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KMID : 0359020020240030129
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Korean Journal of Gastrointestinal Endoscopy
2002 Volume.24 No. 3 p.129 ~ p.134
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Examination of Endoscopic Mucosal Resection of Early Gastric Cancer
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Lee Seung-Min
Jeong Hyun-Yong
Lee Byung-Seok
Seo Seung-Weon
Sung Jae-Kyu
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Abstract
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Background/Aims : The endoscopic mucosal resection has now been adopted for a useful modality in both curative therapy and accurate diagnosis of early gastric cancer. A retrospective study was done to evaluate the indication and the limitation of endoscopic mucosal resection of early gastric cancer.
Methods :We studied 20 cases of early gastric cancer treated by endoscopic mucosal resection in Chungnam National University Hospital from November, 1995 to July, 1997.
Results :1)The size affected the curability: 83. 3% of lesions less than 2 ㎝ and 50. 0% of those larger than 2 ㎝ were resected completely. 2) The depth of cancer invasion affected the curability: 87. 5% of lesion confined to mucosa were resected completely, while all of submucosal cancers were resected incompletely. 3) Among fourteen cases resected completely, three cases of lesions larger than 2 ㎝ were residual cancer and two of those less than 2 ㎝ were recurred locally.
Conclusion :To be a curative therapy by endoscopic mucosal resection of early gastric cancer, we think that careful selection of the lesion, that is lesion less than 2㎝ and confined to mucosa, is necessary
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KEYWORD
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Endoscopic mucosal resection, Early gastric cancer
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