作者
Ken Namikawa, Tomoari Kamada, Junko Fujisaki, Yuichi Sato, Takahisa Murao, Tsutomu Chiba, Yasuharu Kaizaki, Kenji Ishido, Yutaro Ihara, Koichi Kurahara, Tomoaki Suga, Haruhisa Suzuki, Masanori Ito, Katsuya Hirakawa, Yasuhiko Maruyama, Takuji Gotoda, Osamu Hosokawa, Tomohiro Koike, Katsuhiro Mabe, Takashi Yao, Kazuo Inui, Hiroyasu Iishi, Haruhiko Ogata, Takahisa Furuta, Ken Haruma, Collaborators, Hiroshi Imamura, Hiroshi Yasuda, Hiroyuki Kobayashi, Hiroyuki Okada, Joji Syunto, Junichi Nishimura, Kazuhiko Oho, Keiji Ozeki, Makoto Tatewaki, Manabu Takamatsu, Masahide Ebisawa, Masanori Koyabu, Nobukazu Agatuma, Nobuyoshi Takizawa, Osamu Niizeki, Ryosuke Kiyomori, Ryosuke Ota, Shigeru Kanaoka, Shinichiro Oyama, Shinichiro Yada, Tadayuki Oshima, Takanori Yamada, Takehiro Ishii, Tetsu Hirata, Tomoyuki Boda, Waku Hatta, Yohei Hosoda
发表日期
2023/1/31
期刊
Digestive Endoscopy
简介
Objectives
Optimal management of type 1 gastric neuroendocrine tumors (T1‐GNETs) remains unknown, with few reports on their long‐term prognosis. This study investigated the clinical characteristics and long‐term prognosis of T1‐GNETs.
Methods
We reviewed the medical records of patients diagnosed with T1‐GNET during 1991–2019 at 40 institutions in Japan.
Results
Among 172 patients, endoscopic resection (ER), endoscopic surveillance, and surgery were performed in 84, 61, and 27, respectively, including 27, 77, and 2 patients with pT1a‐M, pT1b‐SM, and pT2 tumors, respectively. The median tumor diameter was 5 (range 0.8–55) mm. Four (2.9%) patients had lymph node metastasis (LNM); none had liver metastasis. LNM rates were significantly higher in tumors with lymphovascular invasion (LVI) (15.8%; 3/19) than in those without (1.1%; 1/92) (P = 0.016). For tumors <10 mm, LVI and LNM rates …
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