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조기위암 및 위 편평선종의 내시경적 점막 절제술 및 장기 추적 관찰에 관한 연구
김진오,이문성,고봉민,이준성,심찬섭,천영국,유창범,조주영 대한소화기내시경학회 2000 Clinical Endoscopy Vol.21 No.6
Background/Aims: Endoscopic mucosal resection (EMR) of early gastric cancer (EGC) or gastric flat adenoma bas been widely accepted as a useful method due to its minima1 invasiveness and satisfactory post-procedure results in maintaining a good quality of life for patients. The purpos is to define the long-term effect and usefulness of EMR of EGC and gastric flat adenoma. Methods: We analysed, retrospectively, 101 lesions in 96 cases that could be followed-up were analyzed, Endoscopic surveillance with histological examination was carried out every three months for one year after the treatment, every six months for the second year, and annually thereafter. Results: 1) The mean follow-up period was 17.7 months (1∼78). 2) Of the 101 lesions, there were 6 recurrences (5.9%), the mean period was 17.3 months (2∼37). One of 28 EGC, five of 73 gastric flat adenoma showed recurrence. 3) The recurrence rate tended to be higher in as the size inereased (p=0.06), In the lesions which were resected by planned piecemeal,0% of those lesions recurred (4/40), whiie 3.3% (2/61) of those lesions rccurred in which lesions were resected en bloc (p=0.21). 4) With respect to location of the primary lesions, the recurrence rate was higher in the lesions of the cardia (50%, p<0.05). Conclusions: We concluded that the size and location of the lesions were related to recurrence after EMR, but sex, pathology, and resection methods were not related.
김진오,이문성,이준성,진소영,차상우,심찬섭,유창범,조주영,정인섭,천갑진 대한소화기내시경학회 2000 Clinical Endoscopy Vol.21 No.6
A squamous cell papilloma of esophagus is regarded as a rare tumor, and one of the distal esophagus is known to be not changed into a malignant neoplasm although squamous papilloma of the larynx, cervix and the upper esophagus may be associated with squamous cell carcinoma. We report the first case of a squamous papilloma associated with hig grade dysplasia at the lower esophagus. We think this case may have an important implication in the surveillance and management of esophageal papilloma found at endoscopy.