早期胃癌的治疗方式。
Treatment modalities for early gastric cancer.
作者信息
Espinel Jesús, Pinedo Eugenia, Ojeda Vanesa, Del Rio Maria Guerra
机构信息
Jesús Espinel, Department of Digestive Diseases, Hospital Universitario de León, 24071 León, Spain.
出版信息
World J Gastrointest Endosc. 2015 Sep 10;7(12):1062-9. doi: 10.4253/wjge.v7.i12.1062.
Different treatment modalities have been proposed in the treatment of early gastric cancer (EGC). Endoscopic resection (ER) is an established treatment that allows curative treatment, in selected cases. In addition, ER allows for an accurate histological staging, which is crucial when deciding on the best treatment option for EGC. Recently, endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD) have become alternatives to surgery in early gastric cancer, mainly in Asian countries. Patients with "standard" criteria can be successfully treated by EMR techniques. Those who meet "expanded" criteria may benefit from treatment by ESD, reducing the need for surgery. Standardized ESD training system is imperative to promulgate effective and safe ESD technique to practices with limited expertise. Although endoscopic resection is an option in patients with EGC, surgical treatment continues to be a widespread therapeutic option worldwide. In this review we tried to point out the treatment modalities for early gastric cancer.
在早期胃癌（EGC）的治疗中，已经提出了不同的治疗方式。内镜下切除术（ER）是一种既定的治疗方法，在某些特定情况下可实现根治性治疗。此外，ER能够进行准确的组织学分期，这在决定EGC的最佳治疗方案时至关重要。最近，内镜黏膜切除术（EMR）和内镜黏膜下剥离术（ESD）已成为早期胃癌手术的替代方法，主要在亚洲国家。符合“标准”标准的患者可通过EMR技术成功治疗。那些符合“扩展”标准的患者可能受益于ESD治疗，从而减少手术需求。标准化的ESD培训系统对于向专业知识有限的医疗机构推广有效且安全的ESD技术至关重要。尽管内镜下切除术是EGC患者的一种选择，但手术治疗在全球范围内仍然是一种广泛应用的治疗选择。在本综述中，我们试图指出早期胃癌的治疗方式。
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