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The role of surgery after incomplete endoscopic mucosal resection for early gastric cancer
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Chung, Yoo Seung | - |
dc.contributor.author | Park, Do-Joong | - |
dc.contributor.author | Lee, Hyuk-Joon | - |
dc.contributor.author | Kim, Sang-Gyun | - |
dc.contributor.author | Jung, Hyun-Chae | - |
dc.contributor.author | Song, In-Sung | - |
dc.contributor.author | Kim, Woo-Ho | - |
dc.contributor.author | Lee, Kuhn-Uk | - |
dc.contributor.author | Choe, Kuk-Jin | - |
dc.contributor.author | Yang, Han-Kwang | - |
dc.date.accessioned | 2009-10-28T05:46:30Z | - |
dc.date.available | 2009-10-28T05:46:30Z | - |
dc.date.issued | 2007 | - |
dc.identifier.citation | Surg Today 2007;37:114-7 | en |
dc.identifier.issn | 0941-1291 (Print) | - |
dc.identifier.uri | http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=17243028 | - |
dc.identifier.uri | https://hdl.handle.net/10371/10857 | - |
dc.description.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. | en |
dc.language.iso | en | en |
dc.publisher | Springer Verlag | en |
dc.subject | Endoscopic mucosal resection | en |
dc.subject | Gastric cancer | en |
dc.subject | Surgery | en |
dc.title | The role of surgery after incomplete endoscopic mucosal resection for early gastric cancer | en |
dc.type | Article | en |
dc.contributor.AlternativeAuthor | 정유승 | - |
dc.contributor.AlternativeAuthor | 박도중 | - |
dc.contributor.AlternativeAuthor | 이혁준 | - |
dc.contributor.AlternativeAuthor | 김상균 | - |
dc.contributor.AlternativeAuthor | 정현채 | - |
dc.contributor.AlternativeAuthor | 송인성 | - |
dc.contributor.AlternativeAuthor | 김우호 | - |
dc.contributor.AlternativeAuthor | 이건욱 | - |
dc.contributor.AlternativeAuthor | 최국진 | - |
dc.contributor.AlternativeAuthor | 양한광 | - |
dc.identifier.doi | 10.1007/s00595-006-3328-0 | - |
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