GI Calc
gicalc
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Esophagus
10
Stomach
15
Duodenum
7
Colorectum
19
Pathology
6
Bleeding
4
score/[id]
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SCORE
Early gastric ca
Sekiguchi score (early gastric cancer LNM, 11 points)
Stratifies early gastric cancer LNM on an 11-point scale. Separates mixed histology.
Tumor size
≤2 cm
0 points
>2–≤3 cm
+1 point
>3 cm
+2 points
Depth
SM1 is scored 0, same as mucosa
M / SM1
0 points (SM1 <500 μm)
SM2
+2 points (≥500 μm)
Histology
Differentiated = tub1/tub2/pap; undifferentiated = por/sig/muc
Pure differentiated
0 points
Pure undifferentiated
+1 point
Mixed, differentiated-predominant
+1 point
Mixed, undifferentiated-predominant
+2 points
Ulcer UL
Absent
0 points
Present
+1 point
Lymphovascular invasion
Strongest factor (+4)
Absent
0 points
Present
+4 points
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Reference
Original article
Sekiguchi M et al. J Gastroenterol 2016;51:961-970
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eCura LNM
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Decision support only. Follow current guidelines and local protocols. Classification definitions and terminology follow the original publication language.
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