Gastric cancer: Prevention, screening and early diagnosis

Figure 4 Some patient after 2 wk of Helicobacter pylori eradication therapy. The characterization of the flat (IIa) part of the lesion type 0-IIa+Is is neoplastic: A-D: High definition Video-EGD + chromoendoscopy + Zoom: Shows a clear demarcation line between the lesion and surrounding mucosa; E-G: NBI + zoom: A clear demarcation line between the lesion and the surrounding mucosa; H, I: NBI + zoom: An irregular microsurface pattern - elongated and different in size and shape; J, K: An irregular microvascular pattern - tortuous, different in shape and size of the capillaries, forming an irregular network; L: CLE: Marks of intestinal metaplasia - Goblet cells; M: CLE: Deformed glands; N: CLE: Dark irregular glands; pseudostratified epithelium; O: CLE: Dark irregular glands; pseudostratified epithelium; P: Pathomorphology: Incomplete intestinal metaplasia and high grade dysplasia with foci of well-differentiated adenocarcinoma.