Risk Assessment of Lymph Node Metastases in Early Gastric Adenocarcinoma Fulfilling Expanded Endoscopic Resection Criteria

Early gastric cancer (EGC) is known to present a low rate of lymph node metastases (LNMs). Gastrectomy with D2 lymphadenectomy is usually curative for EGC. Endoscopic submucosal dissection (ESD) is a well-accepted treatment modality for lesions that meet the classic criteria: those mucosal differentiated adenocarcinoma measuring 20 mm or less, without ulceration. Expanded criteria for ESD have been proposed based on null LNM rate from large gastrectomies series from Japan. Patients with LNM have been reported in Western centers, emerging the need for validation of expanded criteria.

Source: Gastrointestinal Endoscopy - July 24, 2018 Category: Gastroenterology Authors: Fernanda Cristina Sim ões Pessorrusso, Aloisio Felipe-Silva, Carlos Eduardo Jacob, Marcus Fernando Kodama Pertille Ramos, Venancio Avancini Alves Ferreira, Evandro Sobroza de Mello, Bruno Zilberstein, Ulysses Ribeiro, Fauze Maluf-Filho Source Type: research