CLINICAL COURSES OF RESIDUAL OR RECURRENT CASES UNDERGO-ING ENDOSCOPIC MUCOSAL RESECTION FOR EARLY GASTRIC CANCER
-
- AKAMATSU Taiji
- Second Department of Internal Medicine, Shinshu University School of Medicine
-
- MIYATA Kazunobu
- Department of Laboratory Medicine, Shinshu University School of Medicine
-
- OWA Tsutomu
- Department of Laboratory Medicine, Shinshu University School of Medicine
-
- USHIMARU Hiroyasu
- Department of Laboratory Medicine, Shinshu University School of Medicine
-
- HASEBE Osamu
- Department of Laboratory Medicine, Shinshu University School of Medicine
-
- MUKAWA Kenji
- Department of Laboratory Medicine, Shinshu University School of Medicine
-
- SHIMIZU Toshiki
- Department of Laboratory Medicine, Shinshu University School of Medicine
-
- HARA Etsuo
- Department of Laboratory Medicine, Shinshu University School of Medicine
-
- MAEJIMA Shinya
- Department of Laboratory Medicine, Shinshu University School of Medicine
-
- KIYOSAWA Kendo
- Department of Laboratory Medicine, Shinshu University School of Medicine
-
- FURUTA Seiichi
- Department of Laboratory Medicine, Shinshu University School of Medicine
-
- KATSUYAMA Tsutomu
- Department of Laboratory Medicine, Shinshu University School of Medicine
Bibliographic Information
- Other Title
-
- 早期胃癌に対する内視鏡的治療の問題点とその対策―遺残・再発例26例の臨床経過―
Search this article
Abstract
Clinical courses of 26 cases who were recognized to have residue (11 cases) or recurrence (15 cases) of cancer after endoscopic mucosal resection for early gastric cancer were retrospectively studied. Four of 26 cases (15.4%) underwent surgical gastrectomy, and other 22 cases (84.6%) were retreated by endoscopic procedures; 14 cases were treated by endoscopic mucosal resection, 7 by cauterization with high-frequent current, 1 by endoscopic local injection of OK-432. Finally 16 of 22 cases (72.7%) were cured, while the other 6 cases (27.3%) were not cured. Three (13.6%) of these non cured 6 cases are now receiving treatment, and 1 case (4.5%) died of pneumonia during repeat endoscopic treatment, and in the remaining 2 cases (9.1%) the lesions developed into advanced cancer because of inadequate follow-up and rapid growth of tumor. Generally surgical gastor-ectomy should be recommended for residual or recurrent lesions after endoscopic mucosal resection because of the possibility of lymph node metastasis. When residual or recurrent lesions are retreated by endoscopic procedures, we should decide it after evaluating physical status of patients and histological atipia of cancer.
Journal
-
- GASTROENTEROLOGICAL ENDOSCOPY
-
GASTROENTEROLOGICAL ENDOSCOPY 36 (3), 465-470_1, 1994
Japan Gastroenterological Endoscopy Society
- Tweet
Details 詳細情報について
-
- CRID
- 1390282679195196416
-
- NII Article ID
- 130004253611
-
- ISSN
- 18845738
- 03871207
-
- Data Source
-
- JaLC
- CiNii Articles
-
- Abstract License Flag
- Disallowed