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- W3150372163 abstract "t astrectomy with lymph node dissection has provided n excellent therapeutic outcome for patients with early astric cancer, with a 5-year survival rate of 96%. The revalence of lymph node metastasis of intramucosalnd submucosal-invading cancer was reported as aproximately 3% and 20%, respectively, which means urgery may have been excessive for many patients with hese diseases. The endoscopic distinction between muosal and submucosal invasion is made correctly in only pproximately 80% of tumors. However, this means that he pretreatment diagnosis is incorrect for 20% of those umors otherwise identified as candidates for local treatent. Furthermore, the evaluation of lymphatic-vascular nvolvement associated with lymph node metastasis is vailable only through accurate histologic examination. t is essential to evaluate accurately the endoscopically esected specimen and then decide whether or not an dditional surgical procedure is warranted. There are everal techniques for endoscopic mucosal resection. It s difficult to correctly assess the depth of tumor invaion from resected materials by conventional endocopic procedures in lesions larger than 15 mm. This is ecause such lesions often are resected piecemeal beause of the size limitation of a resectable specimen. A ew endoscopic procedure, endoscopic submucosal disection, using an insulation-tipped needle knife specifially designed at the National Cancer Center Hospital, apan, is superior to other endoscopic methods in the reatment of early gastric cancer, and provides an en loc specimen. En bloc resections allow precise histoogic staging and have the potential to prevent recurrent isease." @default.
- W3150372163 created "2021-04-13" @default.
- W3150372163 creator A5052827501 @default.
- W3150372163 date "2005-01-01" @default.
- W3150372163 modified "2023-09-27" @default.
- W3150372163 title "Large Endoscopic Resection by Endoscopic Submucosal issection Procedure for Early Gastric Cancer" @default.
- W3150372163 cites W2000354959 @default.
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