Table. Treatment options in mucosal and submucosal stomach cancer (from e3).
Infiltration | Mucosal (T1a) | Submucosal (T1b) | ||||
Histology | Nonulcerated | Ulcerated | sm1 | sm2 | ||
Diameter | ≤ 2 cm | >2 cm | ≤ 3 cm | >3 cm | ≤ 3 cm | Any diameter |
Intestinal type | ER | Extended indications ER |
Extended indications ER |
D2 gastrectomy | Extended indications ESD |
D2 gastrectomy |
Diffuse type | Consider gastrectomy | D2 gastrectomy | D2 gastrectomy | D2 gastrectomy | D2 gastrectomy | D2 gastrectomy |
ER, endoscopic resection; ESD, endoscopic submucosal dissection