지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 523 - 529 (7page)
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초록· 키워드
오류제보하기
Background/Aims: Although forceps biopsy is performed for suspicious gastric tumors during endoscopy, it is difficult to determine treatment strategies for atypical gastric glands due to uncertainty of the diagnosis. The aim of this study was to investigate clinical implications and risk factors for predicting malignancy in atypical gastric glands during forceps biopsy. Methods: We retrospectively reviewed medical records of 252 patients with a diagnosis of atypical gastric gland during forceps biopsy. Predictors of malignancy were analyzed using initial endoscopic findings and clinical data. Results: The final diagnosis for 252 consecutive patients was gastric cancer in 189 (75%), adenoma in 26 (10.3%), and gastritis in 37 (14.7%). In the multivariate analysis, lesion sizes of more than 10 mm (odds ratio [OR], 3.021; 95% confidence interval [CI], 1.480 to 6.165; p=0.002), depressed morphology (OR, 3.181; 95% CI, 1.579 to 6.406, p=0.001), and surface nodularity (OR, 3.432; 95% CI, 1.667 to 7.064, p=0.001) were significant risk factors for malignancy. Conclusions: Further evaluation and treatment should be considered for atypical gastric gland during forceps biopsy if there is a largesized (>10 mm) lesion, depressed morphology, or surface nodularity.
목차
등록된 정보가 없습니다.
참고문헌 (27)
참고문헌 신청
Rahman R / 2014 / Characteristics of gastric cancer in Asia / World J Gastroenterol 20:4483~4490
Kim Y / 2011 / Overview of the National Cancer Screening Programme and the cancer screening status in Korea / Asian Pac J Cancer Prev 12:725~730
Min BH / 2014 / Endoscopic resection for undifferentiated early gastric cancer: focusing on histologic discrepancies between forceps biopsy-based and endoscopic resection specimenbased diagnosis / Dig Dis Sci 59:2536~2543
Dinis-Ribeiro M / 2012 / Management of precancerous conditions and lesions in the stomach (MAPS): guideline from the European Society of Gastrointestinal Endoscopy (ESGE), European Helicobacter Study Group (EHSG), European Society of Pathology (ESP), and the Sociedade Portuguesa de Endoscopia Digestiva (SPED) / Endoscopy 44:74~94
Hirota WK / 2006 / ASGE guideline: the role of endoscopy in the surveillance of premalignant conditions of the upper GI tract / Gastrointest Endosc 63:570~580
Kim Y / 2011 / Overview of the National Cancer Screening Programme and the cancer screening status in Korea / Asian Pac J Cancer Prev 12:725~730
Min BH / 2014 / Endoscopic resection for undifferentiated early gastric cancer: focusing on histologic discrepancies between forceps biopsy-based and endoscopic resection specimenbased diagnosis / Dig Dis Sci 59:2536~2543
Dinis-Ribeiro M / 2012 / Management of precancerous conditions and lesions in the stomach (MAPS): guideline from the European Society of Gastrointestinal Endoscopy (ESGE), European Helicobacter Study Group (EHSG), European Society of Pathology (ESP), and the Sociedade Portuguesa de Endoscopia Digestiva (SPED) / Endoscopy 44:74~94
Hirota WK / 2006 / ASGE guideline: the role of endoscopy in the surveillance of premalignant conditions of the upper GI tract / Gastrointest Endosc 63:570~580
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