Early gastric cancer

Česká verze

Authors: Ladislav Douda; Jiří Cyrany; Ilja Tachecí
Authors place of work: 2. interní gastroenterologická klinika Fakultní nemocnice Hradec Králové, Lékařská fakulta UK v Hradci Králové
Published in the journal: Vnitř Lék 2022; 68(6): 371-375
Category: Hlavní téma
doi: https://doi.org/10.36290/vnl.2022.077

Summary

Early gastric cancer is defined histopathologically as a tumour with limited local progression to the mucosa and submucosa. The concept of early cancer was developed in the 1960s in Japan and is now widely accepted. The term of early gastric cancer included cases with/without metastatic lymph node involvement. However, a common characteristic is a favourable prognosis of the disease. The task of the endoscopist is primarily to diagnose (identify) the tumour (precancerous lesions) and to verify it by biopsy. Successful identification must be followed by its correct classification, leading to the choice of an adequate approach, which includes surveillance, endoscopic treatment (resection) or surgical treatment (with or without chemotherapy). The method of treatment is determined primarily by the nature or risk of lymph node involvement.

Keywords:

Gastric cancer – gastroscopy – early cancer – endoscopic resection

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