Endoscopic therapy in patients with inoperable early gastric cancer.
Endoscopic therapy in patients with inoperable early gastric cancer.
复制标题
无法手术的早期胃癌患者的内镜治疗。
DOI：
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发表时间：
1990
期刊：
影响因子：
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通讯作者：
G. Kajiyama
中科院分区：
文献类型：
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作者：
K. Haruma;K. Sumii;K. Inoue;H. Teshima;G. Kajiyama
对42例、44例不适合手术的早期胃癌患者进行了前瞻性的内窥镜治疗。在44个病变中，有35个(80%)单独接受了内窥镜治疗。对于直径小于2厘米的肿瘤，对于隆起型、扁平型和侵蚀型，以及位于胃窦部的肿瘤，适当的肿瘤切除是可能的。35例首次治疗完全治愈的患者在随访期间(范围3-114个月，平均37个月)无一例复发或发生淋巴结转移。因此，对于手术风险过高的早期胃癌患者，内窥镜治疗似乎是有效的。
The efficacy and safety of endoscopic therapy was investigated prospectively in 42 patients with 44 early gastric cancers who were not candidates for surgery. Thirty-five of the 44 lesions (80%) were treated by endoscopic therapy alone. Adequate tumor resection was possible in lesions less than 2 cm in diameter, in those of the protruding, flat, and erosive types, and in those located in the antrum. None of the 35 patients who were judged completely cured by the initial therapy developed recurrence or lymph node metastases in the follow-up period (range, 3-114 months; mean, 37 months). Therefore, endoscopic therapy appears effective in the treatment of patients with early gastric cancer when the risks of surgery are too high.