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The role of surgery after incomplete endoscopic mucosal resection for early gastric cancer

Cited 16 time in Web of Science Cited 15 time in Scopus
Authors
Chung, Yoo Seung; Park, Do-Joong; Lee, Hyuk-Joon; Kim, Sang-Gyun; Jung, Hyun-Chae; Song, In-Sung; Kim, Woo-Ho; Lee, Kuhn-Uk; Choe, Kuk-Jin; Yang, Han-Kwang
Issue Date
2007
Publisher
Springer Verlag
Citation
Surg Today 2007;37:114-7
Keywords
Endoscopic mucosal resectionGastric cancerSurgery
Abstract
PURPOSE: Endoscopic mucosal resection (EMR) is a relatively new treatment option for early gastric cancer (EGC). However, cases of incomplete EMR resulting in a positive lateral margin or submucosal invasion (positive vertical margin) have been reported. We conducted this study to evaluate the role of surgery after incomplete EMR for EGC. METHODS: We analyzed 19 patients who underwent gastrectomy as a result of an incomplete EMR. The patients were divided into three groups according to the type of incomplete EMR: a positive lateral margin (LM) group (n = 9), a positive vertical margin (VM) group (n = 4), and a positive lateral and vertical margin (LM + VM) group (n = 6). RESULTS: The positive residual tumor rate and the positive lymph node rate were 44.4% (4/9) and 0% (0/9) in the LM group, 50.0% (2/4) and 25.0% (1/4) in the VM group, and 83.3% (5/6) and 16.7% (1/6), LM + VM group, respectively. Curative resection was performed in all patients and there was no recurrence in 30.8 months of follow-up. CONCLUSION: Radical surgery is recommended for patients with a positive lateral resection margin or submucosal invasion, or both, after EMR for EGC, because of the possibility of residual tumor or lymph node metastasis.
ISSN
0941-1291 (Print)
Language
English
URI
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=17243028

https://hdl.handle.net/10371/10857
DOI
https://doi.org/10.1007/s00595-006-3328-0
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College of Medicine/School of Medicine (의과대학/대학원)Surgery (외과학전공)Journal Papers (저널논문_외과학전공)
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