Pathology of Endoscopic Submucosal Dissection; How Do We Interpret?.
10.4166/kjg.2010.56.4.214
- Author:
Kyoung Mee KIM
1
;
Cheol Keun PARK
Author Information
1. Department of Pathology, Samsung Seoul Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea. ckpark@skku.edu
- Publication Type:Review
- Keywords:
Gastric;
Endoscopic submucosal dissection;
Pathology
- MeSH:
*Dissection;
Embolism/pathology;
Endoscopy, Gastrointestinal;
Gastric Mucosa/*pathology/surgery;
Humans;
Lymphatic Metastasis/pathology;
Stomach Neoplasms/*pathology/surgery
- From:The Korean Journal of Gastroenterology
2010;56(4):214-219
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
It is widely accepted that endoscopic submucosal dissection (ESD) is an important treatment option for cases of early gastric carcinoma where the probability of lymph node metastasis is very low. The resected ESD specimens are carefully examined by serial sections at 2 mm intervals, and if pathology reveals submucosal invasion more than 500microm and/or lymphovascular invasion, or if the resection margin is involved by the tumor, surgery is recommended. In this point of view, thorough pathologic examination and reporting the accurate pathologic diagnosis of ESD specimen is very important. The diagnostic approach and pitfalls in the diagnosis of ESD specimen are reviewed.
