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Growth Patterns of Signet Ring Cell Carcinoma of the Stomach for Endoscopic Resection

DC FieldValueLanguage
dc.contributor.author김지현-
dc.contributor.author김현기-
dc.contributor.author김호근-
dc.contributor.author노성훈-
dc.contributor.author박효진-
dc.contributor.author윤영훈-
dc.contributor.author이용찬-
dc.contributor.author최승호-
dc.date.accessioned2018-03-26T16:49:00Z-
dc.date.available2018-03-26T16:49:00Z-
dc.date.issued2015-
dc.identifier.issn1976-2283-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/156848-
dc.description.abstractBACKGROUND/AIMS: It is difficult to precisely detect the lateral margin during endoscopic submucosal dissection (ESD) for signet ring cell carcinoma (SRC) because SRC often expands to lateral direction through the lamina propria. Thus, the aim of this study was to classify the intramucosal spreading patterns of SRC and to analyze the patients' clinicopathological findings according to the spreading patterns. METHODS: The intramucosal spreading patterns of SRC were classified as expansive or infiltrative types. A total of 100 surgical and 42 ESD specimens were reviewed. RESULTS: In the surgical specimens, the proportions of expansive and infiltrative types were 44% and 56%, respectively. The infiltrative type was more commonly associated with old age, atrophy, and intestinal metaplasia in surrounding mucosa and the absence of Helicobacter pylori compared with the expansive type. In ESD specimens, the proportions of expansive and infiltrative types were each 50%. When lateral margin-positive lesions were compared with -negative lesions, larger size, residual lesion, and the lack of a neutrophil infiltration were more significantly associated with lateral margin-positive lesions. All cases with residual tumors in lateral margin-positive lesions were classified as the infiltrative type. CONCLUSIONS: SRC surrounded with atrophy and/or intestinal metaplasia often spreads subepithelially in the margin. This finding may suggest that a larger safety margin is necessary in this type during ESD.-
dc.description.statementOfResponsibilityopen-
dc.languageEnglish-
dc.publisherEditorial Office of Gut and Liver-
dc.relation.isPartOfGUT AND LIVER-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rightshttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdult-
dc.subject.MESHCarcinoma, Signet Ring Cell/pathology*-
dc.subject.MESHCarcinoma, Signet Ring Cell/surgery*-
dc.subject.MESHDissection/methods*-
dc.subject.MESHFemale-
dc.subject.MESHGastric Mucosa/pathology-
dc.subject.MESHGastroscopy*-
dc.subject.MESHHumans-
dc.subject.MESHIntestines/pathology-
dc.subject.MESHMale-
dc.subject.MESHMetaplasia/pathology-
dc.subject.MESHMiddle Aged-
dc.subject.MESHNeoplasm Invasiveness-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHStomach/pathology-
dc.subject.MESHStomach Neoplasms/pathology*-
dc.subject.MESHStomach Neoplasms/surgery*-
dc.titleGrowth Patterns of Signet Ring Cell Carcinoma of the Stomach for Endoscopic Resection-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine-
dc.contributor.departmentDept. of Internal Medicine-
dc.contributor.googleauthorHyunki Kim-
dc.contributor.googleauthorJie-Hyun Kim-
dc.contributor.googleauthorYong Chan Lee-
dc.contributor.googleauthorHoguen Kim-
dc.contributor.googleauthorYoung Hoon Youn-
dc.contributor.googleauthorHyojin Park-
dc.contributor.googleauthorSeung Ho Choi-
dc.contributor.googleauthorSung Hoon Noh-
dc.contributor.googleauthorTakuji Gotoda-
dc.identifier.doi10.5009/gnl14203-
dc.contributor.localIdA00996-
dc.contributor.localIdA01108-
dc.contributor.localIdA01183-
dc.contributor.localIdA01281-
dc.contributor.localIdA01774-
dc.contributor.localIdA02583-
dc.contributor.localIdA02988-
dc.contributor.localIdA04102-
dc.relation.journalcodeJ00954-
dc.identifier.eissn2005-1212-
dc.identifier.pmid25473081-
dc.subject.keywordCarcinoma , signet ring cell-
dc.subject.keywordEndoscopy-
dc.subject.keywordResection-
dc.subject.keywordStomach neoplasms-
dc.contributor.alternativeNameKim, Ji Hyun-
dc.contributor.alternativeNameKim, Hyun Ki-
dc.contributor.alternativeNameKim, Ho Keun-
dc.contributor.alternativeNameNoh, Sung Hoon-
dc.contributor.alternativeNamePark, Hyo Jin-
dc.contributor.alternativeNameYoun, Young Hoon-
dc.contributor.alternativeNameLee, Yong Chan-
dc.contributor.alternativeNameChoi, Seung Ho-
dc.contributor.affiliatedAuthorKim, Ji Hyun-
dc.contributor.affiliatedAuthorKim, Hyun Ki-
dc.contributor.affiliatedAuthorKim, Ho Keun-
dc.contributor.affiliatedAuthorNoh, Sung Hoon-
dc.contributor.affiliatedAuthorPark, Hyo Jin-
dc.contributor.affiliatedAuthorYoun, Young Hoon-
dc.contributor.affiliatedAuthorLee, Yong Chan-
dc.contributor.affiliatedAuthorChoi, Seung Ho-
dc.citation.volume9-
dc.citation.number6-
dc.citation.startPage720-
dc.citation.endPage726-
dc.identifier.bibliographicCitationGUT AND LIVER, Vol.9(6) : 720-726, 2015-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Pathology (병리학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers

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