Clinical Study

Narrow-Band Imaging Magnifying Endoscopy versus Lugol Chromoendoscopy with Pink-Color Sign Assessment in the Diagnosis of Superficial Esophageal Squamous Neoplasms: A Randomised Noninferiority Trial

Table 5

Clinicopathological characteristics of misdiagnosed lesions.

False-negative SESCCs False-positive non-SESCC lesions
NBI-MELCE-PS NBI-MELCE-PS

Number of lesions1912 1516
Diameter, mm; median (range)12 (4–35)10 (6–25) 12 (6–30)10 (6–40)
Macroscopic type,
(0-I/IIa, IIb, IIc/III)
0/0, 17, 2/00/2, 10, 0/0 0/1, 12, 2/00/0, 13, 3/0
Histology
from biopsy;
HGIN: 8;
Invasive SCC: 11
HGIN: 4
Invasive SCC: 8
LGIN: 13
Inflammation: 1
Normal epithelium: 1
LGIN: 10
Inflammation: 3
Necrosis: 1
Normal epithelium: 2
Invasion depth of tumors in resected cases (by ER or SR): T1a-LPM: 5
T1a-MM: 1 
T1b-SM1: 1
T1a-LPM: 5 NoneNone
Lugol voiding pattern; , A/B/C/D 0/0/2/17 0/1/3/8 0/2/4/90/4/5/7
(Proportion of grade D) (89%)(67%)(60%)(44%)

SESCC: superficial esophageal squamous cell carcinoma including HGIN; NBI-ME: narrow-band imaging magnifying endoscopy; LCE-PS: Lugol chromoendoscopy with pink-color sign assessment; HGIN: high-grade intraepithelial neoplasia; LGIN: low-grade intraepithelial neoplasia; ER: endoscopic resection; SR: surgical resection; , : not significant (Pearson’s test).