Kim Ju Seok
Department of Internal Medicine, Chungnam National University College of Medicine, Daejeon, Korea.
Korean J Helicobacter Up Gastrointest Res. 2025 Mar;25(1):78-80. doi: 10.7704/kjhugr.2024.0065. Epub 2025 Mar 7.
Papillary adenocarcinoma is a histological type of gastric adenocarcinoma with a very low incidence; therefore, little research has been conducted into this tumor type and no clear treatment guidelines have been developed. Papillary adenocarcinoma is classified as a differentiated-type gastric cancer, according to the Japanese guidelines, but is known to have a high risk of lymph node metastasis. Although the use of endoscopic submucosal dissection in the treatment of early gastric cancer is gradually expanding, its application in patients with papillary early gastric cancer remains controversial. This study helps to identify appropriate indications for endoscopic submucosal dissection in patients with papillary early gastric cancer.
乳头状腺癌是胃腺癌的一种组织学类型，发病率极低；因此，针对这种肿瘤类型的研究很少，也尚未制定明确的治疗指南。根据日本的指南，乳头状腺癌被归类为分化型胃癌，但已知其有较高的淋巴结转移风险。尽管内镜下黏膜下剥离术在早期胃癌治疗中的应用正在逐渐扩大，但其在乳头状早期胃癌患者中的应用仍存在争议。本研究有助于确定乳头状早期胃癌患者内镜下黏膜下剥离术的合适适应证。
