1997 Volume 50 Pages 234-235
Stomach cancers in high position are more likely to be detected at rather advanced stages. Early stomach cancers in the cardia and its vicinity, in spite of the difficulty in the early detection and relatively poor prognosis, if detected at the earlier stages, could be well indicated to EMR or surgical partial resection. Therefore, early carcinomas (14 cases, 16 lesions) were analysed in comparison with those in other gland regions in order to elucidate the following two points : (1) Probability of less interventional treatment. (2) Endoscopic findings concerned on the early detection.
To sum up, (1) EMR is to be indicated mainly at the stage of m. Very occasionally, however, is sm to be allowed under a given condition (age, general weakness, etc) . (2) m cancer involved is featured by blurred redness surrounded by subtle elevation, while sm cancer reveals erosion easy to haemorrhage indicative of fragility of the mucous membrane and sometimes accompanied by whitish coating. Moreover, lesions revealing tumor formation have all invaded sm.
Early detection in here is still at issue despite the recent advances of endoscopic diagnosis.
