Transcription of 胃癌治療ガイドライン - jgca
1 Copyright(c) JGCA (Japanese Gastric Cancer Association). All rights reserved - 1 - 6 6 6 6 I 9 II endoscopic mucosal resection EMR 11 12 2 3 D2 14 15 16
2 17 18 21 neoadjuvant chemotherapy 22 22 23 23 23 23 EMR 25 EMR 25 EMR 29 EMR 30 SM EMR 30 30 31 32 32 33 33 35
3 33 36 41 42 42 - 2 - 2001 3 12 2002 2000 10 2003 6 ( ) 2004 3 76 2004 4 2
4 - 3 - D2 EMR Neoadjuvant chemotherapy 71 1999. 6 1980 PDQ Physician's Data Query 2001 3 - 4 - - 5 - 1 2
5 3 4 5 1 2 evidence based 3 QOL 4 Stage IC - 6 - - 7 - - 8 -I 1 2 1 2 1 Stage
6 N0 N1 N2 N3 T1 M I A EMR UL A1 T1 SM I A A B I B B1 II T2 I B 2 II III A T3 II III A III B T4 III A 3 III B H1 P1 CY1 M1 IV 1 A B 2 3 option PPG A D1 B D1 No.
7 7 No. 8a No. 7 8a 9 2 2 3 D2 3 4 Stage Stage - 9 - 2 Stage N0 N1 N2 N3 T1 M cm I A EMR EMR EMR T1 SM I A I B II T2 I B II III A T3 II
8 III A 1 III B T4 III A III B 1 IV H1 P1 CY1 M1 1 - 10 -II endoscopic mucosal resection EMR strip biopsy 1 endoscopic double snare polypectomy EDSP 2 ERHSE 3 EMRC 4 IT 5 hook hooking 6 7 3 2cm cM pap tub1 tub2 UL 1 EMR T1 N0 2 3 2cm 5 4 3 38 3 48 M UL UL 3cm UL 2cm
9 EMR UL EMR 5 EMR 1 M EMR 9 burn effect 2 SM SM1 500 M SM1 3 10,11 - 11 -6 EMR EMR 12 EMR 1 3 6 1 1 2 2 3 D2 D1 A D1 B 14 A EMR T1 D1 EMR M cM sM N0 7 SM cSM sSM N0 4 cm
10 B A T1 SM cSM sSM N0 cm N1 D1 sT1
