Clinical outcomes of no residual disease in the specimen after endoscopic resection for gastric neoplasms View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2015-06-20

AUTHORS

Ji Min Choi, Sang Gyun Kim, Hyo-Joon Yang, Joo Hyun Lim, Jeongmin Choi, Jong Pil Im, Joo Sung Kim, Woo Ho Kim, Hyun Chae Jung

ABSTRACT

BackgroundNo residual disease (NRD) can be found in the specimen after endoscopic resection (ER) of biopsy-proven gastric neoplasm. This study aimed to evaluate the endoscopic and pathologic characteristics of patients with NRD and identify the cause and long-term prognosis.MethodsMedical records of patients who underwent ER for biopsy-proven gastric neoplasms at a single tertiary hospital between January 2005 and November 2014 were retrospectively reviewed. Patients whose post-ER histology was revealed as NRD were included. Overall incidence, clinicopathologic characteristics, cause, and long-term prognosis were analyzed.ResultsNRD was detected in 143 (3.2 %) of 4401 cases of gastric neoplasms treated with ER. Mean endoscopic size of the initial lesion was 8.15 ± 6.64 mm; in 93 cases (65.0 %), the lesion was located in the lower third of the stomach. Initial pathologic diagnosis was as follows: adenoma (n = 110), carcinoma (n = 29), and atypical gland (n = 4). The causes of NRD were minute lesions removed by biopsy in 140 patients, pathologic misdiagnoses in two, and localization error in one. Local recurrence was detected in five patients (3.6 %) with minute lesions during follow-up and treated with argon plasma coagulation (n = 4) or re-ER (n = 1). Synchronous (n = 5, 3.6 %) and metachronous gastric lesions (n = 6, 4.3 %) were also detected during follow-up.ConclusionsThe main cause of NRD was minute lesions which might be completely removed by initial diagnostic biopsy. These cases showed a minimal rate of local recurrence and synchronous or metachronous gastric neoplasms. Careful follow-up is also mandatory for detection of residual disease. More... »

PAGES

610-618

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00464-015-4248-0

DOI

http://dx.doi.org/10.1007/s00464-015-4248-0

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1043030572

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/26091988


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59 gastric neoplasms
60 gland
61 histology
62 hospital
63 incidence
64 initial diagnostic biopsy
65 initial lesion
66 initial pathologic diagnosis
67 lesions
68 local recurrence
69 localization error
70 long-term prognosis
71 lower third
72 main cause
73 metachronous gastric lesions
74 metachronous gastric neoplasms
75 minimal rate
76 minute lesions
77 misdiagnoses
78 neoplasms
79 outcomes
80 overall incidence
81 pathologic characteristics
82 pathologic diagnosis
83 patients
84 plasma coagulation
85 prognosis
86 rate
87 records
88 recurrence
89 resection
90 residual disease
91 single tertiary hospital
92 size
93 specimen
94 stomach
95 study
96 tertiary hospital
97 third
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