利用内窥镜技术和术后监测治疗爬行型胃腺癌。

IF 4.3 3区医学 Q1 GASTROENTEROLOGY & HEPATOLOGY

World Journal of Gastroenterology Pub Date : 2024-11-21 DOI:10.3748/wjg.v30.i43.4657

Jia-Chen Yang, Liu-Xiang Chen, Bing Hu

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引用次数: 0

摘要

爬行型胃腺癌是一种罕见的胃癌亚型，由于其病灶扁平、界限不清，给诊断和治疗带来了挑战。先进的诊断技术，如窄波段成像和线性内镜超声造影，提高了检出率，但内镜黏膜下剥离术存在切除不彻底的风险。尽管切除边缘为阴性，但由于可能复发，术后警惕性监测至关重要。这封信强调了细化诊断标准、个体化治疗方法和持续随访对优化这一独特胃癌亚型的管理的重要性。

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Managing crawling-type gastric adenocarcinoma with endoscopic techniques and postoperative monitoring.

Crawling-type gastric adenocarcinoma is a rare subtype of gastric cancer with diagnostic and therapeutic challenges due to its flat, ill-defined lesions. Advanced diagnostic techniques, such as narrow-band imaging and linear endoscopic ultrasonography, improve detection, but endoscopic submucosal dissection poses a risk of incomplete resection. Despite negative resection margins, vigilant postoperative monitoring is crucial due to the potential for recurrence. This letter highlights the importance of refined diagnostic criteria, individualized treatment approaches, and continuous follow-up to optimize management of this unique gastric cancer subtype.

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来源期刊

World Journal of Gastroenterology 医学-胃肠肝病学

CiteScore

7.80

自引率

4.70%

发文量

464

审稿时长

2.4 months

期刊介绍： The primary aims of the WJG are to improve diagnostic, therapeutic and preventive modalities and the skills of clinicians and to guide clinical practice in gastroenterology and hepatology.