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