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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 569 - 577 (9page)
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초록· 키워드
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Background/Aims: To assess the therapeutic outcomes of endoscopic resection (ER) of early gastric cancer (EGC) with undifferentiated-type histology.
Methods: Cases of ER of EGC with undifferentiated-type histology in the Korean endoscopic submucosal dissection (ESD) registry database were identified and reviewed. The immediate outcomes, including en bloc resection, complete resection, and curative resection rates, and long-term outcomes, including recurrence and survival rates, were extracted and analyzed.
Results: From 2006 to 2015, 275 EGCs with undifferentiated-type histology from 275 patients were identified. The immediate outcomes were as follows: en bloc resection rate: 92.4%; complete resection rate: 80%; and curative resection rate: 36.4%. Compared to patients with lesions that were beyond the expanded indication, those with expanded indication lesions showed better therapeutic outcomes. There was no difference in immediate outcomes between patients with poorly differentiated adenocarcinoma (PDC) and signet ring cell carcinoma (SRC). However, compared to ER of SRC, ER of PDC had a stronger association with submucosal invasion (41.9% vs. 23.6%, p=0.003). With regard to long-term outcomes, there was no difference between lesions with curative and non-curative resections in the recurrence and mortality rates. These rates also did not differ between PDC and SRC (median follow up: 3.96 years).
Conclusions: ER confined to expanded indication lesions can be considered for treatment of EGC with undifferentiated-type histology.
목차
등록된 정보가 없습니다.
참고문헌 (16)
참고문헌 신청
Ahn JY / 2016 / Endoscopic resection for undifferentiated-type early gastric cancer: immediate endoscopic outcomes and longterm survivals / Dig Dis Sci 61 : 1158 ~ 1164
Ajani JA / 2016 / Gastric cancer, version 3.2016, NCCN clinical practice guidelines in oncology / J Natl Compr Canc Netw 14 : 1286 ~ 1312
Bang CS / 2015 / Endoscopic submucosal dissection for early gastric cancer with undifferentiated-type histology: a meta-analysis / World J Gastroenterol 21 : 6032 ~ 6043
Gong S / 2015 / Value of magnifying endoscopy with narrow-band imaging and confocal laser endomicroscopy in detecting gastric cancerous lesions / Medicine (Baltimore) 94 : e
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
Ajani JA / 2016 / Gastric cancer, version 3.2016, NCCN clinical practice guidelines in oncology / J Natl Compr Canc Netw 14 : 1286 ~ 1312
Bang CS / 2015 / Endoscopic submucosal dissection for early gastric cancer with undifferentiated-type histology: a meta-analysis / World J Gastroenterol 21 : 6032 ~ 6043
Gong S / 2015 / Value of magnifying endoscopy with narrow-band imaging and confocal laser endomicroscopy in detecting gastric cancerous lesions / Medicine (Baltimore) 94 : e
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
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