Table Of ContentTsuneo Oyama
Editor
Endoscopic Diagnosis
of Superficial Gastric
Cancer for ESD
123
Endoscopic Diagnosis of Superficial Gastric Cancer
for ESD
ThiSisaFMBlankPage
Tsuneo Oyama
Editor
Endoscopic Diagnosis of
Superficial Gastric Cancer for
ESD
Editor
TsuneoOyama
SakuCentralHospital
Saku,Nagano
Japan
ISBN978-4-431-54468-5 ISBN978-4-431-54469-2 (eBook)
DOI10.1007/978-4-431-54469-2
LibraryofCongressControlNumber:2016941056
#SpringerJapan2016
OriginalJapaneseeditionpublishedbyNankodoCo.,Ltd,Tokyo,2010
This English translation is based on the Japanese original, Tsuneo Oyama; Endoscopic Diagnosis of Gastric
Adenocarcinoma for ESD Published by Nankodo Co., Ltd. # 2010 Tsuneo Oyama. This work is subject to
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Contents
PartI BasicUnderstandingsofDiagnosticEndoscopyofESDforGastricCancer
1 IndicationsforEndoscopicSubmucosalDissectionofEarlyGastric
Cancer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
KinichiHotta
2 BasicTechniqueofEndoscopicDiagnosisforSuperficialGastric
Adenocarcinoma. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
TsuneoOyama
3 DiagnosisofInvasionDepth. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
AkihisaTomoriandTsuneoOyama
4 DiagnosisofLateralExtensions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
AkikoTakahashi
5 DiagnosisofGastricAdenocarcinomawithMagnifiedEndoscopy. . . . . 39
TsuneoOyama
PartII EndoscopicDiagnosisforGastricESD–DiagnosingTypicalCases
6 Type0-IGastricCancer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
TomoakiShinohara
7 Type0-IIaGastricCarcinoma. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
TadashiMiike
8 EarlyStageType0-IIaGastricCancer. . . . . . . . . . . . . . . . . . . . . . . . . 67
KenjiKunieda
9 Type0-IIbGastricCancer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73
KoichiOkamoto
10 Type0-IIcGastricCancer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79
AkikoTakahashi
11 GastricCancer:SM1Invasion. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
AkikoTakahashi
12 UlceratingEarlyGastricCancer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91
ShukoMorita
13 SignetRingCellCarcinoma. . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . 97
MasakiTanaka
14 EarlyGastricCancerwithLargeSize. . . . . . . . . . . . . . . . . . . . . . . . . . 103
AkikoTakahashi
v
vi Contents
PartIII Practices
15 Question1:WhatIstheInvasionDepth?. . . . . . . . . . . . . . . . . . . . . . . . . . . . 111
KoichiOkamoto
16 Question2:WhereIstheLateralBoundary?. . . . . . . . . . . . . . . . . . . . . . . . . 121
KoichiOkamoto
17 Question3:HowDoYouDiagnosePathologicalType?. . . . . . . . . . . . . . . . . 129
YokoKitamura
18 Question4:GastricAdenocarcinomawithUlcerScar–HowDoYouDiagnose
theDepthofThisUlcer?. . . .. . . . . . . . . . . . . . . .. . . . . . . . . . . . . . .. . . . . . 137
YokoKitamura
19 Question5:HowFarIstheLateralExtensionofThisLesion?. . . . . . . . . . . . 145
YokoKitamura
20 Question6:CancerorAdenoma?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 153
YokoKitamura
21 Question7:WhereIstheHorizontalMarginoftheLesion?. . . . . . . . . . . . . 161
KeitaFunakawa
22 Question8:WhereDoYouThinkIstheBorderofThisLesion?. . . . . . . . . . 169
AyakoSeki
23 Question9:ToWhatExtentDoestheLateralExtensionReach?. . . . . . . . . . 177
YujiNishiyama
24 Question10:WhatDoYouDiagnosetheHistologicalTypeofThis
Lesion?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 185
KeitaFunakawa
25 Question11:WhereIstheHorizontalMarginoftheLesion?. . . . . . . . . .. . . 193
KeitaFunakawa
26 Question12:WhatDoYouDiagnosetheHistologicalTypeofThis
Lesion?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 201
KotaroShibagaki
27 Question13:WhatIstheHistologicalTypeofThisLesion?. . . . . . . . . . . . . . 211
AyakoSeki
28 Question14:WhereIstheLateralExtensionofThisGastricLesion?. . . . . . 219
AkikoTakahashi
29 Question15:WhichLineDemarcatesThisLesionBest?. . . . . . . . . . . . . . . . 227
ShigetakaYoshinga
30 Question16:WhichLineIstheLateralMarginoftheTumor?. . . . . . . . . . . 235
TokumaTanuma
31 Question17:WhereIstheLateralExtensionofThisLesion?. . . . . . . . . . . . 243
TetsuroYamazato
32 Question18:WhichTypeofGastricCarcinomaDoYouThinkThisIs?. . . . 251
TadashiMiike
33 Question19:WhereIstheLateralExtension?. . . . . . . . . . . . . . . . . . . . . . . . 259
KouYoshida
34 Question20:WhatIstheDepthofInvasionforThisCancer?. . . . . . . . . . . . 267
TokumaTanuma
Contributors
Keita Funakawa Department of Gastroenterology, Kagoshima City Hospital, Kagoshima-
shi,Kagoshima,Japan
KinichiHotta DivisionofEndoscopy,ShizuokaCancerCenter,Sunto-gun,Shizuoka,Japan
YokoKitamura DepartmentofGastroenterology,CenterforDigestiveandLiverDiseases,
NaraCityHospital,Nara-Shi,Nara,Japan
KenjiKunieda DivisionofOncology,SakuCentralHospital,Saku,Nagano,Japan
Tadashi Miike Department ofGastroenterologyand Hematology(Internal Medicine),Fac-
ultyofMedicineofUniversityofMiyazaki,Miyazaki,Japan
ShukoMorita DepartmentofGastroenterology,KobeCityMedical Center GeneralHospi-
tal,Kobe-city,Hyogo,Japan
YujiNishiyama DepartmentofInternalMedicine,WatanabeHospital,Kurashiki,Okayama,
Japan
KoichiOkamoto DepartmentofGastroenterologyandOncology,UniversityofTokushima,
Tokushima,Japan
TsuneoOyama DivisionofEndoscopy,SakuCentralHospital,Saku,Nagano,Japan
Ayako Seki Department of Gastroenterology, Nagano Municipal Hospital, Nagano-shi,
Nagano,Japan
Kotaro Shibagaki Department of Endoscopy, Shimane University, Faculty of Medicine,
Matsue,Shimane,Japan
TomoakiShinohara DepartmentofGastroenterology,SakuCentralHospital,Saku,Nagano,
Japan
AkikoTakahashi DivisionofEndoscopy,SakuCentralHospital,Saku,Nagano,Japan
Masaki Tanaka Division of Endoscopy, Shizuoka Cancer Center, Sunto-gun, Shizuoka,
Japan
Tokuma Tanuma Department of Gastroenterology, Teine Keijinkai Hospital, Sapporo,
Hokkaido,Japan
Akihisa Tomori Department of Gastroenterology, Saku Central Hospital, Saku, Nagano,
Japan
TetsuroYamazato DepartmentofGastroenterology,TokyoMetropolitanCancerDetection
Center,Fuchu,Tokyo,Japan
vii
viii Contributors
Kou Yoshida Department of Internal Medicine, Obihiro Kosei General Hospital, Obihiro,
Hokkaido,Japan
Shigetaka Yoshinga Endoscopy Division, National Cancer Center Hospital, Chuo-ku,
Tokyo,Japan
Part I
Basic Understandings of Diagnostic Endoscopy
of ESD for Gastric Cancer
