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Japanese

Evaluation of Endoscopic Strip Biopsy Therapeutically Used for Early Gastric Cancer Masahiro Tada 1 , Mikio Karita 1 , Hideo Yanai 1 , Hirofumi Kawano 1 , Tadayoshi Takemoto 1 1The First Department of Internal Medicine, Yama-guchi University School of Medicine pp.373-385
Published Date 1988/4/25
DOI https://doi.org/10.11477/mf.1403108029
  • Abstract
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 Strip biopsy make it feasible to obtain all layers of gastric mucosa as well as the submucosa without imposing major risks even in patients with depressed or flat lesions. We have applied this procedure to the therapy of early gastric cancer. The most valuable aspect was that the resected tissue was recollected to evaluate its efficacy based on both macroscopic and histologic findings. By doing so, it was possible to evaluate whether the lesion was perfectly resected or not. Our experiences showed that 65% of early gastric cancer (90/137 lesions) were perfectly resected by strip biopsy. In the examination of the stomachs surgically resected after strip biopsy, there were no residual cancer cells. In patients treated only by strip biopsy because of poor physical condition, repeated endoscopic and biopsy studies showed no sign of relapse of cancer. Thus, strip biopsy therapeutically used for early gastric cancer should be evaluated by follow-up study as well as surgical therapy, especially in cases of small or minute gastric cancer localized only in mucosa.


Copyright © 1988, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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