조기위장관암 내시경 치료 임상진
Clinical Practice Guideline for Endoscopic Resection of Early Gastrointestinal Cancer
박찬혁, 양동훈, 김정욱, 김지현, 김지현, 민양원, 이시형, 배정호, 정현수, 최기돈, 박준철, 이혁, 곽민섭, 김번, 이현정, 이혜승, 최미영, 박동아, 이종열, 변정식, 박찬국, 조주영, 이수택, 전훈재,
소속 상세정보
박찬혁 ( Park Chan-Hyuk )
Hanyang University Guri Hospital Department of Internal Medicine
양동훈 ( Yang Dong-Hoon )
Asan Medical Center Department of Gastroenterology
김정욱 ( Kim Jong-Wook )
Inje University Ilsan Paik Hospital Department of Internal Medicine
김지현 ( Kim Jie-Hyun )
Yonsei University Gangnam Severance Hospital Department of Gastroenterology
김지현 ( Kim Ji-Hyun )
Inje University Busan Paik Hospital Department of Internal Medicine
민양원 ( Min Yang-Won )
Sungkyunkwan University School of Medicine Samsung Medical Center Department of Medicine
이시형 ( Lee Si-Hyung )
Yeungnam University Medical Center Department of Internal Medicine
배정호 ( Bae Jung-Ho )
Seoul National University Hospital Healthcare System Gangnam Center Department of Internal Medicine
정현수 ( Chung Hyun-Soo )
Seoul National University Hospital Department of Internal Medicine
최기돈 ( Choi Kee-Don )
Asan Medical Center Department of Gastroenterology
박준철 ( Park Jun-Chul )
Yonsei University College of Medicine Severance Hospital Institute of Gastroenterology Department of Internal Medicine Division of Gastroenterology
이혁 ( Lee Hyuk )
Sungkyunkwan University School of Medicine Samsung Medical Center Department of Medicine
곽민섭 ( Kwak Min-Seob )
Kyung Hee University Hospital at Gangdong Department of Internal Medicine
김번 ( Kim Bun )
National Cancer Center Center for Colorectal Cancer
이현정 ( Lee Hyun-Jung )
Seoul National University Hospital Department of Internal Medicine
이혜승 ( Lee Hye-Seung )
Seoul National University Bundang Hospital Department of Pathology
최미영 ( Choi Mi-Young )
National Evidence-Based Healthcare Collaboration Agency
박동아 ( Park Dong-Ah )
National Evidence-Based Healthcare Collaborating Agency
이종열 ( Lee Jong-Yeul )
National Cancer Center Center for Gastric Cancer
변정식 ( Byeon Jeong-Sik )
Asan Medical Center Department of Gastroenterology
박찬국 ( Park Chan-Guk )
Chosun University Hospital Department of Internal Medicine
조주영 ( Cho Joo-Young )
CHA University CHA Bundang Medical Center Department of Gastroenterology
이수택 ( Lee Soo-Teik )
Chonbuk National University Medical School Department of Internal Medicine
전훈재 ( Chun Hoon-Jai )
Korea University Anam Hospital Department of Internal Medicine
Abstract
Although surgery was the standard treatment for early gastrointestinal cancers, endoscopic resection is now a standard treatment for early gastrointestinal cancers without regional lymph node metastasis. High-definition white light endoscopy, chromoendoscopy, and image-enhanced endoscopy such as narrow band imaging are performed to assess the edge and depth of early gastrointestinal cancers for delineation of resection boundaries and prediction of the possibility of lymph node metastasis before the decision of endoscopic resection. Endoscopic mucosal resection and/or endoscopic submucosal dissection can be performed to remove early gastrointestinal cancers completely by en bloc fashion. Histopathological evaluation should be carefully made to investigate the presence of risk factors for lymph node metastasis such as depth of cancer invasion and lymphovascular invasion. Additional treatment such as radical surgery with regional lymphadenectomy should be considered if the endoscopically resected specimen shows risk factors for lymph node metastasis. This is the first Korean clinical practice guideline for endoscopic resection of early gastrointestinal cancer. This guideline was developed by using mainly de novo methods and encompasses endoscopic management of superficial esophageal squamous cell carcinoma, early gastric cancer, and early colorectal cancer. This guideline will be revised as new data on early gastrointestinal cancer are collected.
키워드
Early colorectal cancer; Early gastric cancer; Endoscopic resection; Guideline; Superficial esophageal squamous cell carcinoma
원문 및 링크아웃 정보
등재저널 정보