Endoscopic Submucosal Dissection in the Treatment of Patients With Papillary Early Gastric Cancer

Papillary adenocarcinoma is a histological type of gastric adenocarcinoma with a very low incidence; therefore, little research has been conducted into this tumor type and no clear treatment guidelines have been developed. Papillary adenocarcinoma is classified as a differentiated-type gastric cancer, according to the Japanese guidelines, but is known to have a high risk of lymph node metastasis. Although the use of endoscopic submucosal dissection in the treatment of early gastric cancer is gradually expanding, its application in patients with papillary early gastric cancer remains controversial. This study helps to identify appropriate indications for endoscopic submucosal dissection in patients with papillary early gastric cancer.