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High-Resolution Endoscopic Ultrasound: Clinical T-Staging of Superficial and Subepithelial Gastrointestinal Neoplasias

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Atlas of Early Neoplasias of the Gastrointestinal Tract

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Abstract

High-resolution endoscopic ultrasound (hr-EUS) with miniprobes performed during diagnostic endoscopy yields information on invasion depth of early cancer and on lesions arising in intramural echo structures. This chapter explains the diagnostic characteristics of hr-EUS images of early mucosal neoplasias and of the most prevalent types of intramural tumors. Imaging by hr-EUS characterizes subepithelial tumors for size, invasiveness, and wall layer of origin, and distinguishes superficial mucosal neoplasias from deeply submucosa-invasive early cancer with about 90% accuracy in most locations of the GI tract. Hr-EUS imaging should be available when the decision is taken between endoscopic or surgical resection for subepithelial tumors or for superficial versus submucosa-invasive early cancer.

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Author information

Authors and Affiliations

  1. Department of Internal Medicine – Gastroenterology, University Hospital Oldenburg, Oldenburg, Germany

    Hans Seifert

  2. Department of Gastroenterology and Endoscopy Unit, Toranomon Hospital, Tokyo, Japan

    Daisuke Kikuchi

  3. Division of Research and Development for Minimally Invasive Treatment, Cancer Center, Keio University School of Medicine, Shinjuku-ku, Tokyo, Japan

    Naohisa Yahagi

Authors
  1. Hans Seifert
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  2. Daisuke Kikuchi
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  3. Naohisa Yahagi
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Corresponding author

Correspondence to Hans Seifert .

Editor information

Editors and Affiliations

  1. Department of Internal Medicine I, Paracelsus Medical University, Salzburg, Austria

    Frieder Berr

  2. Department of Endoscopy, Saku Central Hospital Advanced Care Center, Saku, Nagano, Japan

    Tsuneo Oyama

  3. Department of Digestive Diseases, Hôpital Eduard Herriot, Lyon, France

    Thierry Ponchon

  4. Division of Research and Development for Minimally Invasive Treatment Cancer Center, Keio University School of Medicine, Shinjuku-ku, Tokyo, Japan

    Naohisa Yahagi

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Seifert, H., Kikuchi, D., Yahagi, N. (2019). High-Resolution Endoscopic Ultrasound: Clinical T-Staging of Superficial and Subepithelial Gastrointestinal Neoplasias. In: Berr, F., Oyama, T., Ponchon, T., Yahagi, N. (eds) Atlas of Early Neoplasias of the Gastrointestinal Tract. Springer, Cham. https://doi.org/10.1007/978-3-030-01114-7_5

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  • DOI: https://doi.org/10.1007/978-3-030-01114-7_5

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-01113-0

  • Online ISBN: 978-3-030-01114-7

  • eBook Packages: MedicineMedicine (R0)

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