Roncoroni L, Violi V, De Bernardinis M, Pellegrini M, Montanari M, Peracchia A
G Chir. 1989 Apr;10(4):155-8.
Sixty-nine cases of early gastric cancer (EGC) were taken into consideration, out of a series of 585 operations for gastric cancer, carried out between January 1976 and June 1988. Differences between two groups (I: EGC limited to the mucosa; II: EGC with invasion of both the mucosa and submucosa) have been assessed with reference to familiarity for gastric cancer, previous gastric and duodenal pathology, symptoms, site of the lesion, histological features, lymph node metastatic involvement and results. Despite some pathological and clinical differences, modification of current surgical treatment with endoscopic management is not justified by any features, even when dealing with intramucosal, intestinal type EGC, because of possible lymph node involvement or long-term recurrences.
在1976年1月至1988年6月期间进行的585例胃癌手术中，有69例早期胃癌（EGC）被纳入研究。已参照对胃癌的熟悉程度、既往胃和十二指肠病理情况、症状、病变部位、组织学特征、淋巴结转移情况及结果，评估了两组（I组：EGC局限于黏膜层；II组：EGC侵犯黏膜层和黏膜下层）之间的差异。尽管存在一些病理和临床差异，但对于当前的手术治疗，即使是处理黏膜内、肠型EGC，也没有任何特征表明内镜治疗是合理的，因为可能存在淋巴结受累或长期复发的情况。
