Table 2. Endoscopic resection.
Endoscopic resection | KGCA (2018) | JGCA (2018) | CSCO (2021) | NCCN (2021) | ESMO (2016) | |
---|---|---|---|---|---|---|
ER | ||||||
Recommendation | Strong for | Grade I | Category 2A | Grade B | ||
Indication | ≤2 cm, T1a, UL (−), Diff | For EMR or ESD | For EMR or ESD | ≤2 cm, T1a, Diff, LVI (−), HM (−), VM (−) | ≤2 cm, T1a, well diff, UL (−) | |
≤2 cm, T1a, UL (−), Diff | ≤2 cm, T1a, UL (−), Diff | |||||
For ESD | For ESD | |||||
1. >2 cm, T1a, UL (−), Diff or ≤3 cm, T1a, UL (+) | 1. >2 cm, T1a, UL (−), Diff or ≤3 cm, T1a, UL (+) | |||||
2. ≤2 cm, T1a, UL (−), Undiff | 2. ≤2 cm, T1a, UL (−), Undiff | |||||
ER or surgery | ||||||
Recommendation | Weak for | |||||
Indication | 1. >2 cm, T1a, UL (−), Diff or ≤3 cm, T1a, UL (+) | |||||
2. ≤2 cm, T1a, UL (−), Undiff | ||||||
Additional surgery | ||||||
Recommendation | Strong for | Grade I | Category 2A | |||
Indication | Outside ER indication or LVI (+) or VM (+) | eCura C | Outside ER indication | Undiff, LVI (+), T1b, HM (+), VM (+) | Outside ER indication |
KGCA = Korean Gastric Cancer Association; JGCA = Japanese Gastric Cancer Association; CSCO = Chinese Society of Clinical Oncology; NCCN = National Comprehensive Cancer Network; ESMO = European Society for Medical Oncology; Diff = differentiated; Undiff = undifferentiated; LVI = lymphovascular invasion; UL = ulcerative finding; HM = horizontal margin; VM = vertical margin; ER = endoscopic resection; EMR = endoscopic mucosal resection; ESD = endoscopic submucosal dissection; eCura = endoscopic curability.