Kakushima et al reported a score for distinguishing a duodenal adenoma from adenocarcinoma on endoscopy. The authors are from Shizuoka Cancer Center in Japan.
• Paris classification: Ip (protruded pedunculated); Is (protruded sessile); IIA (superficial elevated); IIc (depressed; mixed (more than one pattern).
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 5
• A score >= 3 is seen with a Vienna classification 4 (high-grade dysplasia) or higher.
• A score <= 2 is associated with a Vienna classification 3.
Performance:
• The sensitivity was 84% and specificity 0.90.
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