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Endoscopic Resection of Small Gastric Adenoma
Author(s) -
HARADA Hiroshi,
TOYONAGA Atsushi,
OHMAGARI Kazuhiro,
IKEDA Hideo,
TANIKAWA Kyuchi
Publication year - 1997
Publication title -
digestive endoscopy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.5
H-Index - 56
eISSN - 1443-1661
pISSN - 0915-5635
DOI - 10.1111/j.1443-1661.1997.tb00471.x
Subject(s) - medicine , biopsy , adenoma , stomach , endoscopic mucosal resection , resection , cancer , radiology , endoscopy , tubular adenoma , pathology , colorectal cancer , surgery , colonoscopy
We endoscopically resected 32 small adenomas of the stomach. The diagnosis was made using a bite biopsy technique in each case. On histological examination it was found that 34% of the totally resected specimens contained focal cancer. Endoscopic features, such as shape, surface texture and color, were not useful in identifying lesions harboring focal cancer. Nuclear DNA analysis of the biopsy specimens was not useful for differentiating between adenomas and lesions with focal cancer. We therefore recommend total endoscopic resection, as a biopsy, in all patients with a small adenoma of the stomach.