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March 3, 2026World Journal of Gastroenterology0 citationsOpen Access

Endoscopic ultrasound in early gastric cancer: Diagnostic accuracy and Tis/T1a lesion over staging risks

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QXQiao XueyanCentral South UniversityZLZe-Hua LiSun Yat-sen UniversitySLShi-Yong LinSun Yat-sen University

Key Points

  • Diagnostic accuracy of endoscopic ultrasound is notably decreased for Tis/T1a early gastric cancer when gastric ulcers are present.
  • Findings indicate that staging should be approached with caution when dealing with ulcer-related lesions.
  • Endoscopic ultrasound is used for cancer staging, but its effectiveness varies with the presence of ulcers.
  • Caution in EUS interpretation is emphasized for accurate clinical decision-making regarding treatment options.

Abstract

The accuracy of EUS for staging Tis/T1a early gastric cancer is markedly reduced when gastric ulceration is present. Therefore, EUS-based staging should be interpreted cautiously in patients with ulcer-related lesions.

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Cite This Study

Xueyan et al. (2026) studied this question.

synapsesocial.com/papers/69a767e2badf0bb9e87e2c60https://doi.org/10.3748/wjg.v32.i7.116463
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Diagnostic Efficacy and Decision-Making Role of Preoperative Endoscopic Ultrasonography in Early Gastric Cancer2021 · 12 citations
  2. 2Histologic Correlates of Gastrointestinal Ultrasound Images1989 · 465 citations
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  4. 4Present situation of minimally invasive surgical treatment for early gastric cancer2024 · 6 citations
  5. 5Comparison of endoscopic ultrasonography and conventional endoscopy for prediction of depth of tumor invasion in early gastric cancer2010 · 232 citations