Local Excision — A Therapeutic Procedure in Early Gastric Carcinoma?
A small, early gastric carcinoma can occasionally be removed totally by endoscopic polypectomy. Histological examination with step sections must prove that the resection lines are free of tumor. In such cases, we must ask whether or not this polypectomy is a sufficient therapeutic procedure. The same is true for local surgical excision, in contrast to subtotal or total gastrectomy, where the tumor is removed with wide margins of safety, together with the regional lymph nodes.
- Hermanek, P.: Operative endoscopy as curative therapy for early stages of gastrointestinal cancer. In: Operative endoscopy. Demling, L., Koch, H. (eds.). Stuttgart: Schattauer (in press)Google Scholar