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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 1 - 9 (9page)
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Detection of early-stage gastric cancer improves the prognosis of patients. Endoscopic submucosal dissection (ESD) is a curative and stomach-preserving treatment for early gastric cancer (EGC) associated with a low risk of lymph node metastasis. However, several studies have reported missed diagnosis of gastric cancer. Therefore, endoscopists are required to learn accurate diagnostic skills to eliminate endoscopic blind spots. A systematic screening protocol to map the entire stomach without blind spots reduces the risk of missed lesions. Knowledge of the features of EGC or dysplasia is essential to identify suspicious lesion. Information of the common sites of occurrence of EGC can also enable a detailed endoscopic examination to improve detection rates. Previous reports investigating the location of gastric cancers resected by ESD or surgery showed that the antrum and lesser curvature of stomach were predominantly affected. Helicobacter pylori-induced atrophic changes advance from the antrum to the corpus along the lesser curvature, predominantly affecting these areas. Gastric cancers in the antrum and the lower corpus are also commonly missed during screening examination. Therefore, a careful examination of the lower third stomach is warranted to avoid missing synchronous and metachronous gastric lesions. Knowledge of the location of EGC enables accurate endoscopic examination and detection of EGC in early stage.
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참고문헌 (44)
참고문헌 신청
Bray F / 2018 / Global cancer statistics 2018 : GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries / CA Cancer J Clin 68(6):394~424
Kikuchi S / 2004 / Survival after surgical treatment of early gastric cancer : surgical techniques and long-term survival / Langenbecks Arch Surg 389(2):69~74
Kim YI / 2015 / Long-term survival after endoscopic resection versus surgery in early gastric cancers / Endoscopy 47(4):293~301
Jun JK / 2017 / Effectiveness of the Korean National Cancer Screening Program in reducing gastric cancer mortality / Gastroenterology 152(6):1319~1328.e7
박미성 / 2015 / Clinicopathologic Characteristics of Interval Gastric Cancer in Korea / Gut and Liver 9(2):167~173
Kikuchi S / 2004 / Survival after surgical treatment of early gastric cancer : surgical techniques and long-term survival / Langenbecks Arch Surg 389(2):69~74
Kim YI / 2015 / Long-term survival after endoscopic resection versus surgery in early gastric cancers / Endoscopy 47(4):293~301
Jun JK / 2017 / Effectiveness of the Korean National Cancer Screening Program in reducing gastric cancer mortality / Gastroenterology 152(6):1319~1328.e7
박미성 / 2015 / Clinicopathologic Characteristics of Interval Gastric Cancer in Korea / Gut and Liver 9(2):167~173
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