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Purpose: As the proportion of early gastric cancer (EGC) has recently been increased, minimally invasive treatment is currently accepted as main therapy for EGC. Accurate preoperative staging is very important in determining treatment options. To know the accuracy of endoscopic ultrasonography (EUS), we compared the depth of invasion of the tumor with preoperative EUS and postoperative pathologic findings. Materials and Methods: We retrospectively analyzed 152 patients who underwent EUS before laparoscopic gastrectomy. The preoperative EUS results were compared with the pathological findings. Results: The overall proportion of coincidence for depth of invasion between EUS and pathologic results was 41.4%. Univariate analysis showed that the rate of corrected prediction of EUS for tumor depth significantly decreased for the lesions more than 3cm in diameter (P=0.033), and those with a depressed morphology (P=0.035). In multivariate analysis, the depressed type (P=0.029, OR=2.873) and upper lesion (P=0.035, OR=2.151) was the significantly independent factors influencing the inaccurate prediction of EUS for tumor depth. Conclusions: When we decide the treatment modality considering the clinical depth of invasion by EUS, the possibility of discordance with pathologic results should be considered for the lesions located in the upper third of the stomach and with a depressed morphology.

권호기사

권호기사 목록 테이블로 기사명, 저자명, 페이지, 원문, 기사목차 순으로 되어있습니다.
기사명 저자명 페이지 원문 목차
Clinicopathological features and surgical treatment of gastric cancer in South Korea :the results of 2009 nationwide survey on surgically treated gastric cancer patients Oh Jeong ,Young-Kyu Park pp.69-77

Evaluation of the 7th UICC TNM staging system of gastric cancer Sung Joon Kwon pp.78-85

Clinical significance of the pattern of lymph node metastasis depending on the location of gastric cancer Ki Bin Han ,You Jin Jang ,Jong Han Kim ,Sung Soo Park ,Seong Heum Park ,Seung Joo Kim ,Young Jae Mok ,Chong Suk Kim pp.86-93

Evaluation of the 7th AJCC TNM staging system in point of lymph node classification Sung Hoo Kim ,Tae Kyung Ha ,Sung Joon Kwon pp.94-100

Feasibility study of early oral intake after gastrectomy for gastric carcinoma Dong Hoon Jo ,Oh Jeong ,Jang Won Sun ,Mi Ran Jeong ,Seong Yeop Ryu ,Young Kyu Park pp.101-108

Efficacy of endoscopic ultrasonography for prediction of tumor depth in gastric cancer Ji Min Park ,Chang Wook Ahn ,Xian Yi ,Hoon Hur ,Kee Myung Lee ,Yong Kwan Cho ,Sang-Uk Han pp.109-115

Operative risk factors in gastric cancer surgery for elderly patients Su Han Seo ,Hoon Hur ,Chang Wook An ,Xian Yi ,June Young Kim ,Sang-Uk Han ,Yong Kwan Cho pp.116-121

Mixed exocrine and endocrine carcinoma in the stomach :a case report Han Hong Lee ,Chan Kwon Jung ,Eun Sun Jung ,Kyo Young Song ,Hae Myung Jeon ,Cho Hyun Park pp.122-125

Composite neuroendocrine carcinoma with adenocarcinoma of the stomach misdiagnosed as a giant submucosal tumor Tae-Yoon Kim ,Hyun-Dong Chae pp.126-130

Laparoscopic gastric wedge resection and prophylactic antireflux surgery for a submucosal tumor of gastroesophageal junction Jeong Sun Lee ,Jin-Jo Kim ,Seung-Man Park pp.131-134

참고문헌 (19건) : 자료제공( 네이버학술정보 )

참고문헌 목록에 대한 테이블로 번호, 참고문헌, 국회도서관 소장유무로 구성되어 있습니다.
번호 참고문헌 국회도서관 소장유무
1 Diagnosis and endoscopic resection of early gastric cancer. 네이버 미소장
2 Xi WD, Zhao C, Ren GS. Endoscopic ultrasonography in preoperative staging of gastric cancer: determination of tumor invasion depth, nodal involvement and surgical resectability. World J Gastroenterol 2003;9:254-257. 미소장
3 Endoscopic Ultrasonography in Locoregional Staging of Gastric Cancer 소장
4 Usefulness and problems of endoscopic ultrasonography in prediction of the depth of tumor invasion in early gastric cancer. 네이버 미소장
5 Usefulness of Endoscopic Ultrasonography in Determining the Depth of Invasion and Indication for Endoscopic Treatment of Early Gastric Cancer 네이버 미소장
6 Endoscopic resection of early gastric cancer 네이버 미소장
7 Prospective collection of tissue samples at autopsy in children with diffuse intrinsic pontine glioma 네이버 미소장
8 Preoperative staging of gastric adenocarcinoma: comparison of helical CT and endoscopic US. 네이버 미소장
9 Preoperative staging of gastric cancer: comparison of endoscopic US and dynamic CT. 네이버 미소장
10 A pilot study on the use of the proMACE‐cytaBOM regimen as a first‐line treatment of advanced follicular non‐Hodgkin's lymphoma 네이버 미소장
11 Japanese Classification of Gastric Carcinoma – 2nd English Edition – 네이버 미소장
12 The general rules for the gastric cancer study in surgery ad pathology. Part II. Histological classification of gastric cancer. 네이버 미소장
13 Comparison of the 6th and 7th editions of the UICC TNM staging system for gastric cancer: results of a Chinese single-institution study of 1,503 patients. 네이버 미소장
14 Gastric cancer treatment guidelines in Japan 네이버 미소장
15 Diagnostic accuracy of T and N stages with endoscopy, stomach protocol CT, and endoscopic ultrasonography in early gastric cancer. 네이버 미소장
16 Usefulness of endoscopic ultrasonography in preoperative gastric cancer staging: diagnostic yield and therapeutic impact. 네이버 미소장
17 Endoscopic Ultrasound 네이버 미소장
18 Accuracy of high‐frequency catheter‐based endoscopic ultrasonography according to the indications for endoscopic treatment of early gastric cancer 네이버 미소장
19 Clinicopathologic factors influence accurate endosonographic assessment for early gastric cancer 네이버 미소장

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