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[Gastric Cancer 3]

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Á¶Á÷°Ë»ç´Â low grade dysplasia¿´½À´Ï´Ù. ESD¸¦ ÇϽðڽÀ´Ï±î? AblationÀ» ÇϽðڽÀ´Ï±î?




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Àú´Â ablationÀ» ±ÇÇß½À´Ï´Ù. °æ°è°¡ ÁÁÀº ÀÛÀº Á¡¸·º´¼Ò´Â ablationÀ¸·Î ÃæºÐÈ÷ local controlÀ» ÇÒ ¼ö ÀÖ´Ù°í »ý°¢ÇÕ´Ï´Ù. °Ô´Ù°¡ Á¶Á÷°Ë»ç¿¡¼­ low grade dysplasia·Î ³ª¿Â °æ¿ì¿¡ ablationÀº ¹«Ã´ °£´ÜÇÏ°í È¿°úÀûÀÎ ¹æ¹ýÀÔ´Ï´Ù. Àú´Â ¾Ö¿ëÇÕ´Ï´Ù.

±×·±µ¥ ȯÀÚ°¡ ESD¸¦ ¿øÇß½À´Ï´Ù. ¾Æ¸¶ second opinionÀ» ±¸Çß´ø ¸ð¾çÀÔ´Ï´Ù. ȯÀÚÀÇ ¿äû¿¡ ÀÇÇÏ¿© ESD¸¦ ÇÏ¿´°í °á°ú´Â high grade dysplasia, complete resectionÀ̾ú½À´Ï´Ù. ¿©ÇÏÆ° ȯÀÚ´Â ¸¸Á·ÇÏ¿´½À´Ï´Ù. Àú´Â Áö±Ýµµ ablationÀ¸·Î ÃæºÐÈ÷ ÇØ°áÇÒ ¼ö ÀÖ¾ú´Ù°í º¾´Ï´Ù. Á¶±Ý ºñ½Î°Ô Ä¡·áÇß°í ¸çÄ¥ ÀÔ¿øÇßÁö¸¸... °á°úÀûÀ¸·Î ¾à°£ °úÀ×À̾úÁö¸¸, È®½ÇÈ÷ Ä¡·áµÈ °ÍÀº ¸¶Âù°¡ÁöÀÔ´Ï´Ù. ¿©·¯ºÐÀÇ ÀÇ°ßÀº ¾î¶°ÇϽʴϱî?

. Tubular adenoma with high grade dysplasia
1. Location : low body, anterior wall
2. Gross type : flat
3. Size of adenoma : (1) longest diameter, 10 mm (2) vertical diameter, 5 mm
4. Resection margin : negative resection margins(N)

2014. 4. 16. ÀÌÁØÇà