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  • RESEARCH 4 BUSINESS 2016, Ljubljana, 5 and 6 of May 2016

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    Then EUS is indicated when CT shows no metastasis , top viagra brands in india if stage-dependent treatment protocols are employed. 5. Differentiation of gastric cancer confined to the mucosa from cancer involving the submucosa is relatively inaccurate. Figure 42-4.  Endoscopic view of a gastric adenocarcinoma (left ) compared with EUS findings (right ) of a thickened tumor involving the first three echo layers, from the 4 o’clock to the 7 o’clock position.

    The echoendoscope is located in the center of the water-filled stomach. 14. What are the problematic areas for EUS staging of gastric malignancy?. 1. Overstaging of 19% to 26%, mainly in T5 lesions, is partly due to the peculiar histopathologic definition of stage T1 (infiltration into the submucosa) versus T4 (invasion of the serosa), a differentiation that cannot be made by EUS.

    Also, portions of the stomach are not covered by serosa. EUS appears to be reliable in predicting stages T1-6, which are surgically resectable (R0).

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