| 위선종과 조기위암에서 내시경 점막하 박리법 전후 조직 소견의 차이 |
| 박은희·강기태·김병희·김경태·이성욱·이종훈 · 노명환·한상영·최석렬·정진숙*·장진석 |
| 동아대학교 의과대학 내과학교실, *병리학교실 |
| The Histologic Discrepancy before and after Endoscopic Submucosal Dissection of Gastric Adenoma and Early Gastric Cancer |
| Eun Hee Park, M.D., Ki Tae Kang, M.D., Byoung Hee Kim, M.D., Kyoung Tae Kim, M.D., Sung Wook Lee, M.D., Jong Hun Lee, M.D., Myung Hwan Roh, M.D., Sang Young Han, M.D., Seok Reyol Choi, M.D., Jin Sook Jeong, M.D.* and Jin Seok Jang, M.D. |
| Departments of Internal Medicine and *Pathology, Dong-A University College of Medicine, Busan, Korea |
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| Abstract |
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Background/Aims:
We wanted to investigate of discrepancy rate between the histology of the endoscopic biopsy and that of the resected specimen obtained from the same lesion by endoscopic submucosal dissection (ESD).
Methods:
69 gastric adenomas and 38 early gastric cancers (EGC) that were treated by ESD from July, 2004 to February, 2006 were reviewed to analyze the relation between the histologies of the endoscopic biopsy and the resected specimen.
Results:
The discrepancy rate between the histology of the endoscopic biopsy and the resected specimen was 40.6% for the gastric adenoma and 23.7% for the EGC. Among the 43 cases of low grade dysplasia, 6 cases (14%) were confirmed as gastric cancer after ESD.
Conclusions:
The histologic discrepancy between the endoscopic biopsy and resected specimen was 40.6% for the gastric adenoma and 23.7% for the EGC. Though the endoscopic biopsy may reveal low grade dysplasia, gastric adenoma should be removed by endoscopic mucosal resection because of the histological discrepancy between the endoscopic biopsy and the resected specimen. (Korean J Gastrointest Endosc 2007;34:125131) |
| Key Words:
Early gastric cancer, Gastric adenoma, Endoscopic submucosal dissection, Histologic discrepancy |
| 주요어:
위선종, 조기위암, 내시경 점막하 박리법, 조직학적 불일치 |
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