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- W2357863035 abstract "Objective To investigate the relation between endoscopic morphology and surgical pathology on early gastric cancer with obvious focal hyperemia or redness around or in the middle of the lesion so as to enhance diagnostic value of routine endoscopy.Methods From June 2006 to September 2007,endoscopic data of a total 107 consecutive patients with surgically proved early gastric cancer were reviewed.A total of 28 patients with obvious focal hyperemia or redness around or in the center of the cancerous lesion were recruited in the study.Detailed investigations were focused on the distribution and appearance of the redness and the fringe of the entire lesion.Tumor differentiation,invasion depth and lymph node metastasis proved by surgery were studied and compared with endoscopic findings.Results All lesions could be classified into the following by appearance and distribution of the hyperemia or redness of the lesion:a depressed lesion surrounded by irregular palisade-like hyperemia (type 1); red granules in the background of a superficial depressed lesion (type 2); adenoma-like hyperemia in the background of a superficial elevated lesion (type 3).Among 28 patients,type 1 was confirmed in 17 patients (60.7%); type 2 in 7 patients (25.0%) and type 3 in 4 patients (14.3%).Remarkable relation was found between different types of redness and tumor differentiation,as differentiated gastric cancer was frequently associated with type 1 (10/17,58.8%) and type 3 (4/4,100%) while undifferentiated gastric cancer was closely related with type 2 (6/7,85.7%).Conclusion Focal hyperemia or redness observed in superficial gastric lesions can be particular changes associated with early gastric cancer.The distribution and background changes of the spots are closely related to tumor differentiation and when integrated with contour,location and other features of the lesion,it will further enhance the diagnostic value of routine endoscopy on early gastric cancer." @default.
- W2357863035 created "2016-06-24" @default.
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- W2357863035 date "2008-01-01" @default.
- W2357863035 modified "2023-09-23" @default.
- W2357863035 title "Comparison between endoscopic appearance and pathology of early gastric cancer with focal hyperemia or redness" @default.
- W2357863035 hasPublicationYear "2008" @default.
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