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| LYMPH-NODE METASTASIS FROM EARLY GASTRIC-CANCER - ENDOSCOPIC RESECTION OF TUMOR |
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| Author(s): SANO T, KOBORI O, MUTO T |
| Source: BRITISH JOURNAL OF SURGERY Volume: 79 Issue: 3 Pages: 241-244 Published: MAR 1992 |
| Times Cited: 202 References: 11 |
| Abstract: The clinicopathological features of 748 solitary early gastric cancers were examined with regard to lymph node metastasis. Among several factors, only depth of invasion and tumour size correlated significantly with node involvement. Tumours which satisfy the following criteria may not metastasize to lymph nodes: (1) confined to the mucosa; (2) less than 1.5 cm in diameter; (3) macroscopically elevated; (4) macroscopically depressed, without intramural ulcers or ulcer scars (endoscopically, no fold convergence); and (5) histologically differentiated. With a recently developed endoscopic technique small gastric tumours can safely be resected. The cut margin and depth of tumour invasion can be verified histologically in the specimen. If an endoscopically removed tumour satisfies the above criteria, further surgical intervention may be optional as the outcome of endoscopic resection is comparable to that of radical surgery in the absence of node involvement. |
| Document Type: Article |
| Language: English |
| Reprint Address: SANO, T (reprint author), UNIV TOKYO, FAC MED, DEPT SURG 1, 7-3-1 HONGO, BUNKYO KU, TOKYO 113, JAPAN |
| Publisher: BLACKWELL SCIENCE LTD, OSNEY MEAD, OXFORD, OXON, ENGLAND OX2 0EL |
| Subject Category: Surgery |
| IDS Number: HG587 |
| ISSN: 0007-1323 |
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| | | | | | | | | Record from Web of Science® | | | | | | | | | |