[Clinicopathologic features of cases with negative pathologic results after endoscopic submucosal dissection].
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Kwon, M.J. | - |
dc.contributor.author | Park, J.J. | - |
dc.contributor.author | Yun, J.W. | - |
dc.contributor.author | Noh, H.J. | - |
dc.contributor.author | Yoon, D.W. | - |
dc.contributor.author | Chang, W.J. | - |
dc.contributor.author | Oh, H.Y. | - |
dc.contributor.author | Kim, B.H. | - |
dc.contributor.author | Lee, H. | - |
dc.contributor.author | Joo, M.K. | - |
dc.contributor.author | Lee, B.J. | - |
dc.contributor.author | Kim, J.H. | - |
dc.contributor.author | Yeon, J.E. | - |
dc.contributor.author | Kim, J.S. | - |
dc.contributor.author | Byun, K.S. | - |
dc.contributor.author | Bak, Y.T. | - |
dc.date.accessioned | 2021-09-07T04:18:46Z | - |
dc.date.available | 2021-09-07T04:18:46Z | - |
dc.date.created | 2021-06-17 | - |
dc.date.issued | 2012 | - |
dc.identifier.issn | 1598-9992 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/110700 | - |
dc.description.abstract | Endoscopic submucosal dissection (ESD) is accepted as a standard treatment of early gastric cancer (EGC) and gastric adenoma. Occasionally, tumorous lesion is not found and pathologic discrepancies can occur after ESD. The aim of this study was to analyze the factors affecting the negative pathologic results after ESD. We retrospectively reviewed the data from all patients with gastric neoplasm (276 EGC and 516 gastric adenomas) who were treated with ESD during past 3 years and enrolled the patients who had negative pathologic results. Out of 792 patients treated with ESD, 27 patients (3.4%) were eligible for inclusion. Among the 27 patients, factors affecting the negative pathologic results were, most commonly, the focal lesion (n=13, 48.2%) which was small enough to be removed completely during pre-ESD biopsy, followed by pathologic discrepancies (n=11, 40.7%) between pathologists and lastly the operator factor (n=3, 11.1%) dissecting incorrect lesions. Of the focal lesions, the initial pathologic diagnoses were adenocarcinoma in 11 cases (84.6%). In cases with pathologic discrepancies, all the pretreatment diagnoses were adenoma with low grade dysplasia. In cases caused by operator factors, intestinal metaplasia was accompanied by elevated adenoma in all cases. To decrease negative pathologic results after ESD, an endoscopist should perform ESD after sufficient communication with pathologists, especially for adenoma with low grade dysplasia, and choose correct lesion, especially located at the antrum and associated with intestinal metaplasia. The possibility of total removal of small lesions even by forcep biopsy should be considered. | - |
dc.language | Korean | - |
dc.language.iso | ko | - |
dc.subject | adenocarcinoma | - |
dc.subject | aged | - |
dc.subject | article | - |
dc.subject | dissection | - |
dc.subject | female | - |
dc.subject | gastroscopy | - |
dc.subject | human | - |
dc.subject | male | - |
dc.subject | middle aged | - |
dc.subject | pathology | - |
dc.subject | retrospective study | - |
dc.subject | stomach mucosa | - |
dc.subject | stomach tumor | - |
dc.subject | Adenocarcinoma | - |
dc.subject | Aged | - |
dc.subject | Dissection | - |
dc.subject | Female | - |
dc.subject | Gastric Mucosa | - |
dc.subject | Gastroscopy | - |
dc.subject | Humans | - |
dc.subject | Male | - |
dc.subject | Middle Aged | - |
dc.subject | Retrospective Studies | - |
dc.subject | Stomach Neoplasms | - |
dc.title | [Clinicopathologic features of cases with negative pathologic results after endoscopic submucosal dissection]. | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Park, J.J. | - |
dc.contributor.affiliatedAuthor | Kim, B.H. | - |
dc.contributor.affiliatedAuthor | Joo, M.K. | - |
dc.contributor.affiliatedAuthor | Kim, J.H. | - |
dc.contributor.affiliatedAuthor | Yeon, J.E. | - |
dc.contributor.affiliatedAuthor | Byun, K.S. | - |
dc.contributor.affiliatedAuthor | Bak, Y.T. | - |
dc.identifier.doi | 10.4166/kjg.2012.59.3.211 | - |
dc.identifier.scopusid | 2-s2.0-84864300419 | - |
dc.identifier.bibliographicCitation | The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi, v.59, no.3, pp.211 - 217 | - |
dc.relation.isPartOf | The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi | - |
dc.citation.title | The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi | - |
dc.citation.volume | 59 | - |
dc.citation.number | 3 | - |
dc.citation.startPage | 211 | - |
dc.citation.endPage | 217 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.identifier.kciid | ART001645014 | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scopus | - |
dc.description.journalRegisteredClass | kci | - |
dc.subject.keywordPlus | dissection | - |
dc.subject.keywordPlus | female | - |
dc.subject.keywordPlus | gastroscopy | - |
dc.subject.keywordPlus | human | - |
dc.subject.keywordPlus | male | - |
dc.subject.keywordPlus | middle aged | - |
dc.subject.keywordPlus | pathology | - |
dc.subject.keywordPlus | retrospective study | - |
dc.subject.keywordPlus | stomach mucosa | - |
dc.subject.keywordPlus | stomach tumor | - |
dc.subject.keywordPlus | Adenocarcinoma | - |
dc.subject.keywordPlus | Aged | - |
dc.subject.keywordPlus | Dissection | - |
dc.subject.keywordPlus | Female | - |
dc.subject.keywordPlus | Gastric Mucosa | - |
dc.subject.keywordPlus | Gastroscopy | - |
dc.subject.keywordPlus | Humans | - |
dc.subject.keywordPlus | Male | - |
dc.subject.keywordPlus | Middle Aged | - |
dc.subject.keywordPlus | Retrospective Studies | - |
dc.subject.keywordPlus | Stomach Neoplasms | - |
dc.subject.keywordPlus | adenocarcinoma | - |
dc.subject.keywordPlus | aged | - |
dc.subject.keywordPlus | article | - |
dc.subject.keywordAuthor | 내시경점막하박리술 | - |
dc.subject.keywordAuthor | 병리학적 음성 | - |
dc.subject.keywordAuthor | 조기위암 | - |
dc.subject.keywordAuthor | 위선종 | - |
dc.subject.keywordAuthor | Endoscopic submucosal dissection | - |
dc.subject.keywordAuthor | Negative pathologic results | - |
dc.subject.keywordAuthor | Early gastric cancer | - |
dc.subject.keywordAuthor | Gastric adenoma | - |
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.
(02841) 서울특별시 성북구 안암로 14502-3290-1114
COPYRIGHT © 2021 Korea University. All Rights Reserved.
Certain data included herein are derived from the © Web of Science of Clarivate Analytics. All rights reserved.
You may not copy or re-distribute this material in whole or in part without the prior written consent of Clarivate Analytics.