Korean J Gastrointest Endosc.  2002 Mar;24(3):129-134.

Examination of Endoscopic Mucosal Resection of Early Gastric Cancer

• Lee SM
• Seo SW
• Seong JK
• Lee BS
• Jeong HY

Abstract

BACKGROUND/AIMS: The endoscopic mucosal resection has now been adopted for a useful modality in both curative therapy and accurate diagnosis of early gastric cancer. A retrospective study was done to evaluate the indication and the limitation of endoscopic mucosal resection of early gastric cancer.
METHODS
We studied 20 cases of early gastric cancer treated by endoscopic mucosal resection in Chungnam National University Hospital from November, 1995 to July, 1997.
RESULTS
1) The size affected the curability: 83. 3% of lesions less than 2 cm and 50. 0% of those larger than 2 cm were resected completely. 2) The depth of cancer invasion affected the curability: 87. 5% of lesion confined to mucosa were resected completely, while all of submucosal cancers were resected incompletely. 3) Among fourteen cases resected completely, three cases of lesions larger than 2 cm were residual cancer and two of those less than 2 cm were recurred locally.
CONCLUSIONS
To be a curative therapy by endoscopic mucosal resection of early gastric cancer, we think that careful selection of the lesion, that is lesion less than 2cm and confined to mucosa, is necessary

MeSH Terms

Chungcheongnam-do
Diagnosis
Mucous Membrane
Neoplasm, Residual
Retrospective Studies
Stomach Neoplasms*