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Endoscopic Ultrasound for Staging Gastric Cancer

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Endoscopic Oncology

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Abstract

Although the incidence of gastric cancer is declining, it remains a leading cause of cancer-related death worldwide. Prognosis in gastric cancer is highly correlated with tumor stage. Surgical therapy remains the definitive therapy. Accurate pre-operative staging is essential, especially in patients who may be marginal surgical candidates. Accurate staging also is of particular importance in early gastric cancer in which select lesions confined to the mucosa may be treated with local endoscopic mucosal resection. Endoscopic ultrasound (EUS) currently is the most accurate test in the local-regional staging of gastric cancer. Advanced gastric cancers should be staged with a combination of EUS and computed tomography (CT). Local therapy can be appropriately applied to early gastric cancers that have no nodal involvement and are limited to the muscularis mucosa. The additional use of EUS-fine-needle aspiration (FNA) for lymph nodes distant from the primary tumor may improve staging accuracy.

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Author information

Authors and Affiliations

  1. Division of Gastroenterology, University Hospitals of Cleveland, Case Western Reserve University, Cleveland, OH

    Gregory Olds MD & Amitabh Chak MD

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  1. Gregory Olds MD
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  2. Amitabh Chak MD
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Editors and Affiliations

  1. Oregon Health and Science University, Portland, OR

    Douglas O. Faigel MD, FACG, FASGE (Associate Professor of Medicine, Director of Endoscopy) (Associate Professor of Medicine, Director of Endoscopy)

  2. Hospital of the University of Pennsylvania, Philadelphia, PA

    Michael L. Kochman MD, FACP, FASGE (Professor of Medicine and Surgery, Co-Director Gastrointestinal Oncology) (Professor of Medicine and Surgery, Co-Director Gastrointestinal Oncology)

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© 2006 Humana Press, Totowa, NJ

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Olds, G., Chak, A. (2006). Endoscopic Ultrasound for Staging Gastric Cancer. In: Faigel, D.O., Kochman, M.L. (eds) Endoscopic Oncology. Humana Press. https://doi.org/10.1007/978-1-59745-172-7_11

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  • DOI: https://doi.org/10.1007/978-1-59745-172-7_11

  • Publisher Name: Humana Press

  • Print ISBN: 978-1-58829-532-3

  • Online ISBN: 978-1-59745-172-7

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