Examination of Endoscopic Mucosal Resection of Early Gastric Cancer.
- Author:
Seung Min LEE
;
Seung Won SEO
;
Jae Kyu SEONG
;
Byung Seok LEE
;
Hyun Yong JEONG
- Publication Type:Original Article
- MeSH:
Chungcheongnam-do;
Diagnosis;
Mucous Membrane;
Neoplasm, Residual;
Retrospective Studies;
Stomach Neoplasms*
- From:Korean Journal of Gastrointestinal Endoscopy
2002;24(3):129-134
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND/AIMS: The endoscopic mucosal resection has now been adopted for a useful modality in both curative therapy and accurate diagnosis of early gastric cancer. A retrospective study was done to evaluate the indication and the limitation of endoscopic mucosal resection of early gastric cancer. METHODS: We studied 20 cases of early gastric cancer treated by endoscopic mucosal resection in Chungnam National University Hospital from November, 1995 to July, 1997. RESULTS: 1) The size affected the curability: 83. 3% of lesions less than 2 cm and 50. 0% of those larger than 2 cm were resected completely. 2) The depth of cancer invasion affected the curability: 87. 5% of lesion confined to mucosa were resected completely, while all of submucosal cancers were resected incompletely. 3) Among fourteen cases resected completely, three cases of lesions larger than 2 cm were residual cancer and two of those less than 2 cm were recurred locally. CONCLUSIONS: To be a curative therapy by endoscopic mucosal resection of early gastric cancer, we think that careful selection of the lesion, that is lesion less than 2cm and confined to mucosa, is necessary
