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Clinical implication of endoscopic gross appearance in early gastric cancer: revisited

DC FieldValueLanguage
dc.contributor.author김종원-
dc.contributor.author김지현-
dc.contributor.author노성훈-
dc.contributor.author박유미-
dc.contributor.author박효진-
dc.contributor.author윤영훈-
dc.contributor.author이용찬-
dc.contributor.author정다현-
dc.contributor.author최승호-
dc.contributor.author형우진-
dc.date.accessioned2014-12-18T09:08:14Z-
dc.date.available2014-12-18T09:08:14Z-
dc.date.issued2013-
dc.identifier.issn0930-2794-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/87603-
dc.description.abstractBACKGROUND: The macroscopic appearance of early gastric cancer (EGC) is known to reflect its growth patterns. The purpose of this study was to investigate the role of the endoscopic appearance as a predictor of clinical behavior in EGC. METHODS: Between January 2005 and December 2008, 1,845 patients were diagnosed with EGC and underwent surgery. The clinicopathologic characteristics were retrospectively analyzed according to gross appearance. Endoscopic findings were classified by predominant type as elevated, flat, or depressed. Flat and depressed types were categorized together as nonelevated type. RESULTS: The proportions of elevated, flat, and depressed types were 16.6, 28.6, and 54.8 %. The gross appearance of the elevated type predominantly showed well/moderate differentiation, whereas the flat and depressed types showed signet-ring cells and poor differentiation, respectively. When the elevated and nonelevated types were compared, submucosal invasion, lymphovascular invasion (LVI), and lymph-node metastasis (LNM) were higher in elevated than in nonelevated type. In differentiated EGC, submucosal invasion, LVI, LNM, and multiplicity were significantly higher in the elevated than the nonelevated type. These patterns were significantly common in the order elevated, depressed, and flat types. In undifferentiated EGC, submucosal invasion, LVI, and perineural invasion were significantly higher in elevated than in nonelevated type. These patterns were significantly common in the order elevated, depressed, and flat types. However, LNM was not significantly different based on gross appearance in undifferentiated EGC. CONCLUSIONS: Clinical behavior differs according to endoscopic appearance in EGC. The endoscopic appearance of EGC may facilitate prediction of clinical behavior, particularly in differentiated EGC.-
dc.description.statementOfResponsibilityopen-
dc.relation.isPartOfSURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdenocarcinoma/pathology*-
dc.subject.MESHAdenocarcinoma/surgery-
dc.subject.MESHAdult-
dc.subject.MESHCarcinoma, Signet Ring Cell/pathology-
dc.subject.MESHCarcinoma, Signet Ring Cell/surgery-
dc.subject.MESHCell Differentiation-
dc.subject.MESHDisease Progression-
dc.subject.MESHEarly Diagnosis-
dc.subject.MESHFemale-
dc.subject.MESHGastroscopy*-
dc.subject.MESHHumans-
dc.subject.MESHLymph Node Excision-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHNeoplasm Invasiveness-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHStomach Neoplasms/pathology*-
dc.subject.MESHStomach Neoplasms/surgery-
dc.titleClinical implication of endoscopic gross appearance in early gastric cancer: revisited-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Internal Medicine (내과학)-
dc.contributor.googleauthorDa Hyun Jung-
dc.contributor.googleauthorYoo Mi Park-
dc.contributor.googleauthorJie-Hyun Kim-
dc.contributor.googleauthorYong Chan Lee-
dc.contributor.googleauthorYoung Hoon Youn-
dc.contributor.googleauthorHyojin Park-
dc.contributor.googleauthorSang In Lee-
dc.contributor.googleauthorJong Won Kim-
dc.contributor.googleauthorSeung Ho Choi-
dc.contributor.googleauthorWoo Jin Hyung-
dc.contributor.googleauthorSung Hoon Noh-
dc.identifier.doi10.1007/s00464-013-2947-y-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA01281-
dc.contributor.localIdA01774-
dc.contributor.localIdA02583-
dc.contributor.localIdA02988-
dc.contributor.localIdA03591-
dc.contributor.localIdA04382-
dc.contributor.localIdA04102-
dc.contributor.localIdA00996-
dc.contributor.localIdA00925-
dc.contributor.localIdA04937-
dc.relation.journalcodeJ02703-
dc.identifier.eissn1432-2218-
dc.identifier.pmid23588711-
dc.identifier.urlhttp://link.springer.com/article/10.1007%2Fs00464-013-2947-y-
dc.subject.keywordEarly gastric cancer-
dc.subject.keywordGross appearance-
dc.subject.keywordEndoscopy-
dc.subject.keywordStomach-
dc.contributor.alternativeNameKim, Jong Won-
dc.contributor.alternativeNameKim, Ji Hyun-
dc.contributor.alternativeNameNoh, Sung Hoon-
dc.contributor.alternativeNamePark, Yoo Mi-
dc.contributor.alternativeNamePark, Hyo Jin-
dc.contributor.alternativeNameYoun, Young Hoon-
dc.contributor.alternativeNameLee, Yong Chan-
dc.contributor.alternativeNameJung, Da Hyun-
dc.contributor.alternativeNameChoi, Seung Ho-
dc.contributor.alternativeNameHyung, Woo Jin-
dc.contributor.affiliatedAuthorNoh, Sung Hoon-
dc.contributor.affiliatedAuthorPark, Hyo Jin-
dc.contributor.affiliatedAuthorYoun, Young Hoon-
dc.contributor.affiliatedAuthorLee, Yong Chan-
dc.contributor.affiliatedAuthorJung, Da Hyun-
dc.contributor.affiliatedAuthorHyung, Woo Jin-
dc.contributor.affiliatedAuthorChoi, Seung Ho-
dc.contributor.affiliatedAuthorKim, Ji Hyun-
dc.contributor.affiliatedAuthorKim, Jong Won-
dc.contributor.affiliatedAuthorPark, Yoo Mi-
dc.rights.accessRightsnot free-
dc.citation.volume27-
dc.citation.number10-
dc.citation.startPage3690-
dc.citation.endPage3695-
dc.identifier.bibliographicCitationSURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, Vol.27(10) : 3690-3695, 2013-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers

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