Author/Editor     Mlinarič, Vladimir
Title     Zgodnji želodčni rak - endoskopsko zdravljenje
Translated title     Early gastric cancer - endoscopic therapy
Type     članek
Source     In: Omejc M, Repše S, editors. Zbornik simpozija Kirurgija želodca - standardi in novosti; 2005 okt 13-15; Ljubljana. Ljubljana: Klinični oddelek za abdominalno kirurgijo, Klinični center,
Publication year     2005
Volume     str. 142-53
Language     slo
Abstract     Gastric cancer is still mostly detected in advanced stage with bad prognosis. Endoscopic treatment of the precancerous lesions dimishes actual incidence of gastric cancer, early detection improves survival. Advanced technology and ahromoendoscopy facilitate recognition of superficial neoplastic lesions including early gastric cancer. The Paris endoscopic classification of superficial neoplastic lesions, regarding the appearence, divides subtypes of type 0 (type 0-I, type 0-II/a, b, c and type 0-III). It includes non-invasive neoplasia and carcinoma. The most important are depressed-type lesions with suspicion on deeper invasion. Histologic Vienna classification of intramucosal neoplasia means the unification in the terminologic confusion (adenoma/dysplasia, carcinoma) with concept of intraepithelial neoplasia (IEN). Endoscopic mucosal resection (EMR) is the first choice treatment for superficial neoplastic lesions including EGC, concerning general accepted criteria. After EMR endoscopic follow-up, at least 5 years, every six months, is needed.
Descriptors     STOMACH NEOPLASMS
ENDOSCOPY
NEOPLASM STAGING