The Usefulness of Endoscopic Ultrasonography and Endoscopy in Diagnosing Depth of Invasion of Early Gastric Cancer for the Selection of Proper Candidates for Endoscopic Mucosal Resection / 대한소화기내시경학회지
Korean Journal of Gastrointestinal Endoscopy
; : 437-444, 2001.
Article
Dans Ko
| WPRIM
| ID: wpr-227947
Responsable en Bibliothèque :
WPRO
ABSTRACT
BACKGROUND/AIMS:
If a cancer lesion without ulcer can be correctly staged as mucosal, it can be a candidate for curative endoscopic treatment such as endoscopic mucosal resection. The aim of this study was to evaluate the usefulness of EUS and endoscopy in diagnosing mucosal cancer of stomach.METHODS:
Findings of endoscopy and EUS were independently reviewed by the conventional criteria for diagnosing depth of invasion and compared with histologic findings in 65 patients having EGC without ulcers.RESULTS:
Overall accuracy of diagnosing depth of invasion were 69% by endoscopy and 78% by EUS. The accuracy rates according to the macroscopic type by endoscopy were 86% (12/14) for type I, 75% (3/4) for type IIa, 75% (9/12) for type IIa+IIc, 50% (2/4) for type IIc+IIa, 66% (19/29) for type IIc and 0% (0/2) for type IIc+IIb. The accuracy rates according to the macroscopic type by EUS were 93% (13/ 14) for type I, 50% (2/4) for type IIa, 75% (9/12) for type IIa+IIc, 50% (2/4) for type IIc+IIa, 83% (24/29) for type IIc and 50% (1/2) for type IIc+IIb. All lesions that were classified as limited to the mucosa on both conventional endoscopy and EUS in type I (n=9), IIa (n=2), IIa+IIc (n=2) and IIc (n=11) were limited to the mucosa by histologic findings.CONCLUSIONS:
This study suggests that if both modalities show the findings of mucosal lesion in type I and IIc of EGC, endoscopic mucosal resection may be considered as a curative treatment.
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Tumeurs de l'estomac
/
Ulcère
/
Endosonographie
/
Endoscopie
/
Muqueuse
Type d'étude:
Diagnostic_studies
Limites du sujet:
Humans
langue:
Ko
Texte intégral:
Korean Journal of Gastrointestinal Endoscopy
Année:
2001
Type:
Article