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JGCA Risk Classifier (EGC Curability)
Clinical Context & Background
The Japanese Gastric Cancer Association (JGCA) / Gotoda criteria classify endoscopic resection (ESD) for Early Gastric Cancer as "Curative", "Expanded Curative", or "Non-Curative". This determines whether additional surgical gastrectomy is required after ESD.
Formula Logic
Logic based on Size, Ulceration, Histology, Invasion Depth, and Lymphovascular Invasion.Reference Data
| Resection Status | Definition | Action |
|---|---|---|
| eCura A (Absolute) | Diff, pT1a, UL-, any size OR Diff, pT1a, UL+, <3cm | Follow-up (Curative) |
| eCura B (Expanded) | Diff, pT1b(SM1), <3cm OR Undiff, pT1a, UL-, <2cm | Follow-up (Curative) |
| eCura C-1/C-2 | Non-curative features | Surgery Recommended |
Evidence-based oncology decision support. Verify with clinical guidelines.