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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 15 - 20 (6page)
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초록· 키워드
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Undifferentiated-type carcinoma has a high incidence of lymph node metastasis. The independent risk factors for lymph nodemetastasis in undifferentiated-type carcinoma are invasion depth, tumor size, lymphovascular invasion, and presence of ulcer. In thecases that meet the curative resection criteria, no lymph node metastasis was observed in the Japanese studies, but some metastaseswere observed in Korean studies. After performing curative endoscopic submucosal dissection, the survival rate is similar to thatof gastrectomy. The discrepancy between endoscopy and pathology is high in undifferentiated-type carcinoma. The tumor size inendoscopy is a significant risk factor for non-curative resection, and when the tumor size is small, the non-curative resection rate issignificantly reduced. Lymphovascular invasion can be assessed in pathologic examination and D2-40 stain is helpful. The presenceof ulcer should be determined by pathology, but ulcer’s omission in pathology report makes the analysis diffcult. Undifferentiatedtypecarcinomas with differentiated-type components show higher lymph node metastasis rate than that of pure undifferentiatedtypecarcinomas. The lymph node metastasis rate of signet ring cell type is lower than that of other undifferentiated-type carcinomasand is similar to differentiated-type carcinomas. The application of these additional histologic findings may improve the indication ofendoscopic submucosal dissection.
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참고문헌 (42)
참고문헌 신청
Sugano H / 1982 / Pathological studies of human gastric cancer / Acta Pathol Jpn 32(Suppl 2):329~347
Choi KK / 2016 / The risk of lymph node metastases in 3951 surgically resected mucosal gastric cancers: implications for endoscopic resection / Gastrointest Endosc 83:896~901
Japanese Gastric Cancer Association / 2011 / Japanese gastric cancer treatment guidelines 2010 (ver. 3) / Gastric Cancer 14:113~123
Yamao T / 1996 / Risk factors for lymph node metastasis from intramucosal gastric carcinoma / Cancer 77:602~606
Gotoda T / 2000 / Incidence of lymph node metastasis from early gastric cancer: estimation with a large number of cases at two large centers / Gastric Cancer 3:219~225
Choi KK / 2016 / The risk of lymph node metastases in 3951 surgically resected mucosal gastric cancers: implications for endoscopic resection / Gastrointest Endosc 83:896~901
Japanese Gastric Cancer Association / 2011 / Japanese gastric cancer treatment guidelines 2010 (ver. 3) / Gastric Cancer 14:113~123
Yamao T / 1996 / Risk factors for lymph node metastasis from intramucosal gastric carcinoma / Cancer 77:602~606
Gotoda T / 2000 / Incidence of lymph node metastasis from early gastric cancer: estimation with a large number of cases at two large centers / Gastric Cancer 3:219~225
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