TY - JOUR AU - Abdelfatah, Mohamed M. AU - Othman, Mohamed O. PY - 2018 TI - Lymph node metastases in early gastric cancer, when the East and the West come to terms JF - Translational Gastroenterology and Hepatology; Vol 3 (November 2018): Translational Gastroenterology and Hepatology Y2 - 2018 KW - N2 - Endoscopic resection of early gastric cancer (EGC) is limited by the risk of lymph node metastasis (LNM). In general, resection of small (less than 2 cm) differentiated EGC which is limited to the mucosa is deemed safe due to negligible risk of lymph node metastasis. Expanding endoscopic resection beyond this criterion has been a matter of debate. In a land mark study by Gotoda et al., the risk of LNM for mucosal differentiated lesions without ulceration, irrespective of size, mucosal differentiated ulcerated lesions ≤2 cm, and poorly differentiated lesions ≤3 cm was 0% (1). UR - https://tgh.amegroups.org/article/view/4677