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Endoscopy October 2020 PMID 32583395

Risk of recurrence when cutting into intramucosal (pT1a) cancer from the cutting-plane side during gastric endoscopic submucosal dissection.

Hiroko Nakahira, Takashi Kanesaka, Noriya Uedo, Masayasu Ohmori, Hiroyoshi Iwagami, Noriko Matsuura, Satoki Shichijo, Akira Maekawa, Sachiko Yamamoto, Yoji Takeuchi, Koji Higashino, Masanori Kitamura, Shinichi Nakatsuka, Ryu Ishihara

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Mentions

9
Peak: 6 in Oct 2020
across 3 sources since Sep 2020

Extended reach

35,448
potential audience

Total likes

24

Video views

255

Mentions per month

Sep 2020 – Oct 2020

Where it's discussed

  • X / Twitter6 posts
  • Facebook2 posts
  • YouTube1 videos

AI synopsis

What people are saying

The social discussions reflect a positive reception of the research, with comments highlighting the low recurrence rates even when margins are unclear, exemplified by phrases like 'risk of recurrence is very low' and mentions of technical difficulties during ESD. The tone and choice of words indicate both clinical interest and cautious optimism about implementing the findings in practice.

AgreementModerate agreement

The posts generally support the findings, emphasizing the low recurrence risk despite technical challenges.

InterestHigh interest

Discussion shows high interest, with posts referencing specific techniques like ESD and cautious margins.

EngagementModerate engagement

Posts are somewhat engaged, referencing video footage and expert commentary, indicating active consideration.

ImpactModerate impact

Post discussions suggest the findings could influence clinical practice, though the focus remains on technical nuances.

Abstract in brief

  • When performing gastric endoscopic submucosal dissection (ESD), operators sometimes cut into the lesion from the cutting plane side, leading to positive or unclear vertical margins (VM1/VMX), which could increase the risk of cancer recurrence.
  • In a study of 1492 early-stage gastric cancers treated with ESD, only 28 cases (about 1.9%) had VM1/VMX, and none of these experienced cancer recurrence over an average follow-up of 41 months.
  • The findings suggest that even when the vertical margin is positive or unclear due to technical challenges during ESD, the risk of cancer coming back is very low, so patients might not need additional surgery and can instead be monitored with regular endoscopy.]
Read the full abstract

Top posts

Most liked on X and Bluesky
Endoscopy Journal
@endoscopyjrnl · X

Risk of recurrence when cutting into intramucosal (pT1a) cancer from the cutting-plane side during gastric endoscopic submucosal dissection Hiroko Nakahira et al. Resected specimen after ESD. The arrow indicates a hole in the specimen. https://t.co/Kyrz1DJRdp https://t.co/4aaLknTylD

Oct 16, 2020 · 15 likes · 4 shares · 11,568 followers View post →
Endoscopy Journal
@endoscopyjrnl · X

Author Commentary Hiroko Nakahira on "Risk of recurrence when cutting into intramucosal (pT1a) cancer from the cutting-plane side during gastric endoscopic submucosal dissection" Watch the video here: https://t.co/iKp34QWhfs

Oct 3, 2020 · 1 like · 11,534 followers View post →
Katarzyna Monika Pawlak
@KM_Pawlak · X

RT @endoscopyjrnl: Risk of recurrence when cutting into intramucosal (pT1a) cancer from the cutting-plane side during gastric endoscopic su…

Oct 17, 2020 · 4 shares · 7,625 followers View post →
Robert Bechara
@RobertBechara · X

RT @endoscopyjrnl: Risk of recurrence when cutting into intramucosal (pT1a) cancer from the cutting-plane side during gastric endoscopic su…

Oct 16, 2020 · 4 shares · 3,350 followers View post →
David Arciniegas, MD
@ArciniegasMd · X

RT @endoscopyjrnl: Risk of recurrence when cutting into intramucosal (pT1a) cancer from the cutting-plane side during gastric endoscopic su…

Oct 16, 2020 · 4 shares · 636 followers View post →
Juan Paredes
@johnepm · X

RT @endoscopyjrnl: Risk of recurrence when cutting into intramucosal (pT1a) cancer from the cutting-plane side during gastric endoscopic su…

Oct 16, 2020 · 4 shares · 440 followers View post →

All mentions

Katarzyna Monika Pawlak
@KM_Pawlak · X

RT @endoscopyjrnl: Risk of recurrence when cutting into intramucosal (pT1a) cancer from the cutting-plane side during gastric endoscopic su…

Oct 17, 2020 · 4 shares · 7,625 followers View post →
Robert Bechara
@RobertBechara · X

RT @endoscopyjrnl: Risk of recurrence when cutting into intramucosal (pT1a) cancer from the cutting-plane side during gastric endoscopic su…

Oct 16, 2020 · 4 shares · 3,350 followers View post →
David Arciniegas, MD
@ArciniegasMd · X

RT @endoscopyjrnl: Risk of recurrence when cutting into intramucosal (pT1a) cancer from the cutting-plane side during gastric endoscopic su…

Oct 16, 2020 · 4 shares · 636 followers View post →
Juan Paredes
@johnepm · X

RT @endoscopyjrnl: Risk of recurrence when cutting into intramucosal (pT1a) cancer from the cutting-plane side during gastric endoscopic su…

Oct 16, 2020 · 4 shares · 440 followers View post →
Endoscopy Journal
@endoscopyjrnl · X

Risk of recurrence when cutting into intramucosal (pT1a) cancer from the cutting-plane side during gastric endoscopic submucosal dissection Hiroko Nakahira et al. Resected specimen after ESD. The arrow indicates a hole in the specimen. https://t.co/Kyrz1DJRdp https://t.co/4aaLknTylD

Oct 16, 2020 · 15 likes · 4 shares · 11,568 followers View post →
Endoscopy Journal
@endoscopyjrnl · X

Author Commentary Hiroko Nakahira on "Risk of recurrence when cutting into intramucosal (pT1a) cancer from the cutting-plane side during gastric endoscopic submucosal dissection" Watch the video here: https://t.co/iKp34QWhfs

Oct 3, 2020 · 1 like · 11,534 followers View post →