KMID : 0931320090090010041
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´ëÇÑ»óºÎÀ§Àå°ü.Ç︮ÄÚ¹ÚÅÍÇÐȸÁö 2009 Volume.9 No. 1 p.41 ~ p.46
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An E-mail Survey on Management Practices of 2¡3 cm Sized Gastric Submucosal Tumor Suspicious of Gastrointestinal Stromal Tumor
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Kim Eun-Ran
Jung Hyun-Chae Kim Jae-Kyu Kim Gwang-Ha Lee Jun-Haeng Kim Jae-Jun Kim Hyun-Soo
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Abstract
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Background/Aim : There is no guideline about the management of gastric SMT in Korea. The aim of this study was to survey how 2¡3 cm sized gastric SMTs suspicious of gastrointestinal stromal tumor (GIST) are managed by Korean physicians.
Methods: The questionnaire was sent to 570 gastroenterologists via e-mail. It was composed of multiple-choice questions on the diagnosis and management for two 2.5 cm sized gastric SMT cases (one with ulceration and one without ulceration).
Results: A total of 50 gastroenterologists replied (response rate, 8.8%). For 2.5 cm sized SMT with intact overlying mucosa, only 20% of respondents answered to take biopsies. The preferred second test was endosonography (88%). For 2.5 cm sized SMT with central ulceration, most respondents answered to obtain biopsies (98%). The preferred second test was also endosonography (78%). When gastric SMTs were believed as benign, most respondents preferred resection for a SMT with ulceration (90%). For a gastric SMT without ulceration, respondents equally chose resection (46%) and follow-up (44%). When follow-up was chosen instead of resection, the preferred interval was 6 months.
Conclusions: The clinical practice of 2¡3 cm sized gastric SMT was various especially for small gastric SMT with intact overlying mucosa.
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KEYWORD
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Gastric SMT, GIST, Endosonography
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