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13.
Zgodnji želodčni rak - endoskopsko zdravljenje = Early gastric cancer - endoscopic therapy
Mlinarič, Vladimir, 1948-
Gastric cancer is still mostly detected in advanced stage with bad prognosis. Endoscopic treatment of the precancerous lesions dimishes actual incidence of gastric cancer, early detection improves ...survival. Advanced technology and ahromoendoscopy facilitate recognition of superficial neoplastic lesions including early gastric cancer. The Paris endoscopic classification of superficial neoplastic lesions, regarding the appearence, divides subtypes of type 0 (type 0-I, type 0-II/a, b, c and type 0-III). It includes non-invasive neoplasia and carcinoma. The most important are depressed-type lesions with suspicion on deeper invasion. Histologic Vienna classification of intramucosalneoplasia means the unification in the terminologic confusion (adenoma/dysplasia, carcinoma) with concept of intraepithelial neoplasia (IEN). Endoscopic mucosal resection (EMR) is the first choice treatment for superficial neoplastic lesions including EGC, concerning general accepted criteria. After EMR endoscopic follow-up, at least 5 years, every six months, is needed.
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