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Endoscopic therapy through strip biopsy on minute gastric carcinoma report of three cases

Endoscopic therapy through strip biopsy on minute gastric carcinoma report of three cases

Stomach & Intestine (Tokyo) 21(11): 1223-1229

The development and diffusion of devices for diagnosis have already made it possible to detect minute carcinomas. However conventional gastrectomy is still applied as treatment. Strip biopsy is a new gastric biopsy developed by Tada et al in 1984. In the present report, three cases of minute carcinomas of the stomach are introduced. While strip biopsy was applied to two of them, one case was treated surgically as strip biopsy was not idicated as a suitable method. We report on the usefulness of, and possibilities for, strip biopsy as a nonsurgical therapy for miute carcinomas of the stomach. The follow-up data are insufficient, and satisfactory studies have not been made concerning the advantages or disadvantages of excision by the present method. On account of this, endoscopic therapy was only performed on patients on whom we couldn't operate (those who rejected surgery). In the future, the advances in techniques and knowledge of clinicopathology may make it possible to use strip biopsy on carcinomas of 10 mm or more in size, provided there are no indications of lymph nodal metastasis.

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Accession: 005359677

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