[Early stomach cancer: endoscopic therapy].
Endoscopic removal of early gastric cancers is limited to low risk situation: T1m (= mucosa) L0 V0 G1-2 R0. In 40 patients pretherapeutic staged as low risk cancers the complete endoscopic removal of the lesion was performed. In 75% (29 out of 40) the pathological specimen proved a low risk cancer. In 16% (5 out of 29) we found recurrency of the tumor (follow up median 2.5 years). These neoplasms were also removed. From the 25% highrisk cases (Sm, G3) 11 patients were operated on. Only 2 patients had residual tumor. The complication rate of the endoscopic procedures was only 10% (4 x bleeding with transfusion of blood-units, 1 x perforation), no patient died.
Schmitt
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Krankenhaus München-Neuperlach, Oskar-Maria-Graf-Ring 51, 81737 München.
Heid
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T
D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D005753:Gastric Mucosa / Q000473:pathology / Q000601:surgery; D005773:Gastroscopy; D006801:Humans; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000473:pathology / Q000601:surgery; D009367:Neoplasm Staging; D018365:Neoplasm, Residual / Q000473:pathology / Q000601:surgery; D011127:Polyps / Q000473:pathology / Q000601:surgery*; D012086:Reoperation; D013274:Stomach Neoplasms / Q000473:pathology / Q000601:surgery*