ArticleScientific reports2019
Pretreatment diagnosis factors associated with overtreatment with surgery in patients with differentiated-type early gastric cancer.
Article in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Article
- Less Is More: Risk Factors and Survival Outcomes of Overtreatment for Early-Stage Colorectal Cancer.Journal of surgical oncology · 2025Article
- Application of artificial intelligence for diagnosis of early gastric cancer based on magnifying endoscopy with narrow-band imaging.Clinical endoscopy · 2024Review
- Application of artificial intelligence-driven endoscopic screening and diagnosis of gastric cancer.World journal of gastroenterology · 2021Review
- A "Just Enough" Gross Proximal Margin Length Ensuring Pathologically Complete Resection in Distal Gastrectomy for Gastric Cancer.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2020Article
- Role of prophylactic hyperthermic intraperitoneal chemotherapy in patients with locally advanced gastric cancer.World journal of gastrointestinal oncology · 2020Article
- HER2 as a potential biomarker of lymph node metastasis in undifferentiated early gastric cancer.Scientific reports · 2020Article
Corrections and comments
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Authors and funding
12 authors.
Funding
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Abstract
This study aimed to clarify the pretreatment factors associated with overtreatment with surgery in patients with differentiated-type early gastric cancer. This single-centre, retrospective study included 781 patients with differentiated-type early gastric cancer treated by surgical resection between April 2005 and May 2017. Postoperative pathological results were used to divide patients into the accurate surgical indication group and overtreatment with surgery group; the groups were compared with respect to accurate diagnosis and misdiagnosis based on tumour diameter (≤30 mm or >30 mm), diagnosis of depth, diagnosis of ulcerative findings, and diagnosis of main histology. There were 224 patients in the overtreatment with surgery group. Multivariate analysis revealed significant differences in misdiagnosis of tumour diameter, misdiagnosis of depth, misdiagnosis of ulcerative findings, and misdiagnosis of main histology between the accurate surgical indication group and overtreatment with surgery group. Significant factors for pretreatment misdiagnosis leading to overtreatment in differentiated-type early gastric cancer were tumour diameter, depth, and main histology. It may be acceptable to perform endoscopic resection for patients with pretreatment tumour diameter ≤30 mm, mucosal invasion of pretreatment depth, and undifferentiated-type cancers containing differentiated-type components of pretreatment histology because this reduces overtreatment with surgery.
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