Important considerations when contemplating endoscopic resection of undifferentiated-type early gastric cancer

被引:11
作者
Kim, Jie-Hyun [1 ]
机构
[1] Yonsei Univ, Coll Med, Gangnam Severance Hosp, Dept Internal Med, 211 Eonjuro, Seoul 135720, South Korea
关键词
Early gastric cancer; Undifferentiated; Endoscopic resection; Lymph node metastasis; LYMPH-NODE METASTASIS; RING CELL-CARCINOMA; LONG-TERM OUTCOMES; SUBMUCOSAL DISSECTION; RISK-FACTORS; CLINICOPATHOLOGICAL CHARACTERISTICS; MAGNIFYING ENDOSCOPY; MUCOSAL RESECTION; HISTOLOGY; FEASIBILITY;
D O I
10.3748/wjg.v22.i3.1172
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Endoscopic resection (ER) of undifferentiated-type early gastric cancer (UD-EGC) has a lower curative resection (CR) rate than does ER of differentiated-type EGC (D-EGC). However, a low CR rate does not mean that it is unreasonable to schedule ER of UD-EGC. If ER is in fact curative, the long-term outcomes including survival rate are excellent. Quality of life is good because maximal stomach preservation is possible. However, UD-EGC and D-EGC differ histologically. Thus, when ER is contemplated to treat UD-EGC, a careful approach employing strict criteria is essential because the biology of UD-EGC and D-EGC differ.
引用
收藏
页码:1172 / 1178
页数:7
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