Table 1.
Treatments options in a patient with early gastric cancer
| Histology | Mucosal cancer | Submucosal cancer | |||||
| ≤ 10 mm | ≤ 20 mm > 20 mm | ≤ 30 mm > 30 mm | Into the upper third (≤ 30 mm) | Into the middle third (any size) | |||
| (flat/depressed) | (No ulceration) | (Ulceration) | |||||
| Intestinal type | EMR | EMR | ESD | ESD | Surgery | ESD | Surgery |
| Diffuse type | Surgery | Surgery | Surgery | Surgery | Surgery | Surgery | |
| ESD1 | |||||||
1
Treatment option if the patient decline surgery. EGC: Early gastric cancer; EMR: Endoscopic mucosal resection; ESD: Endoscopic submucosal dissection.