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위 상피 이형성의 치료방침

Other Titles
 Therapeutic Strategy for Gastric Epithelial Dysplasia 
Authors
 류창학  ;  민진식  ;  노성훈  ;  김호근  ;  이용찬 
Citation
 Korean Journal of Gastroenterology (대한소화기학회지), Vol.32(2) : 176-183, 1998 
Journal Title
 Korean Journal of Gastroenterology (대한소화기학회지) 
ISSN
 1598-9992 
Issue Date
1998
Abstract
Background/Aims: The purposes of this retrospective study are to analyse the clinicopathological characteristics and treatment results of the gastric epithelial dysplasia (GED) and to establish a rational therapeutic strategy for GED. Methods: From 1993 to 1995, the 67 patients who were initially diagnosed as GED by examination of endoscopic biopsies were reviewed after categorizing according to Morson's classification as mild (G1, n=10), moderate (G2, n=31), and severe (G3, n=26) GED. Results: Dysplastic changes were not detectable at follow-up in 60% of G1 cases and 13.8% of G2 cases. Endoscopic mucosal resection was performed in a total of 30 cases: 2 in G1, 19 in G2, and 9 in G3 and the results were fine except 5 cases of recurrence or positive resection margin. Gastrectomy was performed in 30 cases: 2 in G1, 19 in G2, and 9 in G3. Gastric cancer was detected in 21 cases. The 20 cases of them were at early stage (early gastric cancer) and 1 case was at advanced stage. In addition, lymph node metastasis was found only in 1 case of submucosal cancer. Conclusions: The therapeutic strategy for GED, especially in high grade, might be endoscopic mucosal resection or gastrectomy considering the patients' age, general condition and the size and the location of the dysplastic lesion.
Files in This Item:
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Pathology (병리학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Hogeun(김호근)
Noh, Sung Hoon(노성훈) ORCID logo https://orcid.org/0000-0003-4386-6886
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/176573
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