Case challenge · Surgical approach decision / GI endoscopy / GI surgery · teaching

Early Gastric Cancer/Tumor · ESD vs Gastrectomy · case challenge

Given a case, work through the care pathway step by step; the tool checks each choice and scores you. Decisions and basis are taken from this site's reviewed care pathways.

← View the full flowchartBased on AGA / JGCA

Case #1Surgical approach decision / GI endoscopy / GI surgery

📋 Case data

Differentiation/ulcer/size/depth → criteriaAbsolute criteria: differentiated, no ulcer, intramucosal, ≤2 cm

Data is taken from this pathway's reviewed node text. Work through the pathway step by step.

Step 1 / 1 · Differentiation/ulcer/size/depth → criteria

Differentiated? Ulcer? Size? Depth of invasion?

💡 Curative resection = en-bloc + negative margins + no lymphovascular invasion + depth limited to mucosa or sm1 (<500 µm, differentiated).

For teaching. Decisions and their basis are taken from this site's reviewed care pathways; for licensed clinicians/trainees, this does not replace clinical judgment or local protocols.