Early gastric cancer: A challenge in Western countries.
Diagnosis
Early gastric cancer
Endoscopic resection
Lymph nodes metastases
Surgery
Treatment
Journal
World journal of gastroenterology
ISSN: 2219-2840
Titre abrégé: World J Gastroenterol
Pays: United States
ID NLM: 100883448
Informations de publication
Date de publication:
21 Feb 2022
21 Feb 2022
Historique:
received:
26
10
2021
revised:
04
01
2022
accepted:
22
01
2022
entrez:
23
3
2022
pubmed:
24
3
2022
medline:
25
3
2022
Statut:
ppublish
Résumé
Early gastric cancer (EGC) is an invasive carcinoma involving only the stomach mucosa or submucosa, independently of lymph node status. EGC represents over 50% of cases in Japan and in South Korea, whereas it accounts only for approximately 20% of all newly diagnosed gastric cancers in Western countries. The main classification systems of EGC are the Vienna histopathologic classification and the Paris endoscopic classification of polypoid and non-polypoid lesions. A careful endoscopic assessment is fundamental to establish the best treatment of EGC. Generally, EGCs are curable if the lesion is completely removed by endoscopic resection or surgery. Some types of EGC can be resected endoscopically; for others the most appropriate treatment is surgical resection and D2 lymphadenectomy, especially in Western countries. The favorable oncological prognosis, the extended lymphadenectomy and the reconstruction of the intestinal continuity that excludes the duodenum make the prophylactic cholecystectomy mandatory to avoid the onset of biliary complications.
Identifiants
pubmed: 35317273
doi: 10.3748/wjg.v28.i7.693
pmc: PMC8891729
doi:
Types de publication
Editorial
Langues
eng
Sous-ensembles de citation
IM
Pagination
693-703Informations de copyright
©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
Déclaration de conflit d'intérêts
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
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