Managing crawling-type gastric adenocarcinoma with endoscopic techniques and postoperative monitoring

被引：0
作者：
Yang, Jia-Chen [1 ]
Chen, Liu-Xiang [2 ]
Hu, Bing [2 ]
机构：
[1] Sichuan Univ, West China Hosp, Dept Gastroenterol & Hepatol, Digest Endoscopy Med Engn Res Lab, Chengdu 610041, Sichuan, Peoples R China
[2] Sichuan Univ, West China Hosp, Dept Gastroenterol & Hepatol, Med Engn Integrat Lab Digest Endoscopy, 37 Guoxue Alley, Chengdu 610041, Sichuan, Peoples R China
来源：
WORLD JOURNAL OF GASTROENTEROLOGY | 2024年 / 30卷 / 43期
关键词：
Crawling-type gastric cancer; Superficial flat tumor; Positive resection margin; Multiple biopsies; Endoscopic submucosal dissection; Postoperative monitoring; CANCER;
D O I：
10.3748/wjg.v30.i43.4657
中图分类号：
R57 [消化系及腹部疾病];
学科分类号：
摘要：
Crawling-type gastric adenocarcinoma is a rare subtype of gastric cancer with diagnostic and therapeutic challenges due to its flat, ill-defined lesions. Advanced diagnostic techniques, such as narrow-band imaging and linear endoscopic ultrasonography, improve detection, but endoscopic submucosal dissection poses a risk of incomplete resection. Despite negative resection margins, vigilant postoperative monitoring is crucial due to the potential for recurrence. This letter highlights the importance of refined diagnostic criteria, individualized treatment approaches, and continuous follow-up to optimize management of this unique gastric cancer subtype.
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