Additional Surgery After Non-curative Resection of ESD for Early XXXX .

@entity1 @entity3578 @entity1066 @entity19291 @entity3 @entity356
AIM: The appropriate additional surgery after non-curative resection of Endoscopic Mucosal Resection (ESD) for early @entity356 is herein discussed. @entity1 AND METHODS: Data on 54 @entity1 after non-curative resection of ESD were evaluated. These @entity1 were broadly classified according to the risk of lymph node @entity3 with lesions into group A (without risk) (n=26) and group B (with risk) (n=28). Their treatment results were evaluated. RESULTS: The incidence of residual lesion was 7.7% in group A and 14.3% in group B. Risk factors were piecemeal resection, involvement of the horizontal margin ( @entity19291 ) or unclear involvement of the horizontal margin (HMX) and with @entity1066 . Lymph node @entity3 was detected in one @entity1 with lymphatic invasion, total diameter of 3 cm or more and submucosal invasion over 0.5 mm ( @entity3578 ). The 5-year survival rate was 93% and none of the @entity1 died of @entity356 . CONCLUSION: Follow-up observation was reasonable in group A. @entity1 who are judged as having undergone piecemeal resection, @entity19291 or HMX and with @entity1066 , should be treated by additional surgery and @entity1 judged with @entity3578 or total diameter of 3 cm or more or lymphatic invasion should be treated by additional surgery with lymphadectomy in groupB.
