting Histopathologically Upgrade Discrepancies between Endoscopic Forceps Biopsy of the Colorectal Low-Grade Intraepithelial Neoplasia and Endoscopic Resection Specimens

Table 2

Baseline characteristics of the concordant group and the upgrade group disease after endoscopic resection.

CharacteristicsUpgrade group ()Concordant group () value

Age/y, median (IQR)59 (48.75, 67)58 (50, 65)0.449
Female, (%)69 (42.6)263 (34.8)0.061
Past medical history, (%)
 HT48 (29.6)156 (20.6)0.012
 DM21 (13.0)71 (9.4)0.170
 NSAID22 (13.6)29 (3.8)<0.001
 Colorectal polyps5 (3.1)27 (3.6)0.76
 FAP1 (0.6)2 (0.3)0.442
 CRC8 (4.9)48 (6.3)0.496
Lack of standardization of EFB number, (%)102 (63.0)217 (28.7)0.001
EFB diagnosis, (%)<0.001
 Tubular126 (77.8)663 (87.7)
 Tubulovillous25 (15.4)77 (10.2)
 Villous11 (6.8)16 (2.1)
Postoperative pathological diagnosis, (%)
 Tubular adenoma712 (77.6)
 Tubulovillous adenoma34 (3.7)
 Villous adenoma10 (1.1)
 HGD114 (12.4)
 Intramucosal carcinoma33 (3.6)
 Submucosal adenocarcinoma10 (1.1)
 Advanced adenocarcinoma5 (0.5)
Maximum diameter of the target adenoma/cm, median (IQR)2.44 (1.5, 3)1.59 (1, 2)<0.001
Lobulated pattern, (%)85 (52.5)107 (14.2)<0.001
Erythema, (%)127 (78.4)334 (44.2)<0.001
Erosion, (%)69 (42.6)33 (4.4)<0.001
Surface unevenness, (%)80 (49.4)69 (9.1)<0.001
Blood biochemistry, median (IQR)
 TG, mmol/L1.14 (0.80, 1.63)1.27 (0.89, 1.84)0.025
 TC, mmol/L4.33 (3.73, 5.08)4.6 (4.03, 5.24)0.002
 HDL, mmol/L1.27 (1.03, 1.49)1.25 (1.05, 1.52)0.742
 LDL, mmol/L2.56 (2.04, 3.10)2.79 (2.25, 3.30)0.001
Shape pattern, (%)0.547
 Yamada I+II79 (48.8)349 (46.2)
 Yamada III+IV83 (51.2)407 (53.8)
LST, (%)5 (3.1)37 (4.9)0.318
Multiple colorectal polyps73 (45.1)293 (38.8)0.137
Distal location of the target adenoma, (%)143 (88.3)578 (76.5)<0.001

HT: hypertension; DM: diabetes mellitus; NSAID: nonsteroidal anti-inflammatory drug; FAP: familial adenomatous polyposis; CRC: colorectal cancer; HGD: high-grade dysplasia; TG: triglyceride; TC: total cholesterol; HDL: high-density lipoprotein; LDL: low-density lipoprotein.