Tip 40: Identifying NICE 3 Changes in Lateral Spreading Lesions | November 2021-Identifying NICE 3 Changes in Lateral Spreading Lesions

Identifying NICE 3 Changes in Lateral Spreading Lesions

Video Transcription

Video Summary

In this video, the speaker discusses the NICE classification and its significance in identifying deep submucosal invasive cancer in lateral spreading lesions. The different types of lesions and their characteristics are explained, including sessile serrated lesions, conventional adenomas, and lesions with irregularities and associated dysplasia. The speaker emphasizes the importance of identifying NICE 3 changes, which indicate deep submucosal invasive cancer, and advises against endoscopic resection in such cases. Various examples of lesions with NICE 3 changes are shown, and the speaker discusses the need for targeted biopsies and considering other factors for determining the approach to endoscopic resection or surgery. The video is part of the ASGE SuTab tip of the week series.

Keywords

NICE classification

deep submucosal invasive cancer

lateral spreading lesions

sessile serrated lesions

conventional adenomas