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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 328 - 333 (6page)
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Background/Aims: Predicting histological ulceration in early gastric cancer (EGC) during endoscopic examination is crucial forendoscopists deciding on the treatment modality. The aim of this study was to investigate the endoscopic factors that can predicthistological ulcerations in EGCs. Methods: We retrospectively analyzed patients who underwent endoscopic submucosal dissection (ESD) for EGC. Clinical features andendoscopic characteristics of EGC such as location, histological differentiation, longest diameter, tumor morphology, mucosal break,converging fold, color change, and surface irregularity were reviewed. Histological ulceration was defined based on ESD specimens. Results: A total of 633 EGC lesions from 613 patients were included and histological ulcerations were found in 90 lesions (14.2%). Presence of converging folds, tumor morphology, and color changes on endoscopic examination were related to histological ulcerationin the univariate analysis and converging folds along with color changes were statistically significant factors in the multivariate analysis. Kaplan–Meier analysis showed that patients with histological ulcerations in EGCs tended to have higher marginal recurrence rates. Conclusions: Mucosal breaks are not equivalent to histological ulcerations. Rather, the existence of converging folds and color changesduring endoscopic examination suggest histological ulcerations. Endoscopists should consider these factors when they decide thetreatment modality for EGCs.
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참고문헌 (16)
참고문헌 신청
Chung IK / 2009 / Therapeutic outcomes in 1000 cases of endoscopic submucosal dissection for early gastric neoplasms : Korean ESD Study Group multicenter study / Gastrointest Endosc 69:1228~1235
Gotoda T / 2000 / Incidence of lymph node metastasis from early gastric cancer : estimation with a large number of cases at two large centers / Gastric Cancer 3:219~225
Japanese Gastric Cancer Association / 2018 / Japanese gastric cancer treatment guidelines / Kanehara-Shuppan
이준행 / 2014 / Clinical Practice Guidelines for Gastric Cancer in Korea: An Evidence-Based Approach / Journal of Gastric Cancer 14(2):87~104
박성민 / 2017 / Can Endoscopic Ulcerations in Early Gastric Cancer Be Clearly Defined before Endoscopic Resection? A Survey among Endoscopists / Clinical Endoscopy 50(5):473~478
Gotoda T / 2000 / Incidence of lymph node metastasis from early gastric cancer : estimation with a large number of cases at two large centers / Gastric Cancer 3:219~225
Japanese Gastric Cancer Association / 2018 / Japanese gastric cancer treatment guidelines / Kanehara-Shuppan
이준행 / 2014 / Clinical Practice Guidelines for Gastric Cancer in Korea: An Evidence-Based Approach / Journal of Gastric Cancer 14(2):87~104
박성민 / 2017 / Can Endoscopic Ulcerations in Early Gastric Cancer Be Clearly Defined before Endoscopic Resection? A Survey among Endoscopists / Clinical Endoscopy 50(5):473~478
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