Endoscopic Diagnosis of Early Small and Minute Gastric Cancer

  • Hiroshi Takahashi


Needless to say, detecting a lesion of the smallest size possible has a great beneficial impact on decisions regarding subsequent treatment strategy. In particular, detecting a lesion at the stage that allows endoscopic treatment is a key goal of the endoscopist. During endoscopic examinations, attention should be paid to the following points.
  • Comfortable endoscopy facilitates clinical follow-up of patients.

  • Complete removal of mucus is fundamental to endoscopy.

  • Conforming to the standards of observation helps avoid overlooking irregularities.

  • Changing the air amount and patient position depending on the situation is important.

  • Constant attention to even minimal findings is needed.

  • Chromoendoscopy requires ingenuity.

  • Conventional diagnostic approaches can produce poor results.

These seven Cs are critical to the success of endoscopic diagnosis.


Gastric Cancer Early Gastric Cancer Gastric Cancer Case Endoscopic Diagnosis Adjacent Mucosa 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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    Kato Y (1990) A pathologist’s recommendation to endoscopists regarding microcarcinoma of the stomach. Endosc Dig 3:287–290Google Scholar
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    Takahashi H, Kirihara K, Yamada M, et al (1998) Evaluation of the endoscopic features of minute gastric cancer. Stomach Intestine 33:609–616Google Scholar

Copyright information

© Springer 2009

Authors and Affiliations

  • Hiroshi Takahashi
    • 1
  1. 1.Cancer Screening CenterThe Cancer Institute Hospital of JFCRTokyoJapan

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