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id=3DMain-File rel=3DMain-File href=3D"../EndoscopicSubmucosal.htm"> <link rel=3DPreview href=3Dpreview.wmf> <![if IE]> <base href=3D"file:///C:\3069588C\EndoscopicSubmucosal_arquivos\master05.ht= m" id=3D"webarch_temp_base_tag"> <![endif]> <meta name=3DRobots content=3DNoIndex> <link rel=3DStylesheet href=3D"master04_stylesheet.css"> <![if !ppt]><script src=3Dscript.js></script> <script>  </script> <![endif]> </head> <body> <div v:shape=3D"_x0000_m5131" class=3DCT>Serviço de Endoscopia Gastrointestinal<br> Hospital das Clínicas<br> Faculdade de Medicina da Univrsidade de São Paulo</div> <div v:shape=3D"_x0000_m5132" class=3DCB>REUNIÃO ANÁTOMO-ENDO= SCÓPICA</div> <div v:shape=3D"_x0000_s5133" class=3DO><span lang=3DPT-BR style=3D'font-si= ze:67%; mso-field-code:meta0'>‹data/hora›</span><span style=3D'font-siz= e: 67%;mso-special-format:lastCR'> </span></div> <div v:shape=3D"_x0000_s5134" class=3DO style=3D'text-align:center'><span 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#_x0000_m5131" style=3D'position:absolute;left:53.875pt;top:20.5pt;width:612pt;height:79= .375pt' o:userdrawn=3D"f"> <v:fill o:detectmouseclick=3D"f"/> <v:stroke o:forcedash=3D"f"/> <o:lock v:ext=3D"edit" text=3D"f"/> <p:placeholder type=3D"centerTitle"/></v:shape><p:shaperange href=3D"master05.xml#_x0000_m5132"/><v:shape id=3D"_x0000_s2051" type=3D"= #_x0000_m5132" style=3D'position:absolute;left:104.875pt;top:150.875pt;width:504.625pt; height:368.625pt' o:userdrawn=3D"f"> <v:fill o:detectmouseclick=3D"f"/> <v:stroke o:forcedash=3D"f"/> <o:lock v:ext=3D"edit" text=3D"f"/> <p:placeholder type=3D"subTitle" position=3D"1"/></v:shape> <div v:shape=3D"_x0000_s2050" class=3DCT><span style=3D'position:absolute; top:4.75%;left:8.42%;width:83.14%;height:4.25%'><span style=3D'font-weight= :normal'>Serviço de Endoscopia Gastrointestinal<br> </span></span><span style=3D'position:absolute;top:9.25%;left:8.42%;width= :83.14%; height:4.25%'><span style=3D'font-weight:normal'>Hospital das Clínicas<br> </span></span><span style=3D'position:absolute;top:13.5%;left:8.42%;width= :83.14%; height:4.25%'><span style=3D'font-weight:normal'>Faculdade de Medicina da Universidade de São Paulo</span></span></div> <div v:shape=3D"_x0000_s2051" class=3DCB> <div style=3D'mso-line-spacing:"80 20 0"'><span style=3D'position:absolute; top:27.75%;left:15.54%;width:68.16%;height:7.75%'><span style=3D'font-size= :67%'><b>Endoscopic submucosal </b></span></span><span style=3D'position:absolute;top:34.25%; left:15.54%;width:68.16%;height:7.75%'><span style=3D'font-size:67%'><b>di= ssection allows curative </b></span></span><span style=3D'position:absolute;top:40.= 5%; left:13.67%;width:72.09%;height:7.75%'><span style=3D'font-size:67%'><b>re= section of locally recurrent </b></span></span><span style=3D'position:absolute; top:47.0%;left:11.79%;width:75.65%;height:7.75%'><span style=3D'font-size:= 67%'><b>early gastric cancer after prior </b></span></span><span style=3D'position:absol= ute; top:53.5%;left:11.61%;width:76.21%;height:7.75%'><span style=3D'font-size:= 67%'><b>endoscopic mucosal resection </b></span></span></div> <div style=3D'mso-line-spacing:"80 20 0";position:absolute;top:61.5%;left:= 15.54%; width:68.16%;height:7.75%'><span style=3D'font-size:67%;display:none'><b>&= #13;</b></span></div> <div style=3D'mso-line-spacing:"80 20 0";position:absolute;top:69.25%; left:15.54%;width:68.16%;height:7.0%'><span style=3D'font-size:59%;display= :none'> </span></div> <div style=3D'text-align:right;mso-line-spacing:"80 20 0"'><span style=3D'position:absolute;top:76.25%;left:8.23%;width:75.65%;height:5.25%= '><span style=3D'font-size:44%'>Chizu Yokoi, MD, Takuji Gotoda, MD, Hisanao </span= ></span><span style=3D'position:absolute;top:80.5%;left:15.54%;width:68.16%;height:5.25%= '><span style=3D'font-size:44%'>Hamanaka, MD, Ichiro Oda, MD </span></span></d= iv> <div style=3D'text-align:right;mso-line-spacing:"80 20 0";position:absolut= e; top:86.0%;left:15.54%;width:68.16%;height:5.25%'><span style=3D'font-size:= 44%; display:none'> </span></div> <div style=3D'text-align:right;mso-line-spacing:"80 20 0";position:absolut= e; top:91.0%;left:11.42%;width:72.28%;height:4.5%'><span style=3D'font-size:3= 7%'><b><i>Gastrointestinal Endoscpy, Vol 64, No 2, Aug/2006</i></b></span></div> </div> </p:slide></div> </body> </html> ------=_NextPart_01C6E70B.AB4AF270 Content-Location: file:///C:/3069588C/EndoscopicSubmucosal_arquivos/master05_image002.gif Content-Transfer-Encoding: base64 Content-Type: image/gif R0lGODlhFwKRAXcAMSH+GlNvZnR3YXJlOiBNaWNyb3NvZnQgT2ZmaWNlACH5BAEAAAAALAAAAAAW ApABhwAAAAAAFQAAFgAAFwAAGAAAGQACGQAGGwAKHAALHQALHgALHwALIAALIgALIwALJAALJQAL JgAMKAANKQAPKgAPKwAPLAAPLQAPLgAPLwAPMAAPMQAPMgAQMwASNQASNgASNwASOAATOQAUOgAV PAAVPQAVPgAVPwAVQAAVQQAWQwAXRAAXRQAXRgAXRwAYSAAZSgAZSwAZTAAZTQAZTwAaUAAaUgAb UwAcVAAcVQAcVgAcVwAdWAAeWQAeWgAfXAAfXQAfXgAfYAAfYQAgYQAgYgAhYwAiZAAiZgAjZwAj 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left:5.43%;width:89.51%;height:7.0%'><span style=3D'mso-special-format:nob= ullet; display:none;color:#FFCC00;mso-color-index:6;font-family:Wingdings;font-si= ze: 70%'>n</span>Dissecção submucosa endoscópica permite = </span><span style=3D'position:absolute;top:40.0%;left:2.05%;width:99.62%;height:7.0%'>= ressecção curativa de recorrência local de câncer </span><span style=3D'position:absolute;top:47.0%;left:9.73%;width:84.45%;height:7.0%'>= gástrico precoce após mucosectomia </span><span style=3D'position:absolute; top:54.25%;left:9.73%;width:84.45%;height:7.0%'>endoscópica prévia </span></div> <div style=3D'position:absolute;top:62.74%;left:5.99%;width:88.2%;height:7= .0%'><span style=3D'position:absolute;top:0%;left:4.24%;width:95.75%;height:100.0%'><= span style=3D'visibility:hidden'><span class=3DBB style=3D'position:absolute;le= ft:-4.43%'>n</span></span><span style=3D'mso-special-format:lastCR;display:none'> </span></span></div> </div> </p:slide></div> </body> </html> 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xmlns:oa=3D"urn:schemas-microsoft-com:office:activation" xmlns=3D"http://www.w3.org/TR/REC-html40"> <head> <meta http-equiv=3DContent-Type content=3D"text/html; charset=3Dus-ascii"> <meta name=3DProgId content=3DPowerPoint.Slide> <meta name=3DGenerator content=3D"Microsoft PowerPoint 11"> <link id=3DMain-File rel=3DMain-File href=3D"../EndoscopicSubmucosal.htm"> <link rel=3DPreview href=3Dpreview.wmf>  <title>Serviço de Endoscopia Gastrointestinal Hospital das Clínicas Faculdade de Medicina da Univrsidade de São Paulo</t= itle> <![if IE]> <base href=3D"file:///C:\3069588C\EndoscopicSubmucosal_arquivos\slide0018.h= tm" id=3D"webarch_temp_base_tag"> <![endif]> <meta name=3DDescription content=3D"3/10/2006: Endoscopic submucosal dissection allows curative rese= ction of locally recurrent early gastric cancer after prior endoscopic muco= sal resection"> <link rel=3DStylesheet href=3D"master04_stylesheet.css"> <![if !ppt]> <style media=3Dprint>  </style> <script src=3Dscript.js></script><script></script><![endif]><o:shapelayout v:ext=3D"edit"> <o:idmap v:ext=3D"edit" data=3D"34"/> </o:shapelayout> </head> <body lang=3DPT-BR style=3D'margin:0px;background-color:black' onclick=3D"DocumentOnClick()" onresize=3D"_RSW()" onload=3D"LoadSld()" onkeypress=3D"_KPH()"> <div id=3DSlideObj class=3Dsld style=3D'position:absolute;top:0px;left:0px; width:534px;height:400px;font-size:16px;background-color:#003399;clip:rect(= 0%, 101%, 101%, 0%); visibility:hidden'><p:slide coordsize=3D"720,540" colors=3D"#003399,#ffffff,#000514,#e5e5ff,#0099cc,#a886e0,#ffcc00,#ffffcc" masterhref=3D"master04.xml"> <p:shaperange href=3D"master04.xml#_x0000_s4097"/><![if !ppt]><p:shaperange href=3D"master04.xml#_x0000_s4098"/><p:shaperange href=3D"master04.xml#_x0000_s4100"/><![if !vml]><img border=3D0 v:shapes=3D"_x0000_s4100,_x0000_s4102,_x0000_s4103,_x0000_s4104,_x0000_s41= 05,_x0000_s4106,_x0000_s4107,_x0000_s4108" src=3D"master04_image004.gif" style=3D'position:absolute;top:0%;left:0%; width:100.18%;height:100.25%'><![endif]><p:shaperange href=3D"master04.xml#_x0000_s4110"/><![endif]><p:shaperange href=3D"master04.xml#_x0000_m4109"/><v:shape id=3D"_x0000_s34818" type=3D= "#_x0000_m4109" style=3D'position:absolute;left:36pt;top:21.625pt;width:9in;height:90pt' o:userdrawn=3D"f"> <v:fill o:detectmouseclick=3D"f"/> <v:stroke o:forcedash=3D"f"/> <o:lock v:ext=3D"edit" text=3D"f"/> <p:placeholder type=3D"title"/></v:shape><p:shaperange href=3D"master04.xml#_x0000_m4111"/><v:shape id=3D"_x0000_s34819" type=3D= "#_x0000_m4111" style=3D'position:absolute;left:36pt;top:126pt;width:9in;height:356.375pt' o:userdrawn=3D"f"> <v:fill o:detectmouseclick=3D"f"/> <v:stroke o:forcedash=3D"f"/> <o:lock v:ext=3D"edit" text=3D"f"/> <p:placeholder type=3D"body" position=3D"1"/></v:shape> <div v:shape=3D"_x0000_s34818" class=3DT><span style=3D'position:absolute; top:8.5%;left:-.56%;width:101.31%;height:4.0%'><span style=3D'font-size:41= %'>Endoscopic submucosal dissection allows curative resection of locally recurrent </spa= n></span><span style=3D'position:absolute;top:12.5%;left:5.99%;width:88.2%;height:4.0%'><= span style=3D'font-size:41%'>early gastric cancer after prior endoscopic mucosal resection</span></span></div> <div v:shape=3D"_x0000_s34819" class=3DB> <div style=3D'mso-line-spacing:"90 20 0";position:absolute;top:23.75%; left:5.99%;width:88.2%;height:5.25%'><span style=3D'mso-special-format:nob= ullet; display:none;color:#FFCC00;mso-color-index:6;font-family:Wingdings;font-si= ze: 70%'>n</span><span style=3D'font-size:75%'><b>Introdução = ;</b></span></div> <div style=3D'mso-line-spacing:"90 20 0"'><span style=3D'position:absolute; top:29.75%;left:5.99%;width:102.99%;height:5.25%'><span style=3D'mso-speci= al-format: nobullet;display:none;color:#FFCC00;mso-color-index:6;font-family:Wingding= s; font-size:70%'>n</span><span style=3D'font-size:75%'><span style=3D'mso-ta= b-count: 1;width:3.64%'> </span>A </span><span style=3D'font-size:75%'><i>mucosecto= mia endoscópica</i></span><span style=3D'font-size:75%'> (</span><span style=3D'font-size:75%'><b>ME</b></span><span style=3D'font-size:75%'>) &e= acute; aceita mundialmente como um </span></span><span style=3D'position:absolute; top:34.5%;left:9.73%;width:90.07%;height:5.25%'><span style=3D'font-size:7= 5%'>tratamento minimamente invasivo para </span><span style=3D'font-size:75%'><i>câ= ncer gástrico precoce</i></span><span style=3D'font-size:75%'> </span></= span><span style=3D'position:absolute;top:39.25%;left:9.73%;width:99.43%;height:5.25%= '><span style=3D'font-size:75%'>(</span><span style=3D'font-size:75%'><b>CGP</b></= span><span style=3D'font-size:75%'>). Técnicas de ME convencionais como Stripy biopsy, ME </span></span><span style=3D'position:absolute;top:44.0%;left:9= .73%; width:89.51%;height:5.25%'><span style=3D'font-size:75%'>com CAP, ME com ligadura, são normalmente utilizados. </span></span><span style=3D'position:absolute;top:48.75%;left:9.73%;width:97.0%;height:5.25%'= ><span style=3D'font-size:75%'>Infelizmente quando utilizados para ressecar grand= es lesões ou </span></span><span style=3D'position:absolute;top:53.75%; left:9.73%;width:86.14%;height:5.25%'><span style=3D'font-size:75%'>remove= r em piecemeal, estão associados a altas taxas de </span></span><span style=3D'position:absolute;top:58.5%;left:9.73%;width:97.37%;height:5.25%'= ><span style=3D'font-size:75%'>recorrência. As taxas variam de 2 a 35%. Técnicas de dissecção </span></span><span style=3D'position:absolute;top:63.24%;left:9.73%;width:89.13%;height:5.25%= '><span style=3D'font-size:75%'>submucosa têm sido agora descritas. O trabal= ho reporta a </span></span><span style=3D'position:absolute;top:68.0%;left:9.= 73%; width:88.95%;height:5.25%'><span style=3D'font-size:75%'>segurança e prognóstico com o uso da </span><span style=3D'font-size:75%'><i>Di= ssecção Submucosa </i></span></span><span style=3D'position:absolute;top:72.75%; left:9.73%;width:87.82%;height:5.25%'><span style=3D'font-size:75%'><i>End= oscópica</i></span><span style=3D'font-size:75%'> (</span><span style=3D'font-size:75%'><b>DSE</b><= /span><span style=3D'font-size:75%'>) para tratar a recorrência do CGP apó= ;s </span></span><span style=3D'position:absolute;top:77.5%;left:9.73%;width:84.45%;height:5.25%'= ><span style=3D'font-size:75%'>ressecção prévia por técnicas convencionais de ME.</span></span></div> </div> </p:slide></div> </body> </html> ------=_NextPart_01C6E70B.AB4AF270 Content-Location: file:///C:/3069588C/EndoscopicSubmucosal_arquivos/slide0019.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" <html xmlns:v=3D"urn:schemas-microsoft-com:vml" xmlns:o=3D"urn:schemas-microsoft-com:office:office" xmlns:p=3D"urn:schemas-microsoft-com:office:powerpoint" xmlns:oa=3D"urn:schemas-microsoft-com:office:activation" xmlns=3D"http://www.w3.org/TR/REC-html40"> <head> <meta http-equiv=3DContent-Type content=3D"text/html; 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width:534px;height:400px;font-size:16px;background-color:#003399;clip:rect(= 0%, 101%, 101%, 0%); visibility:hidden'><p:slide coordsize=3D"720,540" colors=3D"#003399,#ffffff,#000514,#e5e5ff,#0099cc,#a886e0,#ffcc00,#ffffcc" masterhref=3D"master04.xml"> <p:shaperange href=3D"master04.xml#_x0000_s4097"/><![if !ppt]><p:shaperange href=3D"master04.xml#_x0000_s4098"/><p:shaperange href=3D"master04.xml#_x0000_s4100"/><![if !vml]><img border=3D0 v:shapes=3D"_x0000_s4100,_x0000_s4102,_x0000_s4103,_x0000_s4104,_x0000_s41= 05,_x0000_s4106,_x0000_s4107,_x0000_s4108" src=3D"master04_image004.gif" style=3D'position:absolute;top:0%;left:0%; width:100.18%;height:100.25%'><![endif]><p:shaperange href=3D"master04.xml#_x0000_s4110"/><![endif]><p:shaperange href=3D"master04.xml#_x0000_m4109"/><v:shape id=3D"_x0000_s35842" type=3D= "#_x0000_m4109" style=3D'position:absolute;left:36pt;top:21.625pt;width:9in;height:90pt' o:userdrawn=3D"f"> <v:fill o:detectmouseclick=3D"f"/> <v:stroke o:forcedash=3D"f"/> <o:lock v:ext=3D"edit" text=3D"f"/> <p:placeholder type=3D"title"/></v:shape><p:shaperange href=3D"master04.xml#_x0000_m4111"/><v:shape id=3D"_x0000_s35843" type=3D= "#_x0000_m4111" style=3D'position:absolute;left:36pt;top:133.875pt;width:9in;height:317.6= 25pt' o:userdrawn=3D"f"> <v:fill o:detectmouseclick=3D"f"/> <v:stroke o:forcedash=3D"f"/> <o:lock v:ext=3D"edit" text=3D"f"/> <p:placeholder type=3D"body" position=3D"1"/></v:shape> <div v:shape=3D"_x0000_s35842" class=3DT><span style=3D'position:absolute; top:8.5%;left:-.56%;width:101.31%;height:4.0%'><span style=3D'font-size:41= %'>Endoscopic submucosal dissection allows curative resection of locally recurrent </spa= n></span><span style=3D'position:absolute;top:12.5%;left:5.99%;width:88.2%;height:4.0%'><= span style=3D'font-size:41%'>early gastric cancer after prior endoscopic mucosal resection</span></span></div> <div v:shape=3D"_x0000_s35843" class=3DB> <div style=3D'position:absolute;top:25.75%;left:5.99%;width:88.2%;height:6= .0%'><span style=3D'mso-special-format:nobullet;display:none;color:#FFCC00;mso-color-= index: 6;font-family:Wingdings;font-size:70%'>n</span><span style=3D'font-family:= "Franklin Gothic Medium"; font-size:88%'><b>Métodos </b></span></div> <span style=3D'position:absolute;top:33.25%;left:5.99%;width:100.37%;heigh= t: 6.0%'><span style=3D'mso-special-format:nobullet;display:none;color:#FFCC0= 0; mso-color-index:6;font-family:Wingdings;font-size:70%'>n</span><span style=3D'font-family:"Franklin Gothic Medium";font-size:88%'><span style=3D'mso-tab-count:1;width:3.73%'> </span>Retrospectivamente foram analizados dados de </span></span><span style=3D'position:absolute;top:39.= 5%; left:9.73%;width:101.31%;height:6.0%'><span style=3D'font-family:"Franklin= Gothic Medium"; font-size:88%'>todos os pacientes que foram submetidos a ME no </span></sp= an><span style=3D'position:absolute;top:45.75%;left:9.73%;width:94.75%;height:6.0%'= ><span style=3D'font-family:"Franklin Gothic Medium";font-size:88%'><i>National C= ancer Center Hospital (</i></span><span style=3D'font-family:"Franklin Gothic Me= dium"; font-size:88%'><b>NCCH</b></span><span style=3D'font-family:"Franklin Goth= ic Medium"; font-size:88%'><i>)</i></span><span style=3D'font-family:"Franklin Gothic = Medium"; font-size:88%'>, Tokyo. </span></span><span style=3D'position:absolute; top:52.0%;left:9.73%;width:101.12%;height:6.0%'><span style=3D'font-family= :"Franklin Gothic Medium"; font-size:88%'>Foram identificados e incluidos todos os pacientes </span><= /span><span style=3D'position:absolute;top:58.25%;left:9.73%;width:84.45%;height:6.0%'= ><span style=3D'font-family:"Franklin Gothic Medium";font-size:88%'>que tiveram recorrência local, com </span></span><span style=3D'position:absolut= e; top:64.25%;left:9.73%;width:84.83%;height:6.0%'><span style=3D'font-family= :"Franklin Gothic Medium"; font-size:88%'>adenocarcinoma bem ou moderadamente </span></span><span style=3D'position:absolute;top:70.5%;left:9.73%;width:97.56%;height:6.0%'>= <span style=3D'font-family:"Franklin Gothic Medium";font-size:88%'>diferenciado,= de Novembro de 1993 a Dezembro </span></span><span style=3D'position:absolute; top:76.75%;left:9.73%;width:84.45%;height:6.0%'><span style=3D'font-family= :"Franklin Gothic Medium"; font-size:88%'>de 2003, num total de 66 pacientes.</span></span></div> </p:slide></div> </body> </html> ------=_NextPart_01C6E70B.AB4AF270 Content-Location: file:///C:/3069588C/EndoscopicSubmucosal_arquivos/slide0005.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" <html xmlns:v=3D"urn:schemas-microsoft-com:vml" xmlns:o=3D"urn:schemas-microsoft-com:office:office" xmlns:p=3D"urn:schemas-microsoft-com:office:powerpoint" xmlns:oa=3D"urn:schemas-microsoft-com:office:activation" xmlns=3D"http://www.w3.org/TR/REC-html40"> <head> <meta http-equiv=3DContent-Type content=3D"text/html; charset=3Dus-ascii"> <meta name=3DProgId content=3DPowerPoint.Slide> <meta name=3DGenerator content=3D"Microsoft PowerPoint 11"> <link id=3DMain-File rel=3DMain-File href=3D"../EndoscopicSubmucosal.htm"> <link rel=3DPreview href=3Dpreview.wmf>  <title>Serviço de Endoscopia Gastrointestinal Hospital das Clínicas Faculdade de Medicina da Univrsidade de São Paulo</t= itle> <![if IE]> <base href=3D"file:///C:\3069588C\EndoscopicSubmucosal_arquivos\slide0005.h= tm" id=3D"webarch_temp_base_tag"> <![endif]> <meta name=3DDescription content=3D"3/10/2006: Endoscopic submucosal dissection allows curative rese= ction of locally recurrent early gastric cancer after prior endoscopic muco= sal resection"> <link rel=3DStylesheet href=3D"master04_stylesheet.css"> <![if !ppt]> <style media=3Dprint>  </style> <script src=3Dscript.js></script><script></script><![endif]><o:shapelayout v:ext=3D"edit"> <o:idmap v:ext=3D"edit" data=3D"9"/> </o:shapelayout> </head> <body lang=3DPT-BR style=3D'margin:0px;background-color:black' onclick=3D"DocumentOnClick()" onresize=3D"_RSW()" onload=3D"LoadSld()" onkeypress=3D"_KPH()"> <div id=3DSlideObj class=3Dsld style=3D'position:absolute;top:0px;left:0px; width:534px;height:400px;font-size:16px;background-color:#003399;clip:rect(= 0%, 101%, 101%, 0%); visibility:hidden'><p:slide coordsize=3D"720,540" colors=3D"#003399,#ffffff,#000514,#e5e5ff,#0099cc,#a886e0,#ffcc00,#ffffcc" masterhref=3D"master04.xml"> <p:shaperange href=3D"master04.xml#_x0000_s4097"/><![if !ppt]><p:shaperange href=3D"master04.xml#_x0000_s4098"/><p:shaperange href=3D"master04.xml#_x0000_s4100"/><![if !vml]><img border=3D0 v:shapes=3D"_x0000_s4100,_x0000_s4102,_x0000_s4103,_x0000_s4104,_x0000_s41= 05,_x0000_s4106,_x0000_s4107,_x0000_s4108" src=3D"master04_image004.gif" style=3D'position:absolute;top:0%;left:0%; width:100.18%;height:100.25%'><![endif]><p:shaperange href=3D"master04.xml#_x0000_s4110"/><![endif]><p:shaperange href=3D"master04.xml#_x0000_m4109"/><v:shape id=3D"_x0000_s9218" type=3D"= #_x0000_m4109" style=3D'position:absolute;left:36pt;top:21.625pt;width:9in;height:90pt' o:userdrawn=3D"f"> <v:fill o:detectmouseclick=3D"f"/> <v:stroke o:forcedash=3D"f"/> <o:lock v:ext=3D"edit" text=3D"f"/> <p:placeholder type=3D"title"/></v:shape><p:shaperange href=3D"master04.xml#_x0000_m4111"/><v:shape id=3D"_x0000_s9219" type=3D"= #_x0000_m4111" style=3D'position:absolute;left:36pt;top:126pt;width:9in;height:399.125pt' o:userdrawn=3D"f"> <v:fill o:detectmouseclick=3D"f"/> <v:stroke o:forcedash=3D"f"/> <o:lock v:ext=3D"edit" text=3D"f"/> <p:placeholder type=3D"body" position=3D"1"/></v:shape> <div v:shape=3D"_x0000_s9218" class=3DT style=3D'text-align:left'><span style=3D'position:absolute;top:8.5%;left:5.99%;width:101.31%;height:4.0%'>= <span style=3D'font-size:41%'>Endoscopic submucosal dissection allows curative resection of locally recurrent </span></span><span style=3D'position:absol= ute; top:12.5%;left:5.99%;width:88.2%;height:4.0%'><span style=3D'font-size:41%= '>early gastric cancer after prior endoscopic mucosal resection</span></span></div> <div v:shape=3D"_x0000_s9219" class=3DB> <div style=3D'mso-line-spacing:"80 20 0";position:absolute;top:23.5%;left:= 5.99%; width:88.2%;height:5.25%'><span style=3D'mso-special-format:nobullet;displ= ay: none;color:#FFCC00;mso-color-index:6;font-family:Wingdings;font-size:70%'>= n</span><span style=3D'font-size:75%'><b>Técnicas de Ressecção Endoscópica </b></span></div> <div style=3D'mso-line-spacing:"80 20 0"'><span style=3D'position:absolute; top:28.74%;left:5.99%;width:105.05%;height:5.25%'><span style=3D'mso-speci= al-format: nobullet;display:none;color:#FFCC00;mso-color-index:6;font-family:Wingding= s; font-size:70%'>n</span><span style=3D'font-size:75%'><b><span style=3D'mso= -tab-count: 1;width:3.56%'> </span>1. ME Convencional: 18 pacientes foram submetidos a Strip </b></span></span><span style=3D'position:absolute;top:33.0%;left:9.= 73%; width:84.45%;height:5.25%'><span style=3D'font-size:75%'><b>Biopsy. </= b></span></span></div> <div style=3D'mso-line-spacing:"80 20 0";position:absolute;top:38.25%; left:5.99%;width:88.2%;height:5.25%'><span style=3D'mso-special-format:nob= ullet; display:none;color:#FFCC00;mso-color-index:6;font-family:Wingdings;font-si= ze: 70%'>n</span><span style=3D'font-size:75%;display:none'><b> </b></span= ></div> <div style=3D'mso-line-spacing:"80 20 0"'><span style=3D'position:absolute; top:43.75%;left:5.99%;width:99.43%;height:5.25%'><span style=3D'mso-specia= l-format: nobullet;display:none;color:#FFCC00;mso-color-index:6;font-family:Wingding= s; font-size:70%'>n</span><span style=3D'font-size:75%'><b><span style=3D'mso= -tab-count: 1;width:3.77%'> </span>2. DSE com IT Knife: 46 pacientes. Resumidamente, f= oi </b></span></span><span style=3D'position:absolute;top:48.0%;left:9.73%;width:93.25%;height:5.25%'= ><span style=3D'font-size:75%'><b>marcado a mucosa normal adjacente ao tumor por = pelo </b></span></span><span style=3D'position:absolute;top:52.25%;left:9.73%;width:101.12%;height:5.25= %'><span style=3D'font-size:75%'><b>menos 5mm distante usando Needle Knife. Ap&oacu= te;s injeção de </b></span></span><span style=3D'position:absolut= e; top:56.49%;left:9.73%;width:84.45%;height:5.25%'><span style=3D'font-size:= 75%'><b>solução salina com epinefrina (0.025mg/ml) na </b></span></span><span style=3D'position:absolute;top:60.75%;left:9.73%;width:99.81%;height:5.25%= '><span style=3D'font-size:75%'><b>submucosa, foi feito um corte inicial (pre cut)= ao longo das </b></span></span><span style=3D'position:absolute;top:65.0%; left:9.73%;width:100.18%;height:5.25%'><span style=3D'font-size:75%'><b>ma= rcas com a needle knife. A IT knife é inserida na incisão </b></s= pan></span><span style=3D'position:absolute;top:69.25%;left:9.73%;width:101.31%;height:5.25= %'><span style=3D'font-size:75%'><b>previamente feita e é usado o bisturi elétrico para completar </b></span></span><span style=3D'position:a= bsolute; top:73.5%;left:9.73%;width:100.0%;height:5.25%'><span style=3D'font-size:7= 5%'><b>a incisão ao redor da lesão. Após o corte circunferenci= al ser </b></span></span><span style=3D'position:absolute;top:77.75%;left:9.7= 3%; width:100.93%;height:5.25%'><span style=3D'font-size:75%'><b>completado, solução salina é injetada na submucosa abaixo </b></s= pan></span><span style=3D'position:absolute;top:82.0%;left:9.73%;width:85.39%;height:5.25%'= ><span style=3D'font-size:75%'><b>da lesão, sendo utilizada a IT knife para dissecar a </b></span></span><span style=3D'position:absolute;top:86.25%; left:9.73%;width:93.44%;height:5.25%'><span style=3D'font-size:75%'><b>sub= mucosa. Quando não houver elevação da lesão a IT </b><= /span></span><span style=3D'position:absolute;top:90.5%;left:9.73%;width:99.25%;height:5.25%'= ><span style=3D'font-size:75%'><b>knife foi utilizada para dissecar cuidadosament= e a lesão ao </b></span></span><span style=3D'position:absolute;top:94.= 75%; left:9.73%;width:84.45%;height:5.25%'><span style=3D'font-size:75%'><b>lon= go da submucosa.</b></span></span></div> </div> </p:slide></div> </body> </html> ------=_NextPart_01C6E70B.AB4AF270 Content-Location: file:///C:/3069588C/EndoscopicSubmucosal_arquivos/slide0034.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" <html xmlns:v=3D"urn:schemas-microsoft-com:vml" xmlns:o=3D"urn:schemas-microsoft-com:office:office" xmlns:p=3D"urn:schemas-microsoft-com:office:powerpoint" xmlns:oa=3D"urn:schemas-microsoft-com:office:activation" xmlns=3D"http://www.w3.org/TR/REC-html40"> <head> <meta http-equiv=3DContent-Type content=3D"text/html; charset=3Dus-ascii"> <meta name=3DProgId content=3DPowerPoint.Slide> <meta name=3DGenerator content=3D"Microsoft PowerPoint 11"> <link id=3DMain-File rel=3DMain-File href=3D"../EndoscopicSubmucosal.htm"> <link rel=3DPreview href=3Dpreview.wmf>  <title>Serviço de Endoscopia Gastrointestinal Hospital das Clínicas Faculdade de Medicina da Univrsidade de São Paulo</t= itle> <![if IE]> <base href=3D"file:///C:\3069588C\EndoscopicSubmucosal_arquivos\slide0034.h= tm" id=3D"webarch_temp_base_tag"> <![endif]> <meta name=3DDescription content=3D"3/10/2006: Endoscopic submucosal dissection allows curative rese= ction of locally recurrent early gastric cancer after prior endoscopic muco= sal resection"> <link rel=3DStylesheet href=3D"master04_stylesheet.css"> <![if !ppt]> <style media=3Dprint>  </style> <script src=3Dscript.js></script><script></script><![endif]><o:shapelayout v:ext=3D"edit"> <o:idmap v:ext=3D"edit" data=3D"54"/> </o:shapelayout> </head> <body lang=3DPT-BR style=3D'margin:0px;background-color:black' onclick=3D"DocumentOnClick()" onresize=3D"_RSW()" onload=3D"LoadSld()" onkeypress=3D"_KPH()"> <div id=3DSlideObj class=3Dsld style=3D'position:absolute;top:0px;left:0px; width:534px;height:400px;font-size:16px;background-color:#003399;clip:rect(= 0%, 101%, 101%, 0%); visibility:hidden'><p:slide coordsize=3D"720,540" colors=3D"#003399,#ffffff,#000514,#e5e5ff,#0099cc,#a886e0,#ffcc00,#ffffcc" masterhref=3D"master04.xml"> <p:shaperange href=3D"master04.xml#_x0000_s4097"/><![if !ppt]><p:shaperange href=3D"master04.xml#_x0000_s4098"/><p:shaperange href=3D"master04.xml#_x0000_s4100"/><![if !vml]><img border=3D0 v:shapes=3D"_x0000_s4100,_x0000_s4102,_x0000_s4103,_x0000_s4104,_x0000_s41= 05,_x0000_s4106,_x0000_s4107,_x0000_s4108" src=3D"master04_image004.gif" style=3D'position:absolute;top:0%;left:0%; width:100.18%;height:100.25%'><![endif]><p:shaperange href=3D"master04.xml#_x0000_s4110"/><![endif]><p:shaperange href=3D"master04.xml#_x0000_m4109"/><v:shape id=3D"_x0000_s55298" type=3D= "#_x0000_m4109" style=3D'position:absolute;left:36pt;top:21.625pt;width:9in;height:90pt' o:userdrawn=3D"f"> <v:fill o:detectmouseclick=3D"f"/> <v:stroke o:forcedash=3D"f"/> <o:lock v:ext=3D"edit" text=3D"f"/> <p:placeholder type=3D"title"/></v:shape><p:shaperange href=3D"master04.xml#_x0000_m4111"/><v:shape id=3D"_x0000_s55299" type=3D= "#_x0000_m4111" style=3D'position:absolute;left:36pt;top:126pt;width:9in;height:356.375pt' o:userdrawn=3D"f"> <v:fill o:detectmouseclick=3D"f"/> <v:stroke o:forcedash=3D"f"/> <o:lock v:ext=3D"edit" text=3D"f"/> <p:placeholder type=3D"body" position=3D"1"/></v:shape> <div v:shape=3D"_x0000_s55298" class=3DT style=3D'text-align:left'><span style=3D'position:absolute;top:8.5%;left:5.99%;width:101.31%;height:4.0%'>= <span style=3D'font-size:41%'>Endoscopic submucosal dissection allows curative resection of locally recurrent </span></span><span style=3D'position:absol= ute; top:12.5%;left:5.99%;width:88.2%;height:4.0%'><span style=3D'font-size:41%= '>early gastric cancer after prior endoscopic mucosal resection</span></span></div> <div v:shape=3D"_x0000_s55299" class=3DB> <div style=3D'mso-line-spacing:"80 20 0";position:absolute;top:23.25%; left:5.99%;width:88.2%;height:6.0%'><span style=3D'mso-special-format:nobu= llet; display:none;color:#FFCC00;mso-color-index:6;font-family:Wingdings;font-si= ze: 70%'>n</span><span style=3D'font-size:88%'><b>Avaliação Patológica </b></span></div> <div style=3D'mso-line-spacing:"80 20 0"'><span style=3D'position:absolute; top:29.5%;left:5.99%;width:101.31%;height:6.0%'><span style=3D'mso-special= -format: nobullet;display:none;color:#FFCC00;mso-color-index:6;font-family:Wingding= s; font-size:70%'>n</span><span style=3D'font-size:88%'>Foi definida a ressecção em bloco (1 peça) ou piecemeal </span></spa= n><span style=3D'position:absolute;top:34.5%;left:9.73%;width:96.06%;height:6.0%'>= <span style=3D'font-size:88%'>(múltiplos fragmentos). Seguindo a recomendação da </span></span><span style=3D'position:absolu= te; top:39.5%;left:9.73%;width:98.68%;height:6.0%'><span style=3D'font-size:88= %'>Sociedade Japonesa de Câncer Gástrico foi seccionado </span></span><span style=3D'position:absolute;top:44.5%;left:9.73%;width:91.38%;height:6.0%'>= <span style=3D'font-size:88%'>as peças em intervalos de 2mm. Foi classifi= cado os </span></span><span style=3D'position:absolute;top:49.5%;left:9.73%; width:95.69%;height:6.0%'><span style=3D'font-size:88%'>achados patológicos em curativo (margens verticais e </span></span><span style=3D'position:absolute;top:54.5%;left:9.73%;width:93.07%;height:6.0%'>= <span style=3D'font-size:88%'>laterais livres, não há invasã= ;o submucosa maior que </span></span><span style=3D'position:absolute;top:59.= 5%; left:9.73%;width:101.12%;height:6.0%'><span style=3D'font-size:88%'>500mc = da musculares mucosae, sem invasão linfática ou </span></span><= span style=3D'position:absolute;top:64.5%;left:9.73%;width:100.37%;height:6.0%'= ><span style=3D'font-size:88%'>vascular), não curativo (não obedece= a estes critérios ou </span></span><span style=3D'position:absolute; top:69.5%;left:9.73%;width:92.5%;height:6.0%'><span style=3D'font-size:88%= '>são pouco diferenciados ou com células em anel de </span></span><span style=3D'position:absolute;top:74.5%;left:9.73%;width:91.57%;height:6.0%'>= <span style=3D'font-size:88%'>sinete) e não avaliável . O grau de diferenciação do </span></span><span style=3D'position:absol= ute; top:79.25%;left:9.73%;width:84.45%;height:6.0%'><span style=3D'font-size:8= 8%'>tumor foi estudado em cada corte.</span></span></div> </div> </p:slide></div> </body> </html> ------=_NextPart_01C6E70B.AB4AF270 Content-Location: file:///C:/3069588C/EndoscopicSubmucosal_arquivos/slide0036.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" <html xmlns:v=3D"urn:schemas-microsoft-com:vml" xmlns:o=3D"urn:schemas-microsoft-com:office:office" xmlns:p=3D"urn:schemas-microsoft-com:office:powerpoint" xmlns:oa=3D"urn:schemas-microsoft-com:office:activation" xmlns=3D"http://www.w3.org/TR/REC-html40"> <head> <meta http-equiv=3DContent-Type content=3D"text/html; charset=3Dus-ascii"> <meta name=3DProgId content=3DPowerPoint.Slide> <meta name=3DGenerator content=3D"Microsoft PowerPoint 11"> <link id=3DMain-File rel=3DMain-File href=3D"../EndoscopicSubmucosal.htm"> <link rel=3DPreview href=3Dpreview.wmf>  <title>Serviço de Endoscopia Gastrointestinal Hospital das Clínicas Faculdade de Medicina da Univrsidade de São Paulo</t= itle> <![if IE]> <base href=3D"file:///C:\3069588C\EndoscopicSubmucosal_arquivos\slide0036.h= tm" id=3D"webarch_temp_base_tag"> <![endif]> <meta name=3DDescription content=3D"3/10/2006: Endoscopic submucosal dissection allows curative rese= ction of locally recurrent early gastric cancer after prior endoscopic muco= sal resection"> <link rel=3DStylesheet href=3D"master04_stylesheet.css"> <![if !ppt]> <style media=3Dprint>  </style> <script src=3Dscript.js></script><script></script><![endif]><o:shapelayout v:ext=3D"edit"> <o:idmap v:ext=3D"edit" data=3D"56"/> </o:shapelayout> </head> <body lang=3DPT-BR style=3D'margin:0px;background-color:black' onclick=3D"DocumentOnClick()" onresize=3D"_RSW()" onload=3D"LoadSld()" onkeypress=3D"_KPH()"> <div id=3DSlideObj class=3Dsld style=3D'position:absolute;top:0px;left:0px; width:534px;height:400px;font-size:16px;background-color:#003399;clip:rect(= 0%, 101%, 101%, 0%); visibility:hidden'><p:slide coordsize=3D"720,540" colors=3D"#003399,#ffffff,#000514,#e5e5ff,#0099cc,#a886e0,#ffcc00,#ffffcc" masterhref=3D"master04.xml"> <p:shaperange href=3D"master04.xml#_x0000_s4097"/><![if !ppt]><p:shaperange href=3D"master04.xml#_x0000_s4098"/><p:shaperange href=3D"master04.xml#_x0000_s4100"/><![if !vml]><img border=3D0 v:shapes=3D"_x0000_s4100,_x0000_s4102,_x0000_s4103,_x0000_s4104,_x0000_s41= 05,_x0000_s4106,_x0000_s4107,_x0000_s4108" src=3D"master04_image004.gif" style=3D'position:absolute;top:0%;left:0%; width:100.18%;height:100.25%'><![endif]><p:shaperange href=3D"master04.xml#_x0000_s4110"/><![endif]><p:shaperange href=3D"master04.xml#_x0000_m4109"/><v:shape id=3D"_x0000_s57346" type=3D= "#_x0000_m4109" style=3D'position:absolute;left:36pt;top:21.625pt;width:9in;height:90pt' o:userdrawn=3D"f"> <v:fill o:detectmouseclick=3D"f"/> <v:stroke o:forcedash=3D"f"/> <o:lock v:ext=3D"edit" text=3D"f"/> <p:placeholder type=3D"title"/></v:shape><p:shaperange href=3D"master04.xml#_x0000_m4111"/><v:shape id=3D"_x0000_s57347" type=3D= "#_x0000_m4111" style=3D'position:absolute;left:36pt;top:126pt;width:9in;height:356.375pt' o:userdrawn=3D"f"> <v:fill o:detectmouseclick=3D"f"/> <v:stroke o:forcedash=3D"f"/> <o:lock v:ext=3D"edit" text=3D"f"/> <p:placeholder type=3D"body" position=3D"1"/></v:shape> <div v:shape=3D"_x0000_s57346" class=3DT style=3D'text-align:left'><span style=3D'position:absolute;top:8.5%;left:5.99%;width:101.31%;height:4.0%'>= <span style=3D'font-size:41%'>Endoscopic submucosal dissection allows curative resection of locally recurrent </span></span><span style=3D'position:absol= ute; top:12.5%;left:5.99%;width:88.2%;height:4.0%'><span style=3D'font-size:41%= '>early gastric cancer after prior endoscopic mucosal resection</span></span></div> <div v:shape=3D"_x0000_s57347" class=3DB> <div style=3D'position:absolute;top:24.25%;left:5.99%;width:88.2%;height:7= .0%'><span style=3D'mso-special-format:nobullet;display:none;color:#FFCC00;mso-color-= index: 6;font-family:Wingdings;font-size:70%'>n</span><b>Seguimento </b></div> = <span style=3D'position:absolute;top:32.75%;left:5.99%;width:100.18%;heigh= t: 7.0%'><span style=3D'mso-special-format:nobullet;display:none;color:#FFCC0= 0; mso-color-index:6;font-family:Wingdings;font-size:70%'>n</span><span style=3D'mso-tab-count:1;width:3.74%'> </span>Todos os pacientes receberam= exame clínico e </span><span style=3D'position:absolute;top:40.0%;left:9.= 73%; width:89.88%;height:7.0%'>endoscópico semestrais, com USG e TC de <= /span><span style=3D'position:absolute;top:47.0%;left:9.73%;width:84.45%;height:7.0%'>= abdome quando necessários. Cirurgia foi </span><span style=3D'position:abs= olute; top:54.25%;left:9.73%;width:85.01%;height:7.0%'>recomendada quando a ressecção foi não </span><span style=3D'position:abso= lute; top:61.25%;left:9.73%;width:84.45%;height:7.0%'>curativa ou não avaliável.</span></div> </p:slide></div> </body> </html> ------=_NextPart_01C6E70B.AB4AF270 Content-Location: file:///C:/3069588C/EndoscopicSubmucosal_arquivos/slide0037.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" <html xmlns:v=3D"urn:schemas-microsoft-com:vml" xmlns:o=3D"urn:schemas-microsoft-com:office:office" xmlns:p=3D"urn:schemas-microsoft-com:office:powerpoint" xmlns:oa=3D"urn:schemas-microsoft-com:office:activation" xmlns=3D"http://www.w3.org/TR/REC-html40"> <head> <meta http-equiv=3DContent-Type content=3D"text/html; charset=3Dus-ascii"> <meta name=3DProgId content=3DPowerPoint.Slide> <meta name=3DGenerator content=3D"Microsoft PowerPoint 11"> <link id=3DMain-File rel=3DMain-File href=3D"../EndoscopicSubmucosal.htm"> <link rel=3DPreview href=3Dpreview.wmf>  <title>Serviço de Endoscopia Gastrointestinal Hospital das Clínicas Faculdade de Medicina da Univrsidade de São Paulo</t= itle> <![if IE]> <base href=3D"file:///C:\3069588C\EndoscopicSubmucosal_arquivos\slide0037.h= tm" id=3D"webarch_temp_base_tag"> <![endif]> <meta name=3DDescription content=3D"3/10/2006: Endoscopic submucosal dissection allows curative rese= ction of locally recurrent early gastric cancer after prior endoscopic muco= sal resection"> <link rel=3DStylesheet href=3D"master04_stylesheet.css"> <![if !ppt]> <style media=3Dprint>  </style> <script src=3Dscript.js></script><script></script><![endif]><o:shapelayout v:ext=3D"edit"> <o:idmap v:ext=3D"edit" data=3D"57"/> </o:shapelayout> </head> <body lang=3DPT-BR style=3D'margin:0px;background-color:black' onclick=3D"DocumentOnClick()" onresize=3D"_RSW()" onload=3D"LoadSld()" onkeypress=3D"_KPH()"> <div id=3DSlideObj class=3Dsld style=3D'position:absolute;top:0px;left:0px; width:534px;height:400px;font-size:16px;background-color:#003399;clip:rect(= 0%, 101%, 101%, 0%); visibility:hidden'><p:slide coordsize=3D"720,540" colors=3D"#003399,#ffffff,#000514,#e5e5ff,#0099cc,#a886e0,#ffcc00,#ffffcc" masterhref=3D"master04.xml"> <p:shaperange href=3D"master04.xml#_x0000_s4097"/><![if !ppt]><p:shaperange href=3D"master04.xml#_x0000_s4098"/><p:shaperange href=3D"master04.xml#_x0000_s4100"/><![if !vml]><img border=3D0 v:shapes=3D"_x0000_s4100,_x0000_s4102,_x0000_s4103,_x0000_s4104,_x0000_s41= 05,_x0000_s4106,_x0000_s4107,_x0000_s4108" src=3D"master04_image004.gif" style=3D'position:absolute;top:0%;left:0%; width:100.18%;height:100.25%'><![endif]><p:shaperange href=3D"master04.xml#_x0000_s4110"/><![endif]><p:shaperange href=3D"master04.xml#_x0000_m4109"/><v:shape id=3D"_x0000_s58370" type=3D= "#_x0000_m4109" style=3D'position:absolute;left:36pt;top:21.625pt;width:9in;height:90pt' o:userdrawn=3D"f"> <v:fill o:detectmouseclick=3D"f"/> <v:stroke o:forcedash=3D"f"/> <o:lock v:ext=3D"edit" text=3D"f"/> <p:placeholder type=3D"title"/></v:shape><p:shaperange href=3D"master04.xml#_x0000_m4111"/><v:shape id=3D"_x0000_s58371" type=3D= "#_x0000_m4111" style=3D'position:absolute;left:36pt;top:126pt;width:9in;height:356.375pt' o:userdrawn=3D"f"> <v:fill o:detectmouseclick=3D"f"/> <v:stroke o:forcedash=3D"f"/> <o:lock v:ext=3D"edit" text=3D"f"/> <p:placeholder type=3D"body" position=3D"1"/></v:shape> <div v:shape=3D"_x0000_s58370" class=3DT style=3D'text-align:left'><span style=3D'position:absolute;top:8.0%;left:5.99%;width:98.5%;height:4.5%'><s= pan style=3D'font-size:45%'>Endoscopic submucosal dissection allows curative resection of locally </span></span><span style=3D'position:absolute;top:12= .5%; left:5.99%;width:98.87%;height:4.5%'><span style=3D'font-size:45%'>recurre= nt early gastric cancer after prior endoscopic mucosal resection</span></span= ></div> <div v:shape=3D"_x0000_s58371" class=3DB> <div style=3D'position:absolute;top:24.25%;left:5.99%;width:88.2%;height:7= .0%'><span style=3D'mso-special-format:nobullet;display:none;color:#FFCC00;mso-color-= index: 6;font-family:Wingdings;font-size:70%'>n</span><b>Resultados </b></div> <div style=3D'position:absolute;top:32.75%;left:5.99%;width:88.2%;height:7= .0%'><span style=3D'mso-special-format:nobullet;display:none;color:#FFCC00;mso-color-= index: 6;font-family:Wingdings;font-size:70%'>n</span><b><span style=3D'mso-tab-c= ount: 1;width:4.25%'> </span>Análise estatística: Teste de Fischer </b></div> <div style=3D'position:absolute;top:41.5%;left:5.99%;width:88.2%;height:7.= 0%'><span style=3D'mso-special-format:nobullet;display:none;color:#FFCC00;mso-color-= index: 6;font-family:Wingdings;font-size:70%'>n</span><b> </b></div> <span style=3D'position:absolute;top:50.0%;left:5.99%;width:104.3%;height:= 7.0%'><span style=3D'mso-special-format:nobullet;display:none;color:#FFCC00;mso-color-= index: 6;font-family:Wingdings;font-size:70%'>n</span><b>As características dos pacientes e dos tumores </b></span><span style=3D'position:absolute; top:56.99%;left:9.73%;width:84.45%;height:7.0%'><b>estão resumidos = na tabela 1. </b></span></div> </p:slide></div> </body> </html> ------=_NextPart_01C6E70B.AB4AF270 Content-Location: file:///C:/3069588C/EndoscopicSubmucosal_arquivos/slide0035.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" <html xmlns:v=3D"urn:schemas-microsoft-com:vml" xmlns:o=3D"urn:schemas-microsoft-com:office:office" xmlns:p=3D"urn:schemas-microsoft-com:office:powerpoint" xmlns:oa=3D"urn:schemas-microsoft-com:office:activation" xmlns=3D"http://www.w3.org/TR/REC-html40"> <head> <meta http-equiv=3DContent-Type content=3D"text/html; charset=3Dus-ascii"> <meta name=3DProgId content=3DPowerPoint.Slide> <meta name=3DGenerator content=3D"Microsoft PowerPoint 11"> <link id=3DMain-File rel=3DMain-File href=3D"../EndoscopicSubmucosal.htm"> <link rel=3DPreview href=3Dpreview.wmf>  <title>Serviço de Endoscopia Gastrointestinal Hospital das Clínicas Faculdade de Medicina da Univrsidade de São Paulo</t= itle> <![if IE]> <base href=3D"file:///C:\3069588C\EndoscopicSubmucosal_arquivos\slide0035.h= tm" id=3D"webarch_temp_base_tag"> <![endif]> <meta name=3DDescription content=3D"3/10/2006: Endoscopic submucosal dissection allows curative rese= ction of locally recurrent early gastric cancer after prior endoscopic muco= sal resection"> <link rel=3DStylesheet href=3D"master04_stylesheet.css"> <![if !ppt]> <style media=3Dprint>  </style> <script src=3Dscript.js></script><script></script><![endif]> </head> <body lang=3DPT-BR style=3D'margin:0px;background-color:black' onclick=3D"DocumentOnClick()" onresize=3D"_RSW()" onload=3D"LoadSld()" onkeypress=3D"_KPH()"> <div id=3DSlideObj class=3Dsld style=3D'position:absolute;top:0px;left:0px; width:534px;height:400px;font-size:16px;background-color:#003399;clip:rect(= 0%, 101%, 101%, 0%); visibility:hidden'><p:slide coordsize=3D"720,540" colors=3D"#003399,#ffffff,#000514,#e5e5ff,#0099cc,#a886e0,#ffcc00,#ffffcc" masterhref=3D"master04.xml" href=3D"slide0035.xml"> <p:shaperange href=3D"master04.xml#_x0000_s4097"/><![if !ppt]><p:shaperange href=3D"master04.xml#_x0000_s4098"/><p:shaperange href=3D"master04.xml#_x0000_s4100"/><![if !vml]><img border=3D0 v:shapes=3D"_x0000_s4100,_x0000_s4102,_x0000_s4103,_x0000_s4104,_x0000_s41= 05,_x0000_s4106,_x0000_s4107,_x0000_s4108" src=3D"master04_image004.gif" style=3D'position:absolute;top:0%;left:0%; width:100.18%;height:100.25%'><![endif]><p:shaperange href=3D"master04.xml#_x0000_s4110"/><![endif]><p:shaperange href=3D"master04.xml#_x0000_m4109"/><p:shaperange href=3D"master04.xml#_x0000_m4111"/><p:shaperange href=3D"slide0035.xml#_x0000_s56322"/> <div v:shape=3D"_x0000_s56322" class=3DT style=3D'text-align:left'><span style=3D'position:absolute;top:1.5%;left:.93%;width:98.5%;height:4.5%'><sp= an style=3D'font-size:45%'>Endoscopic submucosal dissection allows curative resection of locally </span></span><span style=3D'position:absolute;top:6.= 0%; left:.93%;width:98.87%;height:4.5%'><span style=3D'font-size:45%'>recurrent early gastric cancer after prior endoscopic mucosal resection</span></span= ></div> <div v:shape=3D"_x0000_s56323" class=3DB><span style=3D'position:absolute; top:28.99%;left:41.76%;width:.18%;height:7.0%'><span style=3D'mso-special-= format: nobullet;display:none;color:#FFCC00;mso-color-index:6;font-family:Wingding= s; font-size:70%'>n</span><span style=3D'font-family:"Franklin Gothic Medium"; mso-special-format:lastCR;display:none'><b> </b></span></span></div> <div v:shape=3D"_x0000_s56688" class=3DO> <div style=3D'position:absolute;top:21.5%;left:.93%;width:26.96%;height:4.= 0%'>Table 1. </div> <div style=3D'mso-char-wrap:0;mso-kinsoku-overflow:0'><span style=3D'posit= ion: absolute;top:25.5%;left:.93%;width:28.27%;height:4.0%'>Characteristics of = the </span><span style=3D'position:absolute;top:29.5%;left:.93%;width:31.46%;height:4.0%'>p= atients and the tumors </span></div> </div> <p:shaperange href=3D"slide0035.xml#_x0000_s57064"/><![if !vml]><img borde= r=3D0 v:shapes=3D"_x0000_s57064,_x0000_s56803,_x0000_s56802,_x0000_s56801,_x0000= _s56800,_x0000_s56799,_x0000_s56798,_x0000_s56797,_x0000_s56796,_x0000_s567= 95,_x0000_s56794,_x0000_s56793,_x0000_s56792,_x0000_s56791,_x0000_s56790,_x= 0000_s56789,_x0000_s56788,_x0000_s56787,_x0000_s56786,_x0000_s56785,_x0000_= s56784,_x0000_s56783,_x0000_s56782,_x0000_s56781,_x0000_s56780,_x0000_s5677= 9,_x0000_s56778,_x0000_s56777,_x0000_s56776,_x0000_s56775,_x0000_s56774,_x0= 000_s56773,_x0000_s56772,_x0000_s56771,_x0000_s56770,_x0000_s56769,_x0000_s= 56768,_x0000_s56767,_x0000_s56766,_x0000_s56765,_x0000_s56764,_x0000_s56763= ,_x0000_s56762,_x0000_s56761,_x0000_s56760,_x0000_s56759,_x0000_s56758,_x00= 00_s56757,_x0000_s56756,_x0000_s56755,_x0000_s56754,_x0000_s56753,_x0000_s5= 6752,_x0000_s56751,_x0000_s56750,_x0000_s56749,_x0000_s56748,_x0000_s56747,= _x0000_s56804,_x0000_s56805,_x0000_s56806,_x0000_s56807,_x0000_s56810,_x000= 0_s56812,_x0000_s56815,_x0000_s56819,_x0000_s56832,_x0000_s56845,_x0000_s56= 858,_x0000_s56871,_x0000_s56884,_x0000_s56897,_x0000_s56910,_x0000_s56923,_= x0000_s56936,_x0000_s56949,_x0000_s56962,_x0000_s56975,_x0000_s56988,_x0000= _s57001,_x0000_s57014,_x0000_s57027" src=3D"slide0035_image005.gif" style=3D'position:absolute;top:11.0%;left:2= 7.15%; width:61.79%;height:88.25%'><![endif]> <div v:shape=3D"_x0000_s56803"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:96.5%;left:76.4%;width:11.42%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'>22 (48%)</span>= <span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56802"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:96.5%;left:52.24%;width:22.09%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'>8 (45%)</span><= span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56801"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:96.5%;left:28.08%;width:22.28%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'> Scar</spa= n><span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56800"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:93.25%;left:76.4%;width:11.42%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'>8 (17%)</span><= span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56799"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0;= position:absolute;top:93.25%;left:52.24%;width:22.09%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'>4 (22%)</span><= span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56798"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:93.25%;left:28.08%;width:22.28%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'> 0-IIc (superficial depressed)</span><span style=3D'font-family:Arial;font-size:8= 6%; text-shadow:none;mso-special-format:lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56797"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:90.25%;left:76.4%;width:11.42%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'>16 (35%)</span>= <span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56796"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:90.25%;left:52.24%;width:22.09%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'>6 (33%)</span><= span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56795"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:90.25%;left:28.08%;width:22.28%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'> 0-IIa (superficial elevated)</span><span style=3D'font-family:Arial;font-size:86= %; text-shadow:none;mso-special-format:lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56794"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-margin-left-alt:0'><span style=3D'position:a= bsolute; top:81.25%;left:76.4%;width:11.42%;height:7.75%'><span style=3D'font-size:= 129%; mso-special-format:lastCR;display:none'> </span></span></div> </div> <div v:shape=3D"_x0000_s56793"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-margin-left-alt:0'><span style=3D'position:a= bsolute; top:81.25%;left:52.24%;width:22.09%;height:7.75%'><span style=3D'font-size= :129%; mso-special-format:lastCR;display:none'> </span></span></div> </div> <div v:shape=3D"_x0000_s56792"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:84.0%;left:28.08%;width:22.28%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'>Macroscopic typ= e</span><span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56791"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:77.75%;left:76.4%;width:11.42%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'>3 (7%)</span><s= pan style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56790"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:77.75%;left:52.24%;width:22.09%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'>0</span><span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56789"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:77.75%;left:28.08%;width:22.28%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'> ≥31= mm</span><span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56788"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:74.75%;left:76.4%;width:11.42%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'>7 (15%)</span><= span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56787"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:74.75%;left:52.24%;width:22.09%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'>3 (17%)</span><= span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56786"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:74.75%;left:28.08%;width:22.28%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'> 21-30 mm<= /span><span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56785"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:71.5%;left:76.4%;width:11.42%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'>14 (30%)</span>= <span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56784"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:71.5%;left:52.24%;width:22.09%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'>5 (28%)</span><= span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56783"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:71.5%;left:28.08%;width:22.28%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'> 11-20 mm<= /span><span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56782"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:68.5%;left:76.4%;width:11.42%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'>15 (33%)</span>= <span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56781"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:68.5%;left:52.24%;width:22.09%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'>4 (22%)</span><= span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56780"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:68.5%;left:28.08%;width:22.28%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'> 5-10 mm</= span><span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56779"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:65.25%;left:76.4%;width:11.42%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'>7(15%)</span><s= pan style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56778"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:65.25%;left:52.24%;width:22.09%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'>6 (33%)</span><= span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56777"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:65.25%;left:28.08%;width:22.28%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'> <5 mm<= /span><span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56776"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-margin-left-alt:0'><span style=3D'position:a= bsolute; top:56.25%;left:76.4%;width:11.42%;height:7.75%'><span style=3D'font-size:= 129%; mso-special-format:lastCR;display:none'> </span></span></div> </div> <div v:shape=3D"_x0000_s56775"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-margin-left-alt:0'><span style=3D'position:a= bsolute; top:56.25%;left:52.24%;width:22.09%;height:7.75%'><span style=3D'font-size= :129%; mso-special-format:lastCR;display:none'> </span></span></div> </div> <div v:shape=3D"_x0000_s56774"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:59.0%;left:28.08%;width:22.28%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'>Tumor size</spa= n><span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56773"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:53.0%;left:76.4%;width:11.42%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'>9 (20%)</span><= span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56772"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:53.0%;left:52.24%;width:22.09%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'>5 (28%)</span><= span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56771"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:53.0%;left:28.08%;width:22.28%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'> Antrum</s= pan><span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56770"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:49.75%;left:76.4%;width:11.42%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'>28 (60%)</span>= <span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56769"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:49.75%;left:52.24%;width:22.09%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'>8 (44%)</span><= span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56768"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:49.75%;left:28.08%;width:22.28%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'> Body</spa= n><span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56767"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:46.75%;left:76.4%;width:11.42%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'>9 (20%)</span><= span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56766"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:46.75%;left:52.24%;width:22.09%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'>5 (28%)</span><= span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56765"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:46.75%;left:28.08%;width:22.28%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'> Cardia</s= pan><span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56764"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-margin-left-alt:0'><span style=3D'position:a= bsolute; top:37.75%;left:76.4%;width:11.42%;height:7.75%'><span style=3D'font-size:= 129%; mso-special-format:lastCR;display:none'> </span></span></div> </div> <div v:shape=3D"_x0000_s56763"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-margin-left-alt:0'><span style=3D'position:a= bsolute; top:37.75%;left:52.24%;width:22.09%;height:7.75%'><span style=3D'font-size= :129%; mso-special-format:lastCR;display:none'> </span></span></div> </div> <div v:shape=3D"_x0000_s56762"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:40.5%;left:28.08%;width:22.28%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'>Tumor location,= no. (%)</span><span style=3D'font-family:Arial;font-size:86%;text-shadow:none; mso-special-format:lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56761"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:34.25%;left:76.4%;width:11.42%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'>42 (91%)</span>= <span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56760"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:34.25%;left:52.24%;width:22.09%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'>10 (56%)</span>= <span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56759"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:34.25%;left:28.08%;width:22.28%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'>Male sex, no. (= %)</span><span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56758"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:31.25%;left:76.4%;width:11.42%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'>45–89</sp= an><span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56757"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:31.25%;left:52.24%;width:22.09%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'>45–87</sp= an><span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56756"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:31.25%;left:28.08%;width:22.28%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'> Range</sp= an><span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56755"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:28.0%;left:76.4%;width:11.42%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'>67</span><span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56754"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:28.0%;left:52.24%;width:22.09%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'>75</span><span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56753"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:28.0%;left:28.08%;width:22.28%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'> Median</s= pan><span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56752"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-margin-left-alt:0'><span style=3D'position:a= bsolute; top:19.0%;left:76.4%;width:11.42%;height:7.75%'><span style=3D'font-size:1= 29%; mso-special-format:lastCR;display:none'> </span></span></div> </div> <div v:shape=3D"_x0000_s56751"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-margin-left-alt:0'><span style=3D'position:a= bsolute; top:19.0%;left:52.24%;width:22.09%;height:7.75%'><span style=3D'font-size:= 129%; mso-special-format:lastCR;display:none'> </span></span></div> </div> <div v:shape=3D"_x0000_s56750"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:21.75%;left:28.08%;width:22.28%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'>Age (y)</span><= span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56749"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:13.75%;left:76.4%;width:11.42%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'><b>ESD (n =3D 4= 6)</b></span><span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56748"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:13.75%;left:52.24%;width:22.09%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'><b>Conventional= EMR (n =3D 18)</b></span><span style=3D'font-family:Arial;font-size:86%;text-s= hadow: none;mso-special-format:lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56747"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 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style=3D'position:absolute;top:8.0%;left:5.99%;width:98.5%;height:4.5%'><s= pan style=3D'font-size:45%'>Endoscopic submucosal dissection allows curative resection of locally </span></span><span style=3D'position:absolute;top:12= .5%; left:5.99%;width:98.87%;height:4.5%'><span style=3D'font-size:45%'>recurre= nt early gastric cancer after prior endoscopic mucosal resection</span></span= ></div> <div v:shape=3D"_x0000_s11267"> <div class=3DB1 style=3D'mso-margin-left-alt:624'></div> <div class=3DB2 style=3D'mso-margin-left-alt:864'></div> <div class=3DB3 style=3D'mso-margin-left-alt:1104'></div> <div class=3DB4 style=3D'mso-margin-left-alt:1392'></div> <div class=3DB style=3D'mso-margin-left-alt:384;position:absolute;top:24.2= 5%; left:5.99%;width:88.76%;height:7.0%'><span style=3D'mso-special-format:nob= ullet; display:none;color:#FFCC00;mso-color-index:6;font-family:Wingdings;font-si= ze: 70%'>n</span><b>Taxa de ressecção em bloco </b></div> <div class=3DB style=3D'mso-margin-left-alt:384'><span style=3D'position:a= bsolute; top:32.75%;left:5.99%;width:101.68%;height:7.0%'><span style=3D'mso-specia= l-format: nobullet;display:none;color:#FFCC00;mso-color-index:6;font-family:Wingding= s; font-size:70%'>n</span><b><span style=3D'mso-tab-count:1;width:6.55%'> </s= pan>Os resultados dos espécimens ressecados </b></span><span style=3D'posi= tion: absolute;top:40.0%;left:12.73%;width:90.82%;height:7.0%'><b>estão resumidos na figura 2 e tabela 2. A </b></span><span style=3D'position:abs= olute; top:47.0%;left:12.73%;width:98.31%;height:7.0%'><b>DSE alcançou ressecção em bloco em 41 de </b></span><span style=3D'positi= on: absolute;top:54.25%;left:12.73%;width:85.76%;height:7.0%'><b>46 pacientes (89%) comparativamente </b></span><span style=3D'position:absolute;top:61.= 25%; left:12.73%;width:82.2%;height:7.0%'><b>maior que a ME (0/18 pacientes).</= b></span></div> </div> </p:slide></div> </body> </html> ------=_NextPart_01C6E70B.AB4AF270 Content-Location: file:///C:/3069588C/EndoscopicSubmucosal_arquivos/slide0038.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" <html xmlns:v=3D"urn:schemas-microsoft-com:vml" xmlns:o=3D"urn:schemas-microsoft-com:office:office" xmlns:p=3D"urn:schemas-microsoft-com:office:powerpoint" xmlns:oa=3D"urn:schemas-microsoft-com:office:activation" xmlns=3D"http://www.w3.org/TR/REC-html40"> <head> <meta http-equiv=3DContent-Type content=3D"text/html; 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href=3D"../EndoscopicSubmucosal.htm"> <link rel=3DPreview href=3Dpreview.wmf>  <title>Serviço de Endoscopia Gastrointestinal Hospital das Clínicas Faculdade de Medicina da Univrsidade de São Paulo</t= itle> <![if IE]> <base href=3D"file:///C:\3069588C\EndoscopicSubmucosal_arquivos\slide0039.h= tm" id=3D"webarch_temp_base_tag"> <![endif]> <meta name=3DDescription content=3D"3/10/2006: Endoscopic submucosal dissection allows curative rese= ction of locally recurrent early gastric cancer after prior endoscopic muco= sal resection"> <link rel=3DStylesheet href=3D"master04_stylesheet.css"> <![if !ppt]> <style media=3Dprint>  </style> <script src=3Dscript.js></script><script></script><![endif]><o:shapelayout v:ext=3D"edit"> <o:idmap v:ext=3D"edit" data=3D"59"/> </o:shapelayout> </head> <body lang=3DPT-BR style=3D'margin:0px;background-color:black' onclick=3D"DocumentOnClick()" onresize=3D"_RSW()" onload=3D"LoadSld()" onkeypress=3D"_KPH()"> <div id=3DSlideObj class=3Dsld 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style=3D'position:absolute;top:15.25%;left:.93%;width:24.53%;height:2= .25%'><span style=3D'font-size:56%'>Table 2. </span></div> <div style=3D'mso-char-wrap:0;mso-kinsoku-overflow:0'><span style=3D'posit= ion: absolute;top:17.5%;left:.93%;width:25.28%;height:2.25%'><span style=3D'font-size:56%'>Summary of results with statistical </span></span>= <span style=3D'position:absolute;top:19.75%;left:.93%;width:24.53%;height:2.25%'= ><span style=3D'font-size:56%'>analysis</span><span style=3D'font-size:33%'> </sp= an><span style=3D'mso-special-format:lastCR;display:none'> </span></span></div> </div> <v:group id=3D"_x0000_s60636" style=3D'position:absolute;left:36.875pt;top= :116.875pt; width:663.375pt;height:409pt' coordorigin=3D"295,935" coordsize=3D"5307,3= 272" o:tableproperties=3D"1" o:tablelimits=3D"84.25pt 84.25pt 30pt 30pt 84.25p= t 29.875pt 30pt 30pt"> <o:lock v:ext=3D"edit" rotation=3D"t"/> <v:rect id=3D"_x0000_s60485" style=3D'position:absolute;left:4882;top:396= 7; 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<v:fill color2=3D"#039 [0]"/> <v:shadow color=3D"#000514 [2]"/> <v:textbox style=3D'mso-fit-shape-to-text:t'/> </v:rect><![if !vml]><img border=3D0 v:shapes=3D"_x0000_s60636,_x0000_s60485,_x0000_s60484,_x0000_s60483,_x0000= _s60482,_x0000_s60481,_x0000_s60480,_x0000_s60479,_x0000_s60478,_x0000_s604= 77,_x0000_s60476,_x0000_s60475,_x0000_s60474,_x0000_s60473,_x0000_s60472,_x= 0000_s60471,_x0000_s60470,_x0000_s60469,_x0000_s60468,_x0000_s60467,_x0000_= s60466,_x0000_s60465,_x0000_s60464,_x0000_s60463,_x0000_s60462,_x0000_s6046= 1,_x0000_s60460,_x0000_s60459,_x0000_s60458,_x0000_s60457,_x0000_s60456,_x0= 000_s60455,_x0000_s60454,_x0000_s60486,_x0000_s60487,_x0000_s60488,_x0000_s= 60489,_x0000_s60492,_x0000_s60494,_x0000_s60497,_x0000_s60500,_x0000_s60504= ,_x0000_s60522,_x0000_s60540,_x0000_s60558,_x0000_s60576,_x0000_s60594" src=3D"slide0039_image008.gif" style=3D'position:absolute;top:21.5%;left:5= .05%; width:92.5%;height:76.25%'><![endif]> <div v:shape=3D"_x0000_s60485"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:92.75%;left:85.76%;width:10.67%;height:4.0%'><span style=3D'font-family:Arial;font-size:64%;text-shadow:none'>< .0001</spa= n><span style=3D'font-family:Arial;font-size:171%;text-shadow:none;mso-special-for= mat: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s60484"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:92.75%;left:69.1%;width:14.79%;height:4.0%'><span style=3D'font-family:Arial;font-size:64%;text-shadow:none'>2% (1/46)</span= ><span style=3D'font-family:Arial;font-size:171%;text-shadow:none;mso-special-for= mat: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s60483"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:92.75%;left:45.31%;width:21.91%;height:4.0%'><span style=3D'font-family:Arial;font-size:64%;text-shadow:none'>56% (10/18)</sp= an><span style=3D'font-family:Arial;font-size:171%;text-shadow:none;mso-special-for= mat: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s60482"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:92.75%;left:6.17%;width:39.88%;height:4.0%'><span style=3D'font-family:Arial;font-size:64%;text-shadow:none'>Not able to eva= luate resection</span><span style=3D'font-family:Arial;font-size:171%;text-shado= w: none;mso-special-format:lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s60481"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:87.25%;left:85.76%;width:10.67%;height:4.0%'><span style=3D'font-family:Arial;font-size:64%;text-shadow:none'>< .0001</spa= n><span style=3D'font-family:Arial;font-size:171%;text-shadow:none;mso-special-for= mat: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s60480"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:87.25%;left:69.1%;width:16.47%;height:4.0%'><span style=3D'font-family:Arial;font-size:64%;text-shadow:none'>22% (10/46)</sp= an><span style=3D'font-family:Arial;font-size:171%;text-shadow:none;mso-special-for= mat: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s60479"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:87.25%;left:45.31%;width:21.91%;height:4.0%'><span style=3D'font-family:Arial;font-size:64%;text-shadow:none'>11% (2/18)</spa= n><span style=3D'font-family:Arial;font-size:171%;text-shadow:none;mso-special-for= mat: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s60478"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:87.25%;left:6.17%;width:37.45%;height:4.0%'><span style=3D'font-family:Arial;font-size:64%;text-shadow:none'>Not curative resection</span><span style=3D'font-family:Arial;font-size:171%;text-shado= w: none;mso-special-format:lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s60477"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:81.75%;left:85.76%;width:10.67%;height:4.0%'><span style=3D'font-family:Arial;font-size:64%;text-shadow:none'>< .0001</spa= n><span style=3D'font-family:Arial;font-size:171%;text-shadow:none;mso-special-for= mat: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s60476"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:81.75%;left:69.1%;width:16.47%;height:4.0%'><span style=3D'font-family:Arial;font-size:64%;text-shadow:none'>76% (35/46)</sp= an><span style=3D'font-family:Arial;font-size:171%;text-shadow:none;mso-special-for= mat: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s60475"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:81.75%;left:45.31%;width:21.91%;height:4.0%'><span style=3D'font-family:Arial;font-size:64%;text-shadow:none'>33% (6/18)</spa= n><span style=3D'font-family:Arial;font-size:171%;text-shadow:none;mso-special-for= mat: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s60474"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:81.75%;left:6.17%;width:37.45%;height:4.0%'><span style=3D'font-family:Arial;font-size:64%;text-shadow:none'>Curative resect= ion</span><span style=3D'font-family:Arial;font-size:171%;text-shadow:none;mso-special-for= mat: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s60473"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-margin-left-alt:0'><span style=3D'position:a= bsolute; top:66.25%;left:85.76%;width:10.67%;height:14.0%'><span style=3D'font-size= :236%; mso-special-format:lastCR;display:none'> </span></span></div> </div> <div v:shape=3D"_x0000_s60472"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-margin-left-alt:0'><span style=3D'position:a= bsolute; top:66.25%;left:69.1%;width:14.79%;height:14.0%'><span style=3D'font-size:= 236%; mso-special-format:lastCR;display:none'> </span></span></div> </div> <div v:shape=3D"_x0000_s60471"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-margin-left-alt:0'><span style=3D'position:a= bsolute; top:66.25%;left:45.31%;width:21.91%;height:14.0%'><span style=3D'font-size= :236%; mso-special-format:lastCR;display:none'> </span></span></div> </div> <div v:shape=3D"_x0000_s60470"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0= '><span style=3D'position:absolute;top:69.0%;left:6.17%;width:37.45%;height:4.0%'>= <span style=3D'font-family:Arial;font-size:64%;text-shadow:none'>Histological assessment of </span></span><span style=3D'position:absolute;top:73.0%; left:6.17%;width:37.45%;height:4.0%'><span style=3D'font-family:Arial; font-size:64%;text-shadow:none'>curability</span><span style=3D'font-famil= y: Arial;font-size:171%;text-shadow:none;mso-special-format:lastCR;display:no= ne'> </span></span></div> </div> <div v:shape=3D"_x0000_s60469"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:60.25%;left:85.76%;width:10.67%;height:4.0%'><span style=3D'font-family:Arial;font-size:64%;text-shadow:none'>< .0001</spa= n><span style=3D'font-family:Arial;font-size:171%;text-shadow:none;mso-special-for= mat: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s60468"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:60.25%;left:69.1%;width:14.79%;height:4.0%'><span style=3D'font-family:Arial;font-size:64%;text-shadow:none'>11% (5/46)</spa= n><span style=3D'font-family:Arial;font-size:171%;text-shadow:none;mso-special-for= mat: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s60467"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:60.25%;left:45.31%;width:21.91%;height:4.0%'><span style=3D'font-family:Arial;font-size:64%;text-shadow:none'>100% (18/18)</s= pan><span style=3D'font-family:Arial;font-size:171%;text-shadow:none;mso-special-for= mat: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s60466"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:60.25%;left:6.17%;width:37.45%;height:4.0%'><span style=3D'font-family:Arial;font-size:64%;text-shadow:none'>Piecemeal resec= tion</span><span style=3D'font-family:Arial;font-size:171%;text-shadow:none;mso-special-for= mat: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s60465"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:54.75%;left:85.76%;width:10.67%;height:4.0%'><span style=3D'font-family:Arial;font-size:64%;text-shadow:none'>< .0001</spa= n><span style=3D'font-family:Arial;font-size:171%;text-shadow:none;mso-special-for= mat: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s60464"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:54.75%;left:69.1%;width:16.47%;height:4.0%'><span style=3D'font-family:Arial;font-size:64%;text-shadow:none'>89% (41/46)</sp= an><span style=3D'font-family:Arial;font-size:171%;text-shadow:none;mso-special-for= mat: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s60463"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:54.75%;left:45.31%;width:21.91%;height:4.0%'><span style=3D'font-family:Arial;font-size:64%;text-shadow:none'>0%</span><span style=3D'font-family:Arial;font-size:171%;text-shadow:none;mso-special-for= mat: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s60462"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:54.75%;left:6.17%;width:37.45%;height:4.0%'><span style=3D'font-family:Arial;font-size:64%;text-shadow:none'>En bloc resecti= on</span><span style=3D'font-family:Arial;font-size:171%;text-shadow:none;mso-special-for= mat: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s60461"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-margin-left-alt:0'><span style=3D'position:a= bsolute; top:39.0%;left:85.76%;width:10.67%;height:14.0%'><span style=3D'font-size:= 236%; mso-special-format:lastCR;display:none'> </span></span></div> </div> <div v:shape=3D"_x0000_s60460"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-margin-left-alt:0'><span style=3D'position:a= bsolute; top:39.0%;left:69.1%;width:14.79%;height:14.0%'><span style=3D'font-size:2= 36%; mso-special-format:lastCR;display:none'> </span></span></div> </div> <div v:shape=3D"_x0000_s60459"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-margin-left-alt:0'><span style=3D'position:a= bsolute; top:39.0%;left:45.31%;width:21.91%;height:14.0%'><span style=3D'font-size:= 236%; mso-special-format:lastCR;display:none'> </span></span></div> </div> <div v:shape=3D"_x0000_s60458"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0= '><span style=3D'position:absolute;top:41.75%;left:6.17%;width:37.45%;height:4.0%'= ><span style=3D'font-family:Arial;font-size:64%;text-shadow:none'>Condition of the resected </span></span><span style=3D'position:absolute;top:45.75%;left:6.= 17%; width:37.45%;height:4.0%'><span style=3D'font-family:Arial;font-size:64%; text-shadow:none'>materials</span><span style=3D'font-family:Arial;font-si= ze: 171%;text-shadow:none;mso-special-format:lastCR;display:none'> </span>= </span></div> </div> <div v:shape=3D"_x0000_s60457"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:27.75%;left:85.76%;width:10.67%;height:4.0%'><span style=3D'font-family:Arial;font-size:64%;text-shadow:none'><b><i>P</i></b>= </span><span style=3D'font-family:Arial;font-size:64%;text-shadow:none'><b> value</b></= span><span style=3D'font-family:Arial;font-size:171%;text-shadow:none;mso-special-for= mat: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s60456"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:27.75%;left:69.1%;width:14.79%;height:4.0%'><span style=3D'font-family:Arial;font-size:64%;text-shadow:none'><b>ESD</b></spa= n><span style=3D'font-family:Arial;font-size:171%;text-shadow:none;mso-special-for= mat: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s60455"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0= '><span style=3D'position:absolute;top:25.75%;left:45.31%;width:21.91%;height:4.0%= '><span style=3D'font-family:Arial;font-size:64%;text-shadow:none'><b>Conventional= </b></span></span><span style=3D'position:absolute;top:29.75%;left:45.31%;width:21.91%;height:4.0%= '><span style=3D'font-family:Arial;font-size:64%;text-shadow:none'><b>EMR</b></spa= n><span style=3D'font-family:Arial;font-size:171%;text-shadow:none;mso-special-for= mat: lastCR;display:none'> </span></span></div> </div> <div v:shape=3D"_x0000_s60454"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-margin-left-alt:0'><span style=3D'position:a= bsolute; top:23.0%;left:6.17%;width:37.45%;height:14.0%'><span style=3D'font-size:2= 36%; mso-special-format:lastCR;display:none'> </span></span></div> </div> <div v:shape=3D"_x0000_s60628" class=3DO> <div style=3D'position:absolute;top:67.5%;left:32.77%;width:.18%;height:1.= 5%'><span style=3D'font-size:33%;display:none'> </span></div> <div style=3D'mso-char-wrap:0;mso-kinsoku-overflow:0;position:absolute; top:69.0%;left:32.77%;width:.18%;height:4.0%'><span style=3D'mso-special-f= ormat: lastCR;display:none'> </span></div> </div> </p:slide></div> </body> </html> ------=_NextPart_01C6E70B.AB4AF270 Content-Location: file:///C:/3069588C/EndoscopicSubmucosal_arquivos/slide0039_image008.gif Content-Transfer-Encoding: base64 Content-Type: image/gif R0lGODlh7gExAXcAMSH+GlNvZnR3YXJlOiBNaWNyb3NvZnQgT2ZmaWNlACH5BAEAAAAALAAAAADt 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xmlns:o=3D"urn:schemas-microsoft-com:office:office" xmlns:p=3D"urn:schemas-microsoft-com:office:powerpoint" xmlns:oa=3D"urn:schemas-microsoft-com:office:activation" xmlns=3D"http://www.w3.org/TR/REC-html40"> <head> <meta http-equiv=3DContent-Type content=3D"text/html; charset=3Dus-ascii"> <meta name=3DProgId content=3DPowerPoint.Slide> <meta name=3DGenerator content=3D"Microsoft PowerPoint 11"> <link id=3DMain-File rel=3DMain-File href=3D"../EndoscopicSubmucosal.htm"> <link rel=3DPreview href=3Dpreview.wmf>  <title>Serviço de Endoscopia Gastrointestinal Hospital das Clínicas Faculdade de Medicina da Univrsidade de São Paulo</t= itle> <![if IE]> <base href=3D"file:///C:\3069588C\EndoscopicSubmucosal_arquivos\slide0033.h= tm" id=3D"webarch_temp_base_tag"> <![endif]> <meta name=3DDescription content=3D"3/10/2006: Endoscopic submucosal dissection allows curative rese= ction of locally recurrent early gastric cancer after prior endoscopic muco= sal resection"> <link rel=3DStylesheet 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05,_x0000_s4106,_x0000_s4107,_x0000_s4108" src=3D"master04_image004.gif" style=3D'position:absolute;top:0%;left:0%; width:100.18%;height:100.25%'><![endif]><p:shaperange href=3D"master04.xml#_x0000_s4110"/><![endif]><p:shaperange href=3D"master04.xml#_x0000_m4109"/><v:shape id=3D"_x0000_s54274" type=3D= "#_x0000_m4109" style=3D'position:absolute;left:36pt;top:21.625pt;width:9in;height:90pt' o:userdrawn=3D"f"> <v:fill o:detectmouseclick=3D"f"/> <v:stroke o:forcedash=3D"f"/> <o:lock v:ext=3D"edit" text=3D"f"/> <p:placeholder type=3D"title"/></v:shape><p:shaperange href=3D"master04.xml#_x0000_m4111"/><v:shape id=3D"_x0000_s54275" type=3D= "#_x0000_m4111" style=3D'position:absolute;left:36pt;top:126pt;width:9in;height:356.375pt' o:userdrawn=3D"f"> <v:fill o:detectmouseclick=3D"f"/> <v:stroke o:forcedash=3D"f"/> <o:lock v:ext=3D"edit" text=3D"f"/> <p:placeholder type=3D"body" position=3D"1"/></v:shape> <div v:shape=3D"_x0000_s54274" class=3DT style=3D'text-align:left'><span style=3D'position:absolute;top:8.0%;left:5.99%;width:98.5%;height:4.5%'><s= pan style=3D'font-size:45%'>Endoscopic submucosal dissection allows curative resection of locally </span></span><span style=3D'position:absolute;top:12= .5%; left:5.99%;width:98.87%;height:4.5%'><span style=3D'font-size:45%'>recurre= nt early gastric cancer after prior endoscopic mucosal resection</span></span= ></div> <div v:shape=3D"_x0000_s54275"> <div class=3DB1 style=3D'mso-margin-left-alt:624'></div> <div class=3DB2 style=3D'mso-margin-left-alt:864'></div> <div class=3DB3 style=3D'mso-margin-left-alt:1104'></div> <div class=3DB4 style=3D'mso-margin-left-alt:1392'></div> <div class=3DB style=3D'mso-line-spacing:"90 20 0";mso-margin-left-alt:384; position:absolute;top:23.75%;left:5.99%;width:88.2%;height:6.0%'><span style=3D'mso-special-format:nobullet;display:none;color:#FFCC00;mso-color-= index: 6;font-family:Wingdings;font-size:70%'>n</span><span style=3D'font-size:88= %'><b>Critérios histológicos de cura </b></span></div> <div class=3DB style=3D'mso-line-spacing:"90 20 0";mso-margin-left-alt:384= '><span style=3D'position:absolute;top:30.75%;left:5.99%;width:104.3%;height:6.0%'= ><span style=3D'mso-special-format:nobullet;display:none;color:#FFCC00;mso-color-= index: 6;font-family:Wingdings;font-size:70%'>n</span><span style=3D'font-size:88= %'><b><span style=3D'mso-tab-count:1;width:6.39%'> </span>No grupo da DSE os critérios foram satisfatórios </b></span></span><span style=3D'position:absolute;top:36.25%;left:12.73%;width:97.37%;height:6.0%= '><span style=3D'font-size:88%'><b>em 45/46 peças (97%) – curativo ou não curativo. </b></span></span></div> <div class=3DB style=3D'mso-line-spacing:"90 20 0";mso-margin-left-alt:384; position:absolute;top:43.25%;left:5.99%;width:88.2%;height:6.0%'><span style=3D'mso-special-format:nobullet;display:none;color:#FFCC00;mso-color-= index: 6;font-family:Wingdings;font-size:70%'>n</span><span style=3D'font-size:88= %; display:none'><b> </b></span></div> <div class=3DB style=3D'mso-line-spacing:"90 20 0";mso-margin-left-alt:384= '><span style=3D'position:absolute;top:50.0%;left:5.99%;width:100.18%;height:6.0%'= ><span style=3D'mso-special-format:nobullet;display:none;color:#FFCC00;mso-color-= index: 6;font-family:Wingdings;font-size:70%'>n</span><span style=3D'font-size:88= %'><b><span style=3D'mso-tab-count:1;width:6.65%'> </span>No grupo da ME 10/18 pe&cced= il;as (56%) foram não </b></span></span><span style=3D'position:absolute; top:55.5%;left:12.73%;width:81.46%;height:6.0%'><span style=3D'font-size:8= 8%'><b>avaliáveis. </b></span></span></div> <div class=3DB style=3D'mso-line-spacing:"90 20 0";mso-margin-left-alt:384; position:absolute;top:62.5%;left:5.99%;width:88.2%;height:6.0%'><span style=3D'mso-special-format:nobullet;display:none;color:#FFCC00;mso-color-= index: 6;font-family:Wingdings;font-size:70%'>n</span><span style=3D'font-size:88= %; display:none'><b> </b></span></div> <div class=3DB style=3D'mso-line-spacing:"90 20 0";mso-margin-left-alt:384= '><span style=3D'position:absolute;top:69.25%;left:5.99%;width:100.74%;height:6.0%= '><span style=3D'mso-special-format:nobullet;display:none;color:#FFCC00;mso-color-= index: 6;font-family:Wingdings;font-size:70%'>n</span><span style=3D'font-size:88= %'><b><span style=3D'mso-tab-count:1;width:6.61%'> </span>No total 76% (35/46) foram classificados como </b></span></span><span style=3D'position:absolute; top:75.0%;left:12.73%;width:97.0%;height:6.0%'><span style=3D'font-size:88= %'><b>curativo no grupo DSE contra 33% (6/18) no ME </b></span></span><span style=3D'posi= tion: absolute;top:80.5%;left:12.73%;width:81.46%;height:6.0%'><span style=3D'font-size:88%'><b>(p<0001).</b></span></span></div> </div> </p:slide></div> </body> </html> ------=_NextPart_01C6E70B.AB4AF270 Content-Location: file:///C:/3069588C/EndoscopicSubmucosal_arquivos/slide0008.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" <html xmlns:v=3D"urn:schemas-microsoft-com:vml" xmlns:o=3D"urn:schemas-microsoft-com:office:office" xmlns:p=3D"urn:schemas-microsoft-com:office:powerpoint" xmlns:oa=3D"urn:schemas-microsoft-com:office:activation" xmlns=3D"http://www.w3.org/TR/REC-html40"> <head> <meta http-equiv=3DContent-Type content=3D"text/html; charset=3Dus-ascii"> <meta name=3DProgId content=3DPowerPoint.Slide> <meta name=3DGenerator content=3D"Microsoft PowerPoint 11"> <link id=3DMain-File rel=3DMain-File href=3D"../EndoscopicSubmucosal.htm"> <link rel=3DPreview href=3Dpreview.wmf>  <title>Serviço de Endoscopia Gastrointestinal Hospital das Clínicas Faculdade de Medicina da Univrsidade de São Paulo</t= itle> <![if IE]> <base href=3D"file:///C:\3069588C\EndoscopicSubmucosal_arquivos\slide0008.h= tm" id=3D"webarch_temp_base_tag"> <![endif]> <meta name=3DDescription content=3D"3/10/2006: Endoscopic submucosal dissection allows curative rese= ction of locally recurrent early gastric cancer after prior endoscopic muco= sal resection"> <link rel=3DStylesheet href=3D"master04_stylesheet.css"> <![if !ppt]> <style media=3Dprint>  </style> <script src=3Dscript.js></script><script></script><![endif]><o:shapelayout v:ext=3D"edit"> <o:idmap v:ext=3D"edit" data=3D"12"/> </o:shapelayout> </head> <body lang=3DPT-BR style=3D'margin:0px;background-color:black' onclick=3D"DocumentOnClick()" onresize=3D"_RSW()" onload=3D"LoadSld()" onkeypress=3D"_KPH()"> <div id=3DSlideObj class=3Dsld style=3D'position:absolute;top:0px;left:0px; width:534px;height:400px;font-size:16px;background-color:#003399;clip:rect(= 0%, 101%, 101%, 0%); visibility:hidden'><p:slide coordsize=3D"720,540" colors=3D"#003399,#ffffff,#000514,#e5e5ff,#0099cc,#a886e0,#ffcc00,#ffffcc" masterhref=3D"master04.xml"> <p:shaperange href=3D"master04.xml#_x0000_s4097"/><![if !ppt]><p:shaperange href=3D"master04.xml#_x0000_s4098"/><p:shaperange href=3D"master04.xml#_x0000_s4100"/><![if !vml]><img border=3D0 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v:shape=3D"_x0000_s12290" class=3DT><span style=3D'position:absolute; top:8.0%;left:.74%;width:98.5%;height:4.5%'><span style=3D'font-size:45%'>= Endoscopic submucosal dissection allows curative resection of locally </span></span><= span style=3D'position:absolute;top:12.5%;left:.56%;width:98.87%;height:4.5%'><= span style=3D'font-size:45%'>recurrent early gastric cancer after prior endosco= pic mucosal resection</span></span></div> <div v:shape=3D"_x0000_s12291" class=3DB> <div style=3D'mso-line-spacing:"80 20 0";position:absolute;top:17.75%; left:5.99%;width:88.2%;height:4.5%'><span style=3D'mso-special-format:nobu= llet; display:none;color:#FFCC00;mso-color-index:6;font-family:Wingdings;font-si= ze: 70%'>n</span><span style=3D'font-size:63%'><b>Acompanhamento clínic= o </b></span></div> <div style=3D'mso-line-spacing:"80 20 0"'><span style=3D'position:absolute; top:22.0%;left:5.99%;width:104.11%;height:4.5%'><span style=3D'mso-special= -format: nobullet;display:none;color:#FFCC00;mso-color-index:6;font-family:Wingding= s; font-size:70%'>n</span><span style=3D'font-size:63%'><span style=3D'mso-ta= b-count: 1;width:3.6%'> </span>Os 41 pacientes que foram submetidos a </span><span style=3D'font-size:63%'><b><i>ressecção curativa</i></b></sp= an><span style=3D'font-size:63%'> (6ME/35DSE) </span></span><span style=3D'position= :absolute; top:25.75%;left:9.73%;width:100.74%;height:4.5%'><span style=3D'font-size:= 63%'>não tiveram recorrência local ou metástase à distânc= ia durante um seguimento </span></span><span style=3D'position:absolute;top:2= 9.25%; left:9.73%;width:84.45%;height:4.5%'><span style=3D'font-size:63%'>m&eacut= e;dio de 43 meses (15-63 meses). </span></span></div> <div style=3D'mso-line-spacing:"80 20 0";position:absolute;top:33.75%; left:5.99%;width:88.2%;height:4.5%'><span style=3D'mso-special-format:nobu= llet; display:none;color:#FFCC00;mso-color-index:6;font-family:Wingdings;font-si= ze: 70%'>n</span><span style=3D'font-size:63%;display:none'> </span></div> <div style=3D'mso-line-spacing:"80 20 0"'><span style=3D'position:absolute; top:38.25%;left:5.99%;width:99.43%;height:4.5%'><span style=3D'mso-special= -format: nobullet;display:none;color:#FFCC00;mso-color-index:6;font-family:Wingding= s; font-size:70%'>n</span><span style=3D'font-size:63%'><span style=3D'mso-ta= b-count: 1;width:3.77%'> </span></span><span style=3D'font-size:63%'><b><i>Ressec&c= cedil;ão não curativa</i></b></span><span style=3D'font-size:63%'>: 3 pacien= tes do grupo da ressecção não curativa </span></span><span style=3D'position:absolute;top:41.75%;left:9.73%;width:84.45%;height:4.5%'= ><span style=3D'font-size:63%'>perderam o seguimento. 6 pacientes foram submetido= s a cirugia </span></span><span style=3D'position:absolute;top:45.25%;left:9.7= 3%; width:100.74%;height:4.5%'><span style=3D'font-size:63%'>(gastrectomia+lin= fadenectomia), sendo que a análise patológica<span style=3D'mso-spacerun:yes'> </span>revelou que 3 </span></span><span style=3D'position:absolute;top:48.75%;left:9.73%;width:88.57%;height:4.5%'= ><span style=3D'font-size:63%'>tinham tumor residual e 2 tinham linfonodo metastático. Não houve </span></span><span style=3D'position= :absolute; top:52.5%;left:9.73%;width:84.45%;height:4.5%'><span style=3D'font-size:63= %'>metástase à distância ou recorrência. </span></span></div> <div style=3D'mso-line-spacing:"80 20 0";position:absolute;top:56.75%; left:5.99%;width:104.11%;height:4.5%'><span style=3D'mso-special-format:no= bullet; display:none;color:#FFCC00;mso-color-index:6;font-family:Wingdings;font-si= ze: 70%'>n</span><span style=3D'font-size:63%'><span style=3D'mso-tab-count:1; width:3.6%'> </span>2 pacientes foram submetidos a nova DSE pois a margem lateral foi positiva. </span></div> <div style=3D'mso-line-spacing:"80 20 0"'><span style=3D'position:absolute; top:61.25%;left:5.99%;width:100.37%;height:4.5%'><span style=3D'mso-specia= l-format: nobullet;display:none;color:#FFCC00;mso-color-index:6;font-family:Wingding= s; font-size:70%'>n</span><span style=3D'font-size:63%'><span style=3D'mso-ta= b-count: 1;width:3.73%'> </span>3 pacientes recusaram cirurgia adicional e escolher= am observação. Doença </span></span><span style=3D'posit= ion: absolute;top:64.75%;left:9.73%;width:100.18%;height:4.5%'><span style=3D'font-size:63%'>residual foi encontrada em 2 deles. 1 recebeu paliação endoscópica com laser, </span></span><span style=3D'position:absolute;top:68.5%;left:9.73%;width:94.94%;height:4.5%'>= <span style=3D'font-size:63%'>e outro o tumor desenvolveu-se gradualmente sendo submetido a cirugia. </span></span></div> <div style=3D'mso-line-spacing:"80 20 0";position:absolute;top:72.75%; left:5.99%;width:88.2%;height:4.5%'><span style=3D'mso-special-format:nobu= llet; display:none;color:#FFCC00;mso-color-index:6;font-family:Wingdings;font-si= ze: 70%'>n</span><span style=3D'font-size:63%;display:none'> </span></div> <div style=3D'mso-line-spacing:"80 20 0"'><span style=3D'position:absolute; top:77.25%;left:5.99%;width:105.43%;height:4.5%'><span style=3D'mso-specia= l-format: nobullet;display:none;color:#FFCC00;mso-color-index:6;font-family:Wingding= s; font-size:70%'>n</span><span style=3D'font-size:63%'><span style=3D'mso-ta= b-count: 1;width:3.55%'> </span></span><span style=3D'font-size:63%'><b><i>Nã= ;o avaliável</i></b></span><span style=3D'font-size:63%'>: 11 paciente= s. Foram explicados os riscos de doença residual. 9 </span></span><span style=3D'position:absolute;top:80.75%;left:9.73%;width:84.45%;height:4.5%'= ><span style=3D'font-size:63%'>escolheram observação sem cirurgia. 1 escolheu novo tratamento </span></span><span style=3D'position:absolute; top:84.5%;left:9.73%;width:94.38%;height:4.5%'><span style=3D'font-size:63= %'>endoscópico e 1 escolheu cirurgia. 3 recorrências ocorreram (3/11:27%)- </span><= /span><span style=3D'position:absolute;top:88.0%;left:9.73%;width:94.94%;height:4.5%'>= <span style=3D'font-size:63%'>grupo ME - . Assim a taxa de recorrência loc= al após nova ME foi de 17% </span></span><span style=3D'position:absol= ute; top:91.5%;left:9.73%;width:85.01%;height:4.5%'><span style=3D'font-size:63= %'>contra 0/46 na DSE. Destes 3, 1 morreu de metástase à distânc= ia.</span></span></div> </div> </p:slide></div> </body> </html> ------=_NextPart_01C6E70B.AB4AF270 Content-Location: file:///C:/3069588C/EndoscopicSubmucosal_arquivos/slide0040.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" <html xmlns:v=3D"urn:schemas-microsoft-com:vml" xmlns:o=3D"urn:schemas-microsoft-com:office:office" xmlns:p=3D"urn:schemas-microsoft-com:office:powerpoint" xmlns:oa=3D"urn:schemas-microsoft-com:office:activation" xmlns=3D"http://www.w3.org/TR/REC-html40"> <head> <meta http-equiv=3DContent-Type content=3D"text/html; charset=3Dus-ascii"> <meta name=3DProgId content=3DPowerPoint.Slide> <meta name=3DGenerator content=3D"Microsoft PowerPoint 11"> <link id=3DMain-File rel=3DMain-File href=3D"../EndoscopicSubmucosal.htm"> <link rel=3DPreview href=3Dpreview.wmf>  <title>Serviço de Endoscopia Gastrointestinal Hospital das Clínicas Faculdade de Medicina da Univrsidade de São Paulo</t= itle> <![if IE]> <base href=3D"file:///C:\3069588C\EndoscopicSubmucosal_arquivos\slide0040.h= tm" id=3D"webarch_temp_base_tag"> <![endif]> <meta name=3DDescription content=3D"3/10/2006: Endoscopic submucosal dissection allows curative rese= ction of locally recurrent early gastric cancer after prior endoscopic muco= sal resection"> <link rel=3DStylesheet href=3D"master04_stylesheet.css"> <![if !ppt]> <style media=3Dprint>  </style> <script src=3Dscript.js></script><script></script><![endif]><o:shapelayout v:ext=3D"edit"> <o:idmap v:ext=3D"edit" data=3D"60"/> </o:shapelayout> </head> <body lang=3DPT-BR style=3D'margin:0px;background-color:black' onclick=3D"DocumentOnClick()" onresize=3D"_RSW()" onload=3D"LoadSld()" onkeypress=3D"_KPH()"> <div id=3DSlideObj class=3Dsld style=3D'position:absolute;top:0px;left:0px; 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left:0;top:511.125pt;width:10in;height:28.875pt;v-text-anchor:middle' filled=3D"f" fillcolor=3D"#09c [4]" stroked=3D"f" strokecolor=3D"white [1= ]"> <v:fill color2=3D"#039 [0]"/> <v:shadow color=3D"#000514 [2]"/> <v:textbox style=3D'mso-fit-shape-to-text:t'/> </v:rect><![if !vml]><img border=3D0 v:shapes=3D"_x0000_s61547,_x0000_s61476,_x0000_s61475,_x0000_s61474,_x0000= _s61473,_x0000_s61472,_x0000_s61471,_x0000_s61470,_x0000_s61469,_x0000_s614= 68,_x0000_s61467,_x0000_s61466,_x0000_s61465,_x0000_s61464,_x0000_s61463,_x= 0000_s61462,_x0000_s61477,_x0000_s61478,_x0000_s61479,_x0000_s61480,_x0000_= s61483,_x0000_s61485,_x0000_s61488,_x0000_s61492,_x0000_s61505,_x0000_s6151= 8" src=3D"slide0040_image009.gif" style=3D'position:absolute;top:17.5%;left:0= %; width:99.43%;height:74.0%'><![endif]> <div v:shape=3D"_x0000_s61442" class=3DT><span style=3D'position:absolute; top:-1.0%;left:-4.11%;width:98.5%;height:4.5%'><span style=3D'font-size:45= %'>Endoscopic submucosal dissection allows curative resection of locally </span></span><= span style=3D'position:absolute;top:3.5%;left:-4.3%;width:98.87%;height:4.5%'><= span style=3D'font-size:45%'>recurrent early gastric cancer after prior endosco= pic mucosal resection</span></span></div> <div v:shape=3D"_x0000_s61444" class=3DO> <div style=3D'position:absolute;top:9.0%;left:.93%;width:34.08%;height:4.0= %'>Table 3. </div> <div style=3D'mso-char-wrap:0;mso-kinsoku-overflow:0;position:absolute; top:13.0%;left:.93%;width:40.82%;height:4.0%'>Summary of clinical outcomes= </div> </div> <div v:shape=3D"_x0000_s61476"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:84.0%;left:25.84%;width:72.47%;height:3.25%'><span style=3D'font-family:Arial;font-size:50%;text-shadow:none'>1 surgery, 1 re= peated endoscopic treatment, and 9 followed up</span><span style=3D'font-family:A= rial; font-size:143%;text-shadow:none;mso-special-format:lastCR;display:none'>&#= 13;</span></div> </div> <div v:shape=3D"_x0000_s61475"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0= '><span style=3D'position:absolute;top:82.5%;left:15.91%;width:8.98%;height:3.25%'= ><span style=3D'font-family:Arial;font-size:50%;text-shadow:none'>1 ESD + </span>= </span><span style=3D'position:absolute;top:85.75%;left:15.91%;width:8.61%;height:3.25%= '><span style=3D'font-family:Arial;font-size:50%;text-shadow:none'>10 EMR</span><s= pan style=3D'font-family:Arial;font-size:143%;text-shadow:none;mso-special-for= mat: lastCR;display:none'> </span></span></div> </div> <div v:shape=3D"_x0000_s61474"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0= '><span style=3D'position:absolute;top:81.0%;left:.93%;width:14.41%;height:3.25%'>= <span style=3D'font-family:Arial;font-size:50%;text-shadow:none'>Resection not <= /span></span><span style=3D'position:absolute;top:84.0%;left:.93%;width:13.1%;height:3.25%'><= span style=3D'font-family:Arial;font-size:50%;text-shadow:none'>able to be </sp= an></span><span style=3D'position:absolute;top:87.25%;left:.93%;width:13.1%;height:3.25%'>= <span style=3D'font-family:Arial;font-size:50%;text-shadow:none'>evaluated</span= ><span style=3D'font-family:Arial;font-size:143%;text-shadow:none;mso-special-for= mat: lastCR;display:none'> </span></span></div> </div> <div v:shape=3D"_x0000_s61473"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:63.74%;left:25.84%;width:72.47%;height:3.25%'><span style=3D'font-family:Arial;font-size:50%;text-shadow:none'>3 subjects lost= ; 9 subjects offered surgery and 3 did not accept</span><span style=3D'font-fa= mily: Arial;font-size:33%;text-shadow:none;position:relative;top:-.45em;mso-text= -raise: 30%'><p:onmouseclick hyperlinktype=3D"slideNumber" location=3D"tblfn1"/><a style=3D'color:#FFCC00;text-decoration:underline'><span style=3D'mso-spacerun:yes'> </span></a></span><span style=3D'font-fa= mily: Arial;font-size:9%;text-shadow:none;position:relative;top:-.45em;mso-text-= raise: 30%'> </span><span style=3D'font-family:Arial;font-size:33%;text-shad= ow: none;position:relative;top:-.45em;mso-text-raise:30%'> &n= bsp;</span></div> </div> <div v:shape=3D"_x0000_s61472"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-margin-left-alt:0'><span style=3D'position:a= bsolute; top:59.75%;left:15.91%;width:8.05%;height:11.5%'><span style=3D'font-size:= 193%; mso-special-format:lastCR;display:none'> </span></span></div> </div> <div v:shape=3D"_x0000_s61471"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-margin-left-alt:0'><span style=3D'position:a= bsolute; top:59.75%;left:.93%;width:13.1%;height:11.5%'><span style=3D'font-size:19= 3%; mso-special-format:lastCR;display:none'> </span></span></div> </div> <div v:shape=3D"_x0000_s61470"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0= '><span style=3D'position:absolute;top:40.5%;left:25.84%;width:85.58%;height:3.25%= '><span style=3D'font-family:Arial;font-size:50%;text-shadow:none'>Factors: deep submucosal invasion (> 500 μm), 6 cases; vertical margin positive,= 5 </span></span><span style=3D'position:absolute;top:43.5%;left:25.84%;width:78.08%;height:3.25%= '><span style=3D'font-family:Arial;font-size:50%;text-shadow:none'>cases; lateral = margin positive, 3 cases; lymphatic infiltration, 2 cases; poorly </span></span><= span style=3D'position:absolute;top:46.75%;left:25.84%;width:72.47%;height:3.25= %'><span style=3D'font-family:Arial;font-size:50%;text-shadow:none'>differentiated adenocarcinoma, 4 cases</span><span style=3D'font-family:Arial;font-size:1= 43%; text-shadow:none;mso-special-format:lastCR;display:none'> </span></spa= n></div> </div> <div v:shape=3D"_x0000_s61469"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0= '><span style=3D'position:absolute;top:42.0%;left:15.91%;width:8.23%;height:3.25%'= ><span style=3D'font-family:Arial;font-size:50%;text-shadow:none'>10 ESD </span><= /span><span style=3D'position:absolute;top:45.0%;left:15.91%;width:9.36%;height:3.25%'= ><span style=3D'font-family:Arial;font-size:50%;text-shadow:none'>+ 2 EMR</span><= span style=3D'font-family:Arial;font-size:143%;text-shadow:none;mso-special-for= mat: lastCR;display:none'> </span></span></div> </div> <div v:shape=3D"_x0000_s61468"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0= '><span style=3D'position:absolute;top:42.0%;left:.93%;width:13.1%;height:3.25%'><= span style=3D'font-family:Arial;font-size:50%;text-shadow:none'>Not curative </= span></span><span style=3D'position:absolute;top:45.0%;left:.93%;width:13.1%;height:3.25%'><= span style=3D'font-family:Arial;font-size:50%;text-shadow:none'>resection</span= ><span style=3D'font-family:Arial;font-size:143%;text-shadow:none;mso-special-for= mat: lastCR;display:none'> </span></span></div> </div> <div v:shape=3D"_x0000_s61467"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:33.0%;left:25.84%;width:72.47%;height:3.25%'><span style=3D'font-family:Arial;font-size:50%;text-shadow:none'>All confirmed</= span><span style=3D'font-family:Arial;font-size:143%;text-shadow:none;mso-special-for= mat: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s61466"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0= '><span style=3D'position:absolute;top:31.25%;left:15.91%;width:8.23%;height:3.25%= '><span style=3D'font-family:Arial;font-size:50%;text-shadow:none'>35 ESD </span><= /span><span style=3D'position:absolute;top:34.5%;left:15.91%;width:9.36%;height:3.25%'= ><span style=3D'font-family:Arial;font-size:50%;text-shadow:none'>+ 6 EMR</span><= span style=3D'font-family:Arial;font-size:143%;text-shadow:none;mso-special-for= mat: lastCR;display:none'> </span></span></div> </div> <div v:shape=3D"_x0000_s61465"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0= '><span style=3D'position:absolute;top:31.25%;left:.93%;width:13.1%;height:3.25%'>= <span style=3D'font-family:Arial;font-size:50%;text-shadow:none'>Curative </span= ></span><span style=3D'position:absolute;top:34.5%;left:.93%;width:13.1%;height:3.25%'><= span style=3D'font-family:Arial;font-size:50%;text-shadow:none'>resection</span= ><span style=3D'font-family:Arial;font-size:143%;text-shadow:none;mso-special-for= mat: lastCR;display:none'> </span></span></div> </div> <div v:shape=3D"_x0000_s61464"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:21.75%;left:25.84%;width:72.47%;height:3.25%'><span style=3D'font-family:Arial;font-size:50%;text-shadow:none'><b>Clinical out= comes</b></span><span style=3D'font-family:Arial;font-size:143%;text-shadow:none;mso-special-for= mat: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s61463"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:21.75%;left:15.91%;width:8.42%;height:3.25%'><span style=3D'font-family:Arial;font-size:50%;text-shadow:none'><b>Method</b></= span><span style=3D'font-family:Arial;font-size:143%;text-shadow:none;mso-special-for= mat: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s61462"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0= '><span style=3D'position:absolute;top:20.25%;left:.93%;width:14.04%;height:3.25%'= ><span style=3D'font-family:Arial;font-size:50%;text-shadow:none'><b>Pathological= </b></span></span><span style=3D'position:absolute;top:23.5%;left:.93%;width:13.1%;height:3.25%'><= span style=3D'font-family:Arial;font-size:50%;text-shadow:none'><b>state</b></s= pan><span style=3D'font-family:Arial;font-size:143%;text-shadow:none;mso-special-for= mat: lastCR;display:none'> </span></span></div> </div> <div v:shape=3D"_x0000_s61542" class=3DO style=3D'position:absolute;top:95= .5%; 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charset="us-ascii" <html xmlns:v=3D"urn:schemas-microsoft-com:vml" xmlns:o=3D"urn:schemas-microsoft-com:office:office" xmlns:p=3D"urn:schemas-microsoft-com:office:powerpoint" xmlns:oa=3D"urn:schemas-microsoft-com:office:activation" xmlns=3D"http://www.w3.org/TR/REC-html40"> <head> <meta http-equiv=3DContent-Type content=3D"text/html; charset=3Dus-ascii"> <meta name=3DProgId content=3DPowerPoint.Slide> <meta name=3DGenerator content=3D"Microsoft PowerPoint 11"> <link id=3DMain-File rel=3DMain-File href=3D"../EndoscopicSubmucosal.htm"> <link rel=3DPreview href=3Dpreview.wmf>  <title>Serviço de Endoscopia Gastrointestinal Hospital das Clínicas Faculdade de Medicina da Univrsidade de São Paulo</t= itle> <![if IE]> <base href=3D"file:///C:\3069588C\EndoscopicSubmucosal_arquivos\slide0009.h= tm" id=3D"webarch_temp_base_tag"> <![endif]> <meta name=3DDescription content=3D"3/10/2006: Endoscopic submucosal dissection allows curative rese= ction of locally recurrent early gastric cancer after prior endoscopic muco= sal resection"> <link rel=3DStylesheet href=3D"master04_stylesheet.css"> <![if !ppt]> <style media=3Dprint>  </style> <script src=3Dscript.js></script><script></script><![endif]><o:shapelayout v:ext=3D"edit"> <o:idmap v:ext=3D"edit" data=3D"13"/> </o:shapelayout> </head> <body lang=3DPT-BR style=3D'margin:0px;background-color:black' onclick=3D"DocumentOnClick()" onresize=3D"_RSW()" onload=3D"LoadSld()" onkeypress=3D"_KPH()"> <div id=3DSlideObj class=3Dsld style=3D'position:absolute;top:0px;left:0px; width:534px;height:400px;font-size:16px;background-color:#003399;clip:rect(= 0%, 101%, 101%, 0%); visibility:hidden'><p:slide coordsize=3D"720,540" colors=3D"#003399,#ffffff,#000514,#e5e5ff,#0099cc,#a886e0,#ffcc00,#ffffcc" masterhref=3D"master04.xml"> <p:shaperange href=3D"master04.xml#_x0000_s4097"/><![if !ppt]><p:shaperange href=3D"master04.xml#_x0000_s4098"/><p:shaperange href=3D"master04.xml#_x0000_s4100"/><![if !vml]><img border=3D0 v:shapes=3D"_x0000_s4100,_x0000_s4102,_x0000_s4103,_x0000_s4104,_x0000_s41= 05,_x0000_s4106,_x0000_s4107,_x0000_s4108" src=3D"master04_image004.gif" style=3D'position:absolute;top:0%;left:0%; width:100.18%;height:100.25%'><![endif]><p:shaperange href=3D"master04.xml#_x0000_s4110"/><![endif]><p:shaperange href=3D"master04.xml#_x0000_m4109"/><v:shape id=3D"_x0000_s13314" type=3D= "#_x0000_m4109" style=3D'position:absolute;left:36pt;top:21.625pt;width:9in;height:90pt' o:userdrawn=3D"f"> <v:fill o:detectmouseclick=3D"f"/> <v:stroke o:forcedash=3D"f"/> <o:lock v:ext=3D"edit" text=3D"f"/> <p:placeholder type=3D"title"/></v:shape><p:shaperange href=3D"master04.xml#_x0000_m4111"/><v:shape id=3D"_x0000_s13315" type=3D= "#_x0000_m4111" style=3D'position:absolute;left:36pt;top:126pt;width:9in;height:356.375pt' o:userdrawn=3D"f"> <v:fill o:detectmouseclick=3D"f"/> <v:stroke o:forcedash=3D"f"/> <o:lock v:ext=3D"edit" text=3D"f"/> <p:placeholder type=3D"body" position=3D"1"/></v:shape> <div v:shape=3D"_x0000_s13314" class=3DT style=3D'text-align:left'><span style=3D'position:absolute;top:8.0%;left:5.99%;width:98.5%;height:4.5%'><s= pan style=3D'font-size:45%'>Endoscopic submucosal dissection allows curative resection of locally </span></span><span style=3D'position:absolute;top:12= .5%; left:5.99%;width:98.87%;height:4.5%'><span style=3D'font-size:45%'>recurre= nt early gastric cancer after prior endoscopic mucosal resection</span></span= ></div> <div v:shape=3D"_x0000_s13315" class=3DB> <div style=3D'mso-line-spacing:"80 20 0";position:absolute;top:23.5%;left:= 5.99%; width:88.2%;height:5.25%'><span style=3D'mso-special-format:nobullet;displ= ay: none;color:#FFCC00;mso-color-index:6;font-family:Wingdings;font-size:70%'>= n</span><span style=3D'font-size:75%'><b>Complicações </b></span></div> <div style=3D'mso-line-spacing:"80 20 0";position:absolute;top:28.74%; left:5.99%;width:88.2%;height:5.25%'><span style=3D'mso-special-format:nob= ullet; display:none;color:#FFCC00;mso-color-index:6;font-family:Wingdings;font-si= ze: 70%'>n</span><span style=3D'font-size:75%;display:none'> </span></div> <div style=3D'mso-line-spacing:"80 20 0"'><span style=3D'position:absolute; top:34.0%;left:5.99%;width:102.62%;height:5.25%'><span style=3D'mso-specia= l-format: nobullet;display:none;color:#FFCC00;mso-color-index:6;font-family:Wingding= s; font-size:70%'>n</span><span style=3D'font-size:75%'><b>Hemorragia</b></sp= an><span style=3D'font-size:75%'>: em nenhum caso foi maciço. Os episó= ;dios menores </span></span><span style=3D'position:absolute;top:38.25%;left:9.7= 3%; width:94.56%;height:5.25%'><span style=3D'font-size:75%'>foram tratados endoscopicamentes com clipes ou coagulação </span></span><sp= an style=3D'position:absolute;top:42.5%;left:9.73%;width:84.45%;height:5.25%'= ><span style=3D'font-size:75%'>com hot biopsy. </span></span></div> <div style=3D'mso-line-spacing:"80 20 0";position:absolute;top:48.0%;left:= 5.99%; width:88.2%;height:5.25%'><span style=3D'mso-special-format:nobullet;displ= ay: none;color:#FFCC00;mso-color-index:6;font-family:Wingdings;font-size:70%'>= n</span><span style=3D'font-size:75%;display:none'> </span></div> <div style=3D'mso-line-spacing:"80 20 0"'><span style=3D'position:absolute; top:53.25%;left:5.99%;width:104.11%;height:5.25%'><span style=3D'mso-speci= al-format: nobullet;display:none;color:#FFCC00;mso-color-index:6;font-family:Wingding= s; font-size:70%'>n</span><span style=3D'font-size:75%'><b>Perfuraç&at= ilde;o</b></span><span style=3D'font-size:75%'>: 4 casos (8.7%), após DSE, tratadas endoscopicamente </span></span><span style=3D'position:absolute;top:57.49%; left:9.73%;width:101.12%;height:5.25%'><span style=3D'font-size:75%'>com s= ucesso usando endoclips. Foram utilizados nestes pacientes </span></span><span style=3D'position:absolute;top:61.75%;left:9.73%;width:87.82%;height:5.25%= '><span style=3D'font-size:75%'>SNG por 6 horas e ATB por 2 dias, mantidos em jeum= e </span></span><span style=3D'position:absolute;top:66.0%;left:9.73%;width:84.45%;height:5.25%'= ><span style=3D'font-size:75%'>internados por 7 dias.</span></span></div> </div> </p:slide></div> </body> </html> ------=_NextPart_01C6E70B.AB4AF270 Content-Location: file:///C:/3069588C/EndoscopicSubmucosal_arquivos/slide0020.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" <html xmlns:v=3D"urn:schemas-microsoft-com:vml" xmlns:o=3D"urn:schemas-microsoft-com:office:office" xmlns:p=3D"urn:schemas-microsoft-com:office:powerpoint" xmlns:oa=3D"urn:schemas-microsoft-com:office:activation" xmlns=3D"http://www.w3.org/TR/REC-html40"> <head> <meta http-equiv=3DContent-Type content=3D"text/html; charset=3Dus-ascii"> <meta name=3DProgId content=3DPowerPoint.Slide> <meta name=3DGenerator content=3D"Microsoft PowerPoint 11"> <link id=3DMain-File rel=3DMain-File href=3D"../EndoscopicSubmucosal.htm"> <link rel=3DPreview href=3Dpreview.wmf>  <title>Serviço de Endoscopia Gastrointestinal Hospital das Clínicas Faculdade de Medicina da Univrsidade de São Paulo</t= itle> <![if IE]> <base href=3D"file:///C:\3069588C\EndoscopicSubmucosal_arquivos\slide0020.h= tm" id=3D"webarch_temp_base_tag"> <![endif]> <meta name=3DDescription content=3D"3/10/2006: Endoscopic submucosal dissection allows curative rese= ction of locally recurrent early gastric cancer after prior endoscopic muco= sal resection"> <link rel=3DStylesheet href=3D"master04_stylesheet.css"> <![if !ppt]> <style media=3Dprint>  </style> <script src=3Dscript.js></script><script></script><![endif]><o:shapelayout v:ext=3D"edit"> <o:idmap v:ext=3D"edit" data=3D"37"/> </o:shapelayout> </head> <body lang=3DPT-BR style=3D'margin:0px;background-color:black' onclick=3D"DocumentOnClick()" onresize=3D"_RSW()" onload=3D"LoadSld()" onkeypress=3D"_KPH()"> <div id=3DSlideObj class=3Dsld style=3D'position:absolute;top:0px;left:0px; width:534px;height:400px;font-size:16px;background-color:#003399;clip:rect(= 0%, 101%, 101%, 0%); visibility:hidden'><p:slide coordsize=3D"720,540" colors=3D"#003399,#ffffff,#000514,#e5e5ff,#0099cc,#a886e0,#ffcc00,#ffffcc" masterhref=3D"master04.xml"> <p:shaperange href=3D"master04.xml#_x0000_s4097"/><![if !ppt]><p:shaperange href=3D"master04.xml#_x0000_s4098"/><p:shaperange href=3D"master04.xml#_x0000_s4100"/><![if !vml]><img border=3D0 v:shapes=3D"_x0000_s4100,_x0000_s4102,_x0000_s4103,_x0000_s4104,_x0000_s41= 05,_x0000_s4106,_x0000_s4107,_x0000_s4108" src=3D"master04_image004.gif" style=3D'position:absolute;top:0%;left:0%; width:100.18%;height:100.25%'><![endif]><p:shaperange href=3D"master04.xml#_x0000_s4110"/><![endif]><p:shaperange href=3D"master04.xml#_x0000_m4109"/><v:shape id=3D"_x0000_s37890" type=3D= "#_x0000_m4109" style=3D'position:absolute;left:36pt;top:21.625pt;width:9in;height:90pt' o:userdrawn=3D"f"> <v:fill o:detectmouseclick=3D"f"/> <v:stroke o:forcedash=3D"f"/> <o:lock v:ext=3D"edit" text=3D"f"/> <p:placeholder type=3D"title"/></v:shape><p:shaperange href=3D"master04.xml#_x0000_m4111"/><v:shape id=3D"_x0000_s37891" type=3D= "#_x0000_m4111" style=3D'position:absolute;left:36pt;top:126pt;width:9in;height:356.375pt' o:userdrawn=3D"f"> <v:fill o:detectmouseclick=3D"f"/> <v:stroke o:forcedash=3D"f"/> <o:lock v:ext=3D"edit" text=3D"f"/> <p:placeholder type=3D"body" position=3D"1"/></v:shape> <div v:shape=3D"_x0000_s37890" class=3DT style=3D'text-align:left'><span style=3D'position:absolute;top:8.0%;left:5.99%;width:98.5%;height:4.5%'><s= pan style=3D'font-size:45%'>Endoscopic submucosal dissection allows curative resection of locally </span></span><span style=3D'position:absolute;top:12= .5%; left:5.99%;width:98.87%;height:4.5%'><span style=3D'font-size:45%'>recurre= nt early gastric cancer after prior endoscopic mucosal resection</span></span= ></div> <div v:shape=3D"_x0000_s37891" class=3DB> <div style=3D'mso-line-spacing:"80 20 0";position:absolute;top:23.5%;left:= 5.99%; width:88.2%;height:4.5%'><span style=3D'mso-special-format:nobullet;displa= y: none;color:#FFCC00;mso-color-index:6;font-family:Wingdings;font-size:70%'>= n</span><span style=3D'font-size:63%'><b>Discussão </b></span></div> <div style=3D'mso-line-spacing:"80 20 0"'><span style=3D'position:absolute; top:28.0%;left:5.99%;width:91.76%;height:4.5%'><span style=3D'mso-special-= format: nobullet;display:none;color:#FFCC00;mso-color-index:6;font-family:Wingding= s; font-size:70%'>n</span><span style=3D'font-size:63%'><span style=3D'mso-ta= b-count: 1;width:4.08%'> </span>ME é o tratamento padrão para CGP no Japão. Quando usa-se ME </span></span><span style=3D'position:absol= ute; top:31.5%;left:9.73%;width:97.56%;height:4.5%'><span style=3D'font-size:63= %'>convencional, limita-se para lesões pequenas (< 1,5cm), pois lesões mai= ores </span></span><span style=3D'position:absolute;top:35.0%;left:9.73%;width:= 84.45%; height:4.5%'><span style=3D'font-size:63%'>requerem retirada em piecemeal.= </span></span></div> <div style=3D'mso-line-spacing:"80 20 0";position:absolute;top:39.5%;left:= 5.99%; width:88.2%;height:4.5%'><span style=3D'mso-special-format:nobullet;displa= y: none;color:#FFCC00;mso-color-index:6;font-family:Wingdings;font-size:70%'>= n</span><span style=3D'font-size:63%;display:none'> </span></div> <div style=3D'mso-line-spacing:"80 20 0"'><span style=3D'position:absolute; top:44.0%;left:5.99%;width:97.94%;height:4.5%'><span style=3D'mso-special-= format: nobullet;display:none;color:#FFCC00;mso-color-index:6;font-family:Wingding= s; font-size:70%'>n</span><span style=3D'font-size:63%'><span style=3D'mso-ta= b-count: 1;width:3.82%'> </span>Foram realizadas no NCCH 2000 ME (desde 1987), sendo que a taxa de </span></span><span style=3D'position:absolute;top:47.5%; left:9.73%;width:97.0%;height:4.5%'><span style=3D'font-size:63%'>recorr&e= circ;ncia para a ME foi de 8.5% (53/620). A ressecção endoscópi= ca para </span></span><span style=3D'position:absolute;top:51.24%;left:9.73%; width:101.31%;height:4.5%'><span style=3D'font-size:63%'>recorrência= local após ME é difícil, devido a fibrose que ocorre na submucosa, </span></span><span style=3D'position:absolute;top:54.75%;left:= 9.73%; width:100.56%;height:4.5%'><span style=3D'font-size:63%'>que dificulta a elevação da lesão recorrente durante a injeção de solução salina </span></span><span style=3D'position:absolute;top:58.25%;left:9.73%;width:91.57%;height:4.5%'= ><span style=3D'font-size:63%'>na submucosa. Restringe-se o uso de ME convencional quando não há </span></span><span style=3D'position:absolute; top:61.75%;left:9.73%;width:88.2%;height:4.5%'><span style=3D'font-size:63= %'>elevação da lesão após a injeção devido ao alto risco de perfuração e </span></span><span style=3D'position:absolute; top:65.5%;left:9.73%;width:96.25%;height:4.5%'><span style=3D'font-size:63= %'>recorrência. A terapia de ablação pode ser útil, mas não recomendado pois </span></span><span style=3D'position:absolute;top:69.0%; left:9.73%;width:99.25%;height:4.5%'><span style=3D'font-size:63%'>impede a avaliação patológica. Cirurgia tem sido recomendado, = mas pode ser </span></span><span style=3D'position:absolute;top:72.5%;left:9.7= 3%; width:84.45%;height:4.5%'><span style=3D'font-size:63%'>excessiva, visto q= ue a recorrência pode atingir somente a mucosa. </span></span></div> <div style=3D'mso-line-spacing:"80 20 0";position:absolute;top:77.0%;left:= 5.99%; width:88.2%;height:4.5%'><span style=3D'mso-special-format:nobullet;displa= y: none;color:#FFCC00;mso-color-index:6;font-family:Wingdings;font-size:70%'>= n</span><span style=3D'font-size:63%;mso-special-format:lastCR;display:none'> </span= ></div> </div> </p:slide></div> </body> </html> ------=_NextPart_01C6E70B.AB4AF270 Content-Location: file:///C:/3069588C/EndoscopicSubmucosal_arquivos/slide0021.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" <html xmlns:v=3D"urn:schemas-microsoft-com:vml" xmlns:o=3D"urn:schemas-microsoft-com:office:office" xmlns:p=3D"urn:schemas-microsoft-com:office:powerpoint" xmlns:oa=3D"urn:schemas-microsoft-com:office:activation" xmlns=3D"http://www.w3.org/TR/REC-html40"> <head> <meta http-equiv=3DContent-Type content=3D"text/html; charset=3Dus-ascii"> <meta name=3DProgId content=3DPowerPoint.Slide> <meta name=3DGenerator content=3D"Microsoft PowerPoint 11"> <link id=3DMain-File rel=3DMain-File href=3D"../EndoscopicSubmucosal.htm"> <link rel=3DPreview href=3Dpreview.wmf>  <title>Serviço de Endoscopia Gastrointestinal Hospital das Clínicas Faculdade de Medicina da Univrsidade de São Paulo</t= itle> <![if IE]> <base href=3D"file:///C:\3069588C\EndoscopicSubmucosal_arquivos\slide0021.h= tm" id=3D"webarch_temp_base_tag"> <![endif]> <meta name=3DDescription content=3D"3/10/2006: Endoscopic submucosal dissection allows curative rese= ction of locally recurrent early gastric cancer after prior endoscopic muco= sal resection"> <link rel=3DStylesheet href=3D"master04_stylesheet.css"> <![if !ppt]> <style media=3Dprint>  </style> <script src=3Dscript.js></script><script></script><![endif]><o:shapelayout v:ext=3D"edit"> <o:idmap v:ext=3D"edit" data=3D"38"/> </o:shapelayout> </head> <body lang=3DPT-BR style=3D'margin:0px;background-color:black' onclick=3D"DocumentOnClick()" onresize=3D"_RSW()" onload=3D"LoadSld()" onkeypress=3D"_KPH()"> <div id=3DSlideObj class=3Dsld style=3D'position:absolute;top:0px;left:0px; width:534px;height:400px;font-size:16px;background-color:#003399;clip:rect(= 0%, 101%, 101%, 0%); visibility:hidden'><p:slide coordsize=3D"720,540" colors=3D"#003399,#ffffff,#000514,#e5e5ff,#0099cc,#a886e0,#ffcc00,#ffffcc" masterhref=3D"master04.xml"> <p:shaperange href=3D"master04.xml#_x0000_s4097"/><![if !ppt]><p:shaperange href=3D"master04.xml#_x0000_s4098"/><p:shaperange href=3D"master04.xml#_x0000_s4100"/><![if !vml]><img border=3D0 v:shapes=3D"_x0000_s4100,_x0000_s4102,_x0000_s4103,_x0000_s4104,_x0000_s41= 05,_x0000_s4106,_x0000_s4107,_x0000_s4108" src=3D"master04_image004.gif" style=3D'position:absolute;top:0%;left:0%; width:100.18%;height:100.25%'><![endif]><p:shaperange href=3D"master04.xml#_x0000_s4110"/><![endif]><p:shaperange href=3D"master04.xml#_x0000_m4109"/><v:shape id=3D"_x0000_s38914" type=3D= "#_x0000_m4109" style=3D'position:absolute;left:36pt;top:21.625pt;width:9in;height:90pt' o:userdrawn=3D"f"> <v:fill o:detectmouseclick=3D"f"/> <v:stroke o:forcedash=3D"f"/> <o:lock v:ext=3D"edit" text=3D"f"/> <p:placeholder type=3D"title"/></v:shape><p:shaperange href=3D"master04.xml#_x0000_m4111"/><v:shape id=3D"_x0000_s38915" type=3D= "#_x0000_m4111" style=3D'position:absolute;left:36pt;top:126pt;width:9in;height:356.375pt' o:userdrawn=3D"f"> <v:fill o:detectmouseclick=3D"f"/> <v:stroke o:forcedash=3D"f"/> <o:lock v:ext=3D"edit" text=3D"f"/> <p:placeholder type=3D"body" position=3D"1"/></v:shape> <div v:shape=3D"_x0000_s38914" class=3DT style=3D'text-align:left'><span style=3D'position:absolute;top:8.0%;left:5.99%;width:98.5%;height:4.5%'><s= pan style=3D'font-size:45%'>Endoscopic submucosal dissection allows curative resection of locally </span></span><span style=3D'position:absolute;top:12= .5%; left:5.99%;width:98.87%;height:4.5%'><span style=3D'font-size:45%'>recurre= nt early gastric cancer after prior endoscopic mucosal resection</span></span= ></div> <div v:shape=3D"_x0000_s38915" class=3DB> <div style=3D'mso-line-spacing:"80 20 0";position:absolute;top:23.75%; left:5.99%;width:88.2%;height:2.0%'><span style=3D'mso-special-format:nobu= llet; display:none;color:#FFCC00;mso-color-index:6;font-family:Wingdings;font-si= ze: 70%'>n</span><span style=3D'font-family:"Franklin Gothic Medium";font-size= :25%'> </span></div> <div style=3D'mso-line-spacing:"80 20 0"'><span style=3D'position:absolute; top:26.0%;left:5.99%;width:103.37%;height:5.25%'><span style=3D'mso-specia= l-format: nobullet;display:none;color:#FFCC00;mso-color-index:6;font-family:Wingding= s; font-size:70%'>n</span><span style=3D'font-size:75%'><span style=3D'mso-ta= b-count: 1;width:3.62%'> </span>O desenvolvimento de técnicas de DSE permiti= u a ressecção de </span></span><span style=3D'position:absolute; top:30.25%;left:9.73%;width:87.07%;height:5.25%'><span style=3D'font-size:= 75%'>tumores antes não passíveis de tratamento endoscópico. </= span></span></div> <div style=3D'mso-line-spacing:"80 20 0";position:absolute;top:35.5%;left:= 5.99%; width:88.2%;height:5.25%'><span style=3D'mso-special-format:nobullet;displ= ay: none;color:#FFCC00;mso-color-index:6;font-family:Wingdings;font-size:70%'>= n</span><span style=3D'font-size:75%;display:none'> </span></div> <div style=3D'mso-line-spacing:"80 20 0"'><span style=3D'position:absolute; top:40.75%;left:5.99%;width:101.12%;height:5.25%'><span style=3D'mso-speci= al-format: nobullet;display:none;color:#FFCC00;mso-color-index:6;font-family:Wingding= s; font-size:70%'>n</span><span style=3D'font-size:75%'><span style=3D'mso-ta= b-count: 1;width:3.7%'> </span>O uso da DSE permitiu ressecar lesões maiores= , e em bloco, o </span></span><span style=3D'position:absolute;top:45.0%;left:= 9.73%; width:93.25%;height:5.25%'><span style=3D'font-size:75%'>que melhorou a avaliação patológicas destas peças, diminuiu <= /span></span><span style=3D'position:absolute;top:49.5%;left:9.73%;width:91.19%;height:5.25%'= ><span style=3D'font-size:75%'>recorrência local por visualizar diretamente= a submucosa, e </span></span><span style=3D'position:absolute;top:53.75%; left:9.73%;width:94.0%;height:5.25%'><span style=3D'font-size:75%'>permiti= u, ainda, ressecar lesões após ME prévia, dando outra </= span></span><span style=3D'position:absolute;top:57.99%;left:9.73%;width:85.39%;height:5.25%= '><span style=3D'font-size:75%'>opção, que não cirurgica, par= a os pacientes que tiveram </span></span><span style=3D'position:absolute;top:6= 2.25%; left:9.73%;width:84.45%;height:5.25%'><span style=3D'font-size:75%'>recorr= ência. </span></span></div> <div style=3D'mso-line-spacing:"80 20 0";position:absolute;top:67.5%;left:= 5.99%; width:88.2%;height:5.25%'><span style=3D'mso-special-format:nobullet;displ= ay: none;color:#FFCC00;mso-color-index:6;font-family:Wingdings;font-size:70%'>= n</span><span style=3D'font-size:75%;display:none'> </span></div> <div style=3D'mso-line-spacing:"80 20 0"'><span style=3D'position:absolute; top:72.75%;left:5.99%;width:92.88%;height:5.25%'><span style=3D'mso-specia= l-format: nobullet;display:none;color:#FFCC00;mso-color-index:6;font-family:Wingding= s; font-size:70%'>n</span><span style=3D'font-size:75%'><span style=3D'mso-ta= b-count: 1;width:4.03%'> </span>Este estudo mostrou que a DSE é segura, efic= az e permit </span></span><span style=3D'position:absolute;top:77.0%;left:9.73%; width:84.45%;height:5.25%'><span style=3D'font-size:75%'>ressecç&ot= ilde;es em bloco. </span></span></div> <div style=3D'mso-line-spacing:"80 20 0";position:absolute;top:82.5%;left:= 5.99%; width:88.2%;height:5.25%'><span style=3D'mso-special-format:nobullet;displ= ay: none;color:#FFCC00;mso-color-index:6;font-family:Wingdings;font-size:70%'>= n</span><span style=3D'font-size:75%;display:none'> </span></div> <div style=3D'mso-line-spacing:"80 20 0"'><span style=3D'position:absolute; top:87.75%;left:5.99%;width:104.49%;height:5.25%'><span style=3D'mso-speci= al-format: nobullet;display:none;color:#FFCC00;mso-color-index:6;font-family:Wingding= s; font-size:70%'>n</span><span style=3D'font-size:75%'><span style=3D'mso-ta= b-count: 1;width:3.58%'> </span>Novos avanços são necessários = no campo da DSE para diminuir </span></span><span style=3D'position:absolute; top:92.0%;left:9.73%;width:84.45%;height:5.25%'><span style=3D'font-size:7= 5%'>complicações e facilitar o procedimento.</span></span></div> </div> </p:slide></div> </body> </html> ------=_NextPart_01C6E70B.AB4AF270 Content-Location: file:///C:/3069588C/EndoscopicSubmucosal_arquivos/slide0025.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" <html xmlns:v=3D"urn:schemas-microsoft-com:vml" xmlns:o=3D"urn:schemas-microsoft-com:office:office" xmlns:p=3D"urn:schemas-microsoft-com:office:powerpoint" xmlns:oa=3D"urn:schemas-microsoft-com:office:activation" xmlns=3D"http://www.w3.org/TR/REC-html40"> <head> <meta http-equiv=3DContent-Type content=3D"text/html; charset=3Dus-ascii"> <meta name=3DProgId content=3DPowerPoint.Slide> <meta name=3DGenerator content=3D"Microsoft PowerPoint 11"> <link id=3DMain-File rel=3DMain-File href=3D"../EndoscopicSubmucosal.htm"> <link rel=3DPreview href=3Dpreview.wmf>  <title>Serviço de Endoscopia Gastrointestinal Hospital das Clínicas Faculdade de Medicina da Univrsidade de São Paulo</t= itle> <![if IE]> <base href=3D"file:///C:\3069588C\EndoscopicSubmucosal_arquivos\slide0025.h= tm" id=3D"webarch_temp_base_tag"> <![endif]> <meta name=3DDescription content=3D"3/10/2006: Endoscopic submucosal dissection allows curative rese= ction of locally recurrent early gastric cancer after prior endoscopic muco= sal resection"> <link rel=3DStylesheet href=3D"master04_stylesheet.css"> <![if !ppt]> <style media=3Dprint>  </style> <script src=3Dscript.js></script><script></script><![endif]><o:shapelayout v:ext=3D"edit"> <o:idmap v:ext=3D"edit" data=3D"42"/> </o:shapelayout> </head> <body lang=3DPT-BR style=3D'margin:0px;background-color:black' onclick=3D"DocumentOnClick()" onresize=3D"_RSW()" onload=3D"LoadSld()" onkeypress=3D"_KPH()"> <div id=3DSlideObj class=3Dsld style=3D'position:absolute;top:0px;left:0px; width:534px;height:400px;font-size:16px;background-color:#003399;clip:rect(= 0%, 101%, 101%, 0%); visibility:hidden'><p:slide coordsize=3D"720,540" colors=3D"#003399,#ffffff,#000514,#e5e5ff,#0099cc,#a886e0,#ffcc00,#ffffcc" masterhref=3D"master04.xml"> <p:shaperange href=3D"master04.xml#_x0000_s4097"/><![if !ppt]><p:shaperange href=3D"master04.xml#_x0000_s4098"/><p:shaperange href=3D"master04.xml#_x0000_s4100"/><![if !vml]><img border=3D0 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<p:placeholder type=3D"body" position=3D"1"/></v:shape><![if !vml]><img b= order=3D0 v:shapes=3D"_x0000_s43011" src=3D"slide0025_image011.gif" style=3D'positio= n:absolute; top:23.25%;left:4.86%;width:90.44%;height:66.5%'><![endif]> <div v:shape=3D"_x0000_s43010" class=3DT style=3D'text-align:left'><span style=3D'position:absolute;top:8.0%;left:5.99%;width:98.5%;height:4.5%'><s= pan style=3D'font-size:45%'>Endoscopic submucosal dissection allows curative resection of locally </span></span><span style=3D'position:absolute;top:12= .5%; left:5.99%;width:98.87%;height:4.5%'><span style=3D'font-size:45%'>recurre= nt early gastric cancer after prior endoscopic mucosal resection</span></span= ></div> <div v:shape=3D"_x0000_s43011" class=3DB> <div style=3D'mso-line-spacing:"80 20 0";position:absolute;top:23.75%; left:5.99%;width:88.01%;height:2.0%'><span style=3D'mso-special-format:nob= ullet; display:none;color:#FFCC00;mso-color-index:6;font-family:Wingdings;font-si= ze: 70%'>n</span><span style=3D'font-family:"Franklin Gothic Medium";font-size= :25%'> </span></div> <div style=3D'mso-line-spacing:"80 20 0";position:absolute;top:26.0%;left:= 5.99%; width:88.01%;height:5.25%'><span style=3D'mso-special-format:nobullet; display:none;color:#FFCC00;mso-color-index:6;font-family:Wingdings;font-si= ze: 70%'>n</span><span style=3D'font-size:75%'><b>Conclusão </b></s= pan></div> <div style=3D'mso-line-spacing:"80 20 0";position:absolute;top:31.25%; left:5.99%;width:88.01%;height:5.25%'><span style=3D'mso-special-format:no= bullet; display:none;color:#FFCC00;mso-color-index:6;font-family:Wingdings;font-si= ze: 70%'>n</span><span style=3D'font-size:75%;display:none'> </span></div> <div style=3D'mso-line-spacing:"80 20 0"'><span style=3D'position:absolute; top:36.75%;left:5.99%;width:100.93%;height:5.25%'><span style=3D'mso-speci= al-format: nobullet;display:none;color:#FFCC00;mso-color-index:6;font-family:Wingding= s; font-size:70%'>n</span><span style=3D'font-size:75%'>A DSE oferece uma opção alternativa a cirurgia, para recorrência </span>= </span><span style=3D'position:absolute;top:41.0%;left:9.73%;width:96.25%;height:5.25%'= ><span style=3D'font-size:75%'>local de<span style=3D'mso-spacerun:yes'> </span>tumores bom ou moderadamente diferenciados, com </span></span><span style=3D'position:absolute;top:45.25%;left:9.73%;width:93.07%;height:5.25%= '><span style=3D'font-size:75%'>menor mortalidade e morbidade, permitindo a ressecção em </span></span><span style=3D'position:absolute; top:49.5%;left:9.73%;width:86.89%;height:5.25%'><span style=3D'font-size:7= 5%'>bloco para melhor avaliação histológica e menor taxa de </s= pan></span><span style=3D'position:absolute;top:53.75%;left:9.73%;width:84.26%;height:5.25%= '><span style=3D'font-size:75%'>recorrência. </span></span></div> <div style=3D'mso-line-spacing:"80 20 0";position:absolute;top:59.0%;left:= 5.99%; width:88.01%;height:5.25%'><span style=3D'mso-special-format:nobullet; 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if( MakeNotesVis() ) return runAnimations =3D _InitAnimations(); =09 if( IsWin("PPTSld") ) parent.SldUpdated(GetSldId()) g_origSz=3DparseInt(SlideObj.style.fontSize) g_origH=3Dsld.style.posHeight g_origW=3Dsld.style.posWidth g_scaleHyperlinks=3D(document.all.tags("AREA").length>0) if( g_scaleHyperlinks ) InitHLinkArray() if( g_scaleInFrame||(IsWin("PPTSld") && parent.IsFullScrMode() ) ) document.body.scroll=3D"no" _RSW() if( IsWin("PPTSld") && parent.IsFullScrMode() ) FullScrInit(); =09 MakeSldVis(); ChkAutoAdv() if( runAnimations ) { if( document.all("NSPlay") ) document.all("NSPlay").autoStart =3D false; if( sld.filters && sld.filters.revealtrans ) setTimeout( "document.body.start()", sld.filters.revealtrans.duration * = 1000 ); else document.body.start(); } } function MakeSldVis()=20 { var fTrans=3Dg_showAnimation && SldHasTrans() if( fTrans )=09 { if( g_bgSound ) { idx=3Dg_bgSound.indexOf(","); pptSound.src=3Dg_bgSound.substr( 0, idx ); pptSound.loop=3D 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isFullScreen =3D (window.name =3D=3D "PPTSld") && !parent.IsFramesMode(); g_animUseRuntime =3D g_showAnimation && animRuntimeInstalled && !(isFullSc= reen && parent.IsSldVisited()); if( g_animUseRuntime ) { collSeq =3D document.all.tags("seq"); if( collSeq !=3D null ) { for(ii=3D0;ii<collSeq.length;ii++) { if( collSeq[ii].getAttribute( "p:nodeType" ) =3D=3D "mainSeq" ) { g_animMainSequence =3D collSeq[ii]; break; } } } =09 if( g_animItemsToHide && document.body.playAnimations !=3D false ) { for(jj =3D 0; jj < g_animItemsToHide.length; jj++) { if( hideObj =3D GetObj(g_animItemsToHide[jj]) ) hideObj.runtimeStyle.visibility=3D"hidden"; } } if( g_animInteractiveItems ){ for(jj =3D 0; jj < g_animInteractiveItems.length; jj++) { if( triggerObj =3D GetObj(g_animInteractiveItems[jj]) ) triggerObj.runtimeStyle.cursor=3D"hand"; } } =09 if( gUseSldTimings && ''+g_animSlideTime !=3D 'undefined' ) { adjustedTime =3D document.body.calculateAutoAdvanceTimes( g_animSlideTim= e, g_animEffectTimings ); if( IsWin("PPTSld") && adjustedTime !=3D g_animSlideTime ) { var sld =3D GetCurSld(); sld.mAdvDelay =3D adjustedTime * 1000; } } } return g_animUseRuntime; } gSldJump =3D 0, gSldJumpTrack =3D 0, gSldJumpIdx =3D ""; function _KPH() {=20 if( IsNts() ) return; if( !parent.IsFramesMode() && event.keyCode =3D=3D 27 && !HideMenu() ) parent.window.close( self ); else if( event.keyCode =3D=3D 32 ) { if( window.name =3D=3D "PPTSld" ) parent.PPTSld.DocumentOnClick(); else parent.GoToNextSld(); } CatchNumKeys( parent, event ); } function CatchNumKeys( win, event ) { if( win.IsFullScrMode() && (48<=3Devent.keyCode) && (event.keyCode<=3D57) = ) { gSldJump =3D 1; gSldJumpIdx +=3D (event.keyCode-48).toString(); } if( win.IsFullScrMode() && gSldJump && event.keyCode =3D=3D 13 ) { var numSlds =3D parent.GetSldList().mList.length if ( gSldJumpIdx > numSlds ) gSldJumpIdx =3D numSlds; if ( gSldJumpIdx >=3D 0 ) { if ( gSldJumpIdx =3D=3D 0 ) gSldJumpIdx =3D 1; var jumpTo =3D parseInt(gSldJumpIdx); gSldJump =3D 0; gSldJumpIdx =3D ""; win.GoToSld( parent.GetSldList().mList[jumpTo-1].mSldHref ) } } } function _KDH() { if( event.keyCode =3D=3D 8 ) { event.returnValue =3D 0; parent.GoToPrevSld(); } } var g_HLinkArray =3D new Array(); =20 function IMapAreaObj( areaObj, coords ) { this.areaObj =3D areaObj; this.coords =3D coords; } function InitHLinkArray() { var appVer =3D navigator.appVersion; var msie =3D appVer.indexOf ( "MSIE " ) var ver =3D 0; if ( msie >=3D 0 ) ver =3D parseInt ( appVer.substring( msie+5 ) ); linkNum =3D 0; for (i=3D0; i<document.all.tags("AREA").length; i++) { areaObj =3D document.all.tags("AREA").item(i); if( ( areaObj.id !=3D "pptxscale" ) || ( ver > 4 ) ) g_HLinkArray[linkNum++] =3D new IMapAreaObj( areaObj, ParseCoords( ar= eaObj.coords ) ); } } function ScaleHyperlinks( factor ) { =20 for ( ii=3D0; ii< g_HLinkArray.length; ii++) { coordsStr=3D""; imaObj =3D g_HLinkArray[ii]; for ( jj=3D0; jj < imaObj.coords.length-1; jj++ ) coordsStr +=3D (imaObj.coords[jj]*factor) + ","; coordsStr +=3D (imaObj.coords[jj]*factor); imaObj.areaObj.coords =3D coordsStr; } } function ParseCoords( coordsStr ) { var numArray =3D new Array(); var i =3D curPos =3D commaPos =3D 0; while ( ( commaPos =3D coordsStr.indexOf(",", curPos) ) !=3D -1 ) {=20 numArray[i++] =3D parseInt( coordsStr.substr( curPos, commaPos ) ); curPos =3D commaPos + 1; } numArray[i] =3D parseInt( coordsStr.substr( curPos ) ); return numArray; } function DocumentOnClick() { if( IsNts() || parent.HideMenu() ) return; if( ( g_allowAdvOnClick && !parent.IsFramesMode() ) || (event && (event.keyCode=3D=3D32) ) ) parent.GoToNextSld(); } var g_supportsPPTHTML =3D SupportsPPTHTML(), g_scaleInFrame =3D 1, gId=3D""= , g_bgSound=3D"", g_scaleHyperlinks =3D false, g_allowAdvOnClick =3D 1, g_showInBrowser = =3D 0, gLoopCont =3D 0, gUseSldTimings =3D 1; var g_showAnimation =3D g_supportsPPTHTML && SupportsPPTAnimation() && ( (w= indow.name=3D=3D"PPTSld" && !parent.IsFramesMode()) || g_showInBrowser );va= r g_animManager =3D null; var g_animUseRuntime =3D false; var g_animItemsToHide, g_animInteractiveItems, g_animSlideTime; var g_animMainSequence =3D null; var ENDSHOW_MESG=3D"Fim da apresentação de slides. Clique par= a sair.", SCREEN_MODE=3D"Frames", gIsEndShow=3D0, NUM_VIS_SLDS=3D19, SCRIPT= _HREF=3D"script.js", FULLSCR_HREF=3D"fullscreen.htm"; var gCurSld =3D gPrevSld =3D 1, g_offset =3D 0, gNtsOpen =3D gHasNts =3D gO= tlTxtExp =3D 0, gHasNarration =3D 0, gOtlOpen =3D true window.gPPTHTML=3DSupportsPPTHTML() var g_fBaseHyperlink =3D false; var gMainDoc=3Dnew Array(new hrefList("slide0001.htm",1,-1,1),new hrefList(= "slide0003.htm",1,-1,1),new hrefList("slide0018.htm",1,-1,1),new hrefList("= slide0019.htm",1,-1,1),new hrefList("slide0005.htm",1,-1,1),new hrefList("s= lide0034.htm",1,-1,1),new hrefList("slide0036.htm",1,-1,1),new hrefList("sl= ide0037.htm",1,-1,1),new hrefList("slide0035.htm",1,-1,1),new hrefList("sli= de0007.htm",1,-1,1),new hrefList("slide0038.htm",1,-1,1),new hrefList("slid= e0039.htm",1,-1,1),new hrefList("slide0033.htm",1,-1,1),new hrefList("slide= 0008.htm",1,-1,1),new hrefList("slide0040.htm",1,-1,1),new hrefList("slide0= 009.htm",1,-1,1),new hrefList("slide0020.htm",1,-1,1),new hrefList("slide00= 21.htm",1,-1,1),new hrefList("slide0025.htm",1,-1,1)); /********************************************* Frameset functions These functions control slide navigation and state of the frameset. **********************************************/ function RemoveFilePrefixFromHref(href) { var regExp =3D /^file:\/\/\//i; return href.replace(regExp, "") } function FullScrInit() { g_allowAdvOnClick =3D GetCurSld().mAdvOnClk document.body.style.backgroundColor=3D"black" document.oncontextmenu=3Dparent._CM; document.onkeydown =3D _KDH; document.ondragstart=3DCancel document.onselectstart=3DCancel self.focus() } function Redirect( frmId ) {=09 var str=3Ddocument.location.hash,idx=3Dstr.indexOf('#'), sId=3DGetSldId() if(idx>=3D0) str=3Dstr.substr(1); if( window.name !=3D frmId && ( sId !=3D str) ) { obj =3D GetObj("Main-File") window.location.href=3Dobj.href+"#"+sId return 1 } return 0 } var MHTMLPrefix =3D CalculateMHTMLPrefix();=20 function CalculateMHTMLPrefix() { if ( document.location.protocol =3D=3D 'mhtml:') {=20 href=3Dnew String(document.location.href)=20 Start=3Dhref.indexOf('!')+1=20 End=3Dhref.lastIndexOf('/')+1=20 if (End < Start)=20 return href.substring(0, Start)=20 else=20 return href.substring(0, End)=20 } return ''; } function GetTags(base,tag) { if(g_supportsPPTHTML) return base.all.tags(tag); else return base.getElementsByTagName(tag); } function UpdNtsPane(){ if(frames["PPTNts"]) PPTNts.location.replace( MHTMLP= refix+GetHrefObj( gCurSld ).mNtsHref ) } function UpdNavPane( sldIndex ){ if(gNavLoaded) PPTNav.UpdNav() } function UpdOtNavPane(){ if(gOtlNavLoaded) PPTOtlNav.UpdOtlNav() } function UpdOtlPane(){ if(gOtlLoaded) PPTOtl.UpdOtl() } function SetHasNts( fVal ) { if( gHasNts !=3D fVal ) { gHasNts=3DfVal UpdNavPane() } } function ToggleOtlText() { gOtlTxtExp=3D!gOtlTxtExp UpdOtlPane() } function ClearMedia() { // Clear any sounds playing before launching another browser window. Other= wise, // in fullscreen mode, you'll continue to hear the sound in the frames mod= e. if (PPTSld.pptSound) PPTSld.pptSound.loop =3D 0; } function FullScreen() {=20 if ( PPTSld.g_animUseRuntime ) PPTSld.document.body.pause(); ClearMedia(); var href =3D ( document.location.protocol =3D=3D 'mhtml:') ? FULLSCR_HREF = : FULLSCR_HREF+"#"+GetHrefObj(gCurSld).mSldHref; if (MHTMLPrefix !=3D "") href =3D RemoveFilePrefixFromHref(href) if(PPTNav.event.ctrlKey) { var w =3D (window.screen.availWidth * 1.0) / 2.0 var h =3D w * (PPTSld.g_origH * 1.0) / PPTSld.g_origW win =3D window.open( MHTMLPrefix+href,null,"toolbar=3D0,resizable=3D1,top= =3D0,left=3D0," + "width=3D"+ w + ",height=3D" + h ); if( win.document.body && PPTSld.g_animUseRuntime ) win.document.body.PPTSldFrameset=3Dwindow; } else { win =3D window.open( MHTMLPrefix+href,null,"fullscreen=3Dyes" ); if( win.document.body && PPTSld.g_animUseRuntime ) win.document.body.PPTSldFrameset=3Dwindow; } } function ToggleVNarration() { rObj=3DPPTSld.document.all("NSPlay") if( rObj && !PPTSld.g_animUseRuntime ) { if( (rObj.playState =3D=3D 1)||(rObj.playState =3D=3D 0) ) rObj.Play() else if( rObj.playState =3D=3D 2 ) rObj.Pause() else return; } else if( PPTSld.g_animUseRuntime ) { narObj =3D PPTSld.document.all("narrationID") if( narObj ) narObj.togglePause() } } function GetCurSldNum() { =20 obj=3DGetHrefObj(gCurSld) if( obj.mOrigVis =3D=3D 1 ) return obj.mSldIdx else =20 return gCurSld } function GetNumSlds() { =20 if( GetHrefObj(gCurSld).mOrigVis =3D=3D 1 ) return GetSldList().mNumVisSlds; else return GetSldList().mList.length } function GetSldNum( href ) { for(ii=3D0; ii<GetSldList().mList.length; ii++) { if ( GetSldList().mList[ii].mSldHref =3D=3D href ) return ii+1 } return 1 } function GetHrefObj( sldIdx ){ return GetSldList().mList[sldIdx-1] } function IsFramesMode(){ return ( SCREEN_MODE =3D=3D "Frames" ) } function IsFullScrMode(){ return ( SCREEN_MODE =3D=3D "FullScreen" ) } function GoToNextSld() { ii=3DgCurSld + 1 if( GetHrefObj( ii-1 ).mOrigVis =3D=3D 0 ) { if( ii<=3DGetSldList().mList.length ) { obj=3DGetHrefObj(ii) obj.mVis=3D1 GoToSldNum(ii) return } } else { obj=3DGetHrefObj( ii ) while ( obj && ( obj.mOrigVis =3D=3D 0 ) ) obj=3DGetHrefObj(++ii) if( obj && obj.mOrigVis ) { GoToSldNum(ii) return } } if( gSldStack.length > 1 ) PopSldList(); else if( !IsFramesMode() ) { if( gLoopCont ) GoToFirst() else EndShow() } } function GoToPrevSld() { ii=3DgCurSld-1 if( ii > 0 ) { obj=3DGetHrefObj(ii) while ( obj && ( obj.mVis =3D=3D 0 ) && ( ii>0 ) ) obj=3DGetHrefObj(--ii) if( ii =3D=3D 0 ) ii=3D1 GoToSldNum(ii) } } function GoToFirst(){ GoToSld( GetHrefObj(1).mSldHref ) } function GoToLast() { ii=3DGetSldList().mList.length if( ii !=3D gCurSld ) GoToSld( GetHrefObj(ii).mSldHref ) } function GoToSldNum( num ) { if( PPTSld.event ) PPTSld.event.cancelBubble=3Dtrue obj =3D GetHrefObj( num ) obj.mVis=3D1 gPrevSld=3DgCurSld gCurSld =3D num; =09 if (MHTMLPrefix !=3D "") PPTSld.location.replace(MHTMLPrefix+RemoveFilePrefixFromHref(obj.mSldHref= )) else PPTSld.location.replace(obj.mSldHref) =09 if( IsFramesMode() ) { UpdNavPane(); UpdOtlPane(); UpdNtsPane() } } function GoToSld( href ) { if( PPTSld.event ) PPTSld.event.cancelBubble=3Dtrue GetHrefObj( GetSldNum(href) ).mVis=3D1 if (MHTMLPrefix !=3D "") PPTSld.location.replace(MHTMLPrefix+RemoveFilePrefixFromHref(href)) else PPTSld.location.replace(href) } function SldUpdated( id ) { if( id =3D=3D GetHrefObj(gCurSld).mSldHref ) return gPrevSld=3DgCurSld gCurSld=3DGetSldNum(id) if( IsFramesMode() ) { UpdNavPane(); UpdOtlPane(); UpdNtsPane() } } function PrevSldViewed(){ GoToSld( GetHrefObj(gPrevSld).mSldHref ) } function HasPrevSld() { return ( gIsEndShow || ( gCurSld !=3D 1 && GetHrefO= bj( gCurSld-1 ).mVis =3D=3D 1 )||( GetCurSldNum() > 1 ) ) } function HasNextSld() { return (GetCurSldNum() !=3D GetNumSlds()) } function CloseWindow() { if( HideMenu() ) return; =09 var event =3D PPTSld.event; if( !IsFramesMode() && event && (event.keyCode=3D=3D27 || event.keyCode=3D= =3D32 || event.type=3D=3D"click" ) ) window.close( self ); CatchNumKeys( self, event ); } function Unload() { gIsEndShow=3D0; } function SetupEndShow() { gIsEndShow=3D1; PPTSld.document.body.scroll=3D"no"; PPTSld.document.onkeypress=3DCloseWindow; PPTSld.document.onclick=3DCloseWindow; PPTSld.document.oncontextmenu=3D_CM; } function EndShow() { if( IsFramesMode() ) return if( PPTSld.event ) PPTSld.event.cancelBubble=3Dtrue doc=3DPPTSld.document var dir =3D doc.body.dir if( dir !=3D "rtl" ) dir =3D "ltr"; doc.open() doc.writeln('<html><body dir=3D' + dir + ' bgcolor=3Dblack onload=3Dparent= .SetupEndShow() onunload=3Dparent.Unload()><center><p><font face=3DTahoma c= olor=3Dwhite size=3D2><br><b>' + ENDSHOW_MESG + '</b></font></p></center></= body></html>') doc.close() } function SetSldVisited(){ GetSldList().mList[gCurSld-1].mVisited=3Dtrue } function IsSldVisited(){ return GetSldList().mList[gCurSld-1].mVisited } function hrefList( sldHref, visible, advDelay, advClk ) { this.mSldHref=3D this.mNtsHref =3D sldHref this.mOrigVis=3D this.mVis =3D visible this.mVisited=3D false this.mAdvDelay=3D advDelay this.mAdvOnClk=3D advClk } function SldList(arr,curSld,fEnd) { this.mCurSld =3D curSld; this.mList =3D new Array(); var idx =3D 1; for(ii=3D0;ii<arr.length;ii++) { this.mList[ii] =3D new hrefList( arr[ii].mSldHref, arr[ii].mOrigVis, arr[= ii].mAdvDelay, arr[ii].mAdvOnClk ); if( arr[ii].mOrigVis ) this.mList[ii].mSldIdx =3D idx++; } this.mNumVisSlds =3D idx-1; this.fEndShow =3D fEnd; } function GetSldList() { return gSldStack[gSldStack.length-1] } function GetCurSld() { return parent.GetSldList().mList[parent.gCurSld - 1]= } gSldStack =3D new Array(); gSldStack[0] =3D new SldList(gMainDoc,gCurSld,1) function ToggleOtlPane() { frmset=3Ddocument.all("PPTHorizAdjust") frm=3Ddocument.all("PPTOtl") if( gOtlOpen ) frmset.cols=3D"*,100%" else frmset.cols=3D"25%,*" gOtlOpen=3D!gOtlOpen frm.noResize=3D!frm.noResize UpdOtNavPane() } function ToggleNtsPane() { frmset=3Ddocument.all("PPTVertAdjust") frm=3Ddocument.all("PPTNts") if( gNtsOpen ) frmset.rows=3D"100%,*" else frmset.rows=3D"*,20%" gNtsOpen=3D!gNtsOpen UpdNtsPane() } /********************************************* Custom Shows implementation When ViewCustomShow() is called, we create a new array that is a subset of the slides in=20 the main doc. This list pushed on a stack so we can return after the end of the custom show. *********************************************/ function ViewCustomShow(idx,fEnd) { if( !IsFullScrMode() ) return; var sldList =3D new Array(); var custShow =3D custShowList[idx-1]; var jj =3D 0; for( ii=3D0;ii<custShow.length;ii++ ) { if( custShow[ii] <=3D gMainDoc.length ) sldList[jj++] =3D gMainDoc[custShow[ii]-1]; } if (sldList.length > 0) { PushSldList(sldList,fEnd); gCurSld =3D 1; } else if( PPTSld.event ) PPTSld.event.cancelBubble=3Dtrue } function PushSldList(arr,fEnd) { var ii =3D gSldStack.length; gSldStack[ii] =3D new SldList(arr,gCurSld,fEnd); GoToSld( gSldStack[ii].mList[0].mSldHref ); } function PopSldList() { if (gSldStack[gSldStack.length-1].fEndShow) EndShow() else { gCurSld =3D gSldStack[gSldStack.length-1].mCurSld; gSldStack[gSldStack.length-1] =3D null; gSldStack.length--; var sldList =3D gSldStack[gSldStack.length-1]; GoToSld( sldList.mList[gCurSld - 1].mSldHref ); } } var custShowList=3Dnew Array(); /********************************************* Navigation button implementation There are 2 types of buttons: ImgBtn, TxtBtn implemented as function objects. They share a similiar interface so the event handlers can call SetActive, for example, on a button=20 object without needing to know exactly=20 what type of button it is. **********************************************/ //---------------------------------- function ImgBtn( oId,bId,w,action ) //---------------------------------- { var t=3Dthis t.Perform =3D _IBP t.SetActive =3D _IBSetA t.SetInactive=3D _IBSetI t.SetPressed =3D _IBSetP t.SetDisabled=3D _IBSetD t.Enabled =3D _IBSetE t.ChangeIcon =3D null t.UserAction =3D action t.ChgState =3D _IBUI t.mObjId =3D oId t.mBorderId=3D bId t.mWidth =3D w t.mIsOn =3D t.mCurState =3D 0 } function _IBSetA() { if( this.mIsOn ) { obj=3Dthis.ChgState( gHiliteClr,gShadowClr,2 ) obj.style.posTop=3D0 } } function _IBSetI() { if( this.mIsOn ) { obj=3Dthis.ChgState( gFaceClr,gFaceClr,1 ) obj.style.posTop=3D0=20 } } function _IBSetP() { if( this.mIsOn ) { obj=3Dthis.ChgState( gShadowClr,gHiliteClr,2 ) obj.style.posLeft+=3D1; obj.style.posTop+=3D1 } } function _IBSetD() { =20 obj=3Dthis.ChgState( gFaceClr,gFaceClr,0 ) obj.style.posTop=3D0=20 } function _IBSetE( state ) { var t=3Dthis GetObj( t.mBorderId ).style.visibility=3D"visible" if( state !=3D t.mIsOn ) { t.mIsOn=3Dstate if( state ) t.SetInactive() else t.SetDisabled() } } function _IBP() { var t=3Dthis if( t.mIsOn ) { if( t.UserAction !=3D null ) t.UserAction() if( t.ChangeIcon ) { obj=3DGetObj(t.mObjId) if( t.ChangeIcon() ) obj.style.posLeft=3Dobj.style.posLeft+(t.mCurState-4)*t.mWidth else obj.style.posLeft=3Dobj.style.posLeft+(t.mCurState-0)*t.mWidth } t.SetActive() } =20 } function _IBUI( clr1,clr2,nextState ) { var t=3Dthis SetBorder( GetObj( t.mBorderId ),clr1,clr2 ) obj=3DGetObj( t.mObjId ) obj.style.posLeft=3Dobj.style.posLeft+(t.mCurState-nextState)*t.mWidth-obj= .style.posTop t.mCurState=3DnextState return obj } //----------------------------------------- function TxtBtn( oId,oeId,action,chkState ) //----------------------------------------- { var t=3Dthis t.Perform =3D _TBP t.SetActive =3D _TBSetA t.SetInactive=3D _TBSetI t.SetPressed =3D _TBSetP t.SetDisabled=3D _TBSetD t.SetEnabled =3D _TBSetE t.GetState =3D chkState t.UserAction =3D action t.ChgState =3D _TBUI t.mObjId =3D oId t.m_elementsId=3D oeId t.mIsOn =3D 1 } function _TBSetA() { var t=3Dthis if( t.mIsOn && !t.GetState() ) t.ChgState( gHiliteClr,gShadowClr,0,0 ) } function _TBSetI() { var t=3Dthis if( t.mIsOn && !t.GetState() ) t.ChgState( gFaceClr,gFaceClr,0,0 ) } function _TBSetP() { if( this.mIsOn ) this.ChgState( gShadowClr,gHiliteClr,1,1 ) } function _TBSetD() { =20 this.ChgState( gFaceClr,gFaceClr,0,0 ) this.mIsOn =3D 0 } function _TBSetE() { var t=3Dthis if( !t.GetState() ) t.ChgState( gFaceClr,gFaceClr,0,0 ) else t.ChgState( gShadowClr,gHiliteClr,1,1 ) t.mIsOn =3D 1 } function _TBP() { var t=3Dthis if( t.mIsOn ) {=20 if( t.UserAction !=3D null ) t.UserAction() if( !t.GetState ) return if( t.GetState() ) t.SetPressed() else t.SetActive() } =20 } function _TBUI( clr1,clr2,lOffset,tOffset ) { SetBorder( GetObj( this.mObjId ),clr1,clr2 ) Offset( GetObj( this.m_elementsId ),lOffset,tOffset ) } function Offset( obj, top, left ){ obj.style.top=3Dtop; obj.style.left=3Dle= ft } function SetBorder( obj, upperLeft, lowerRight ) { s=3Dobj.style; s.borderStyle =3D "solid" s.borderWidth =3D 1=20 s.borderLeftColor =3D s.borderTopColor =3D upperLeft s.borderBottomColor=3D s.borderRightColor =3D lowerRight } function GetBtnObj(){ return gBtnArr[window.event.srcElement.id] } function BtnOnOver(){ b=3DGetBtnObj(); if( b !=3D null ) b.SetActive() } function BtnOnDown(){ b=3DGetBtnObj(); if( b !=3D null ) b.SetPressed() } function BtnOnOut(){ b=3DGetBtnObj(); if( b !=3D null ) b.SetInactive() } function BtnOnUp() { b=3DGetBtnObj() if( b !=3D null ) b.Perform() else Upd() } function GetNtsState(){ return parent.gNtsOpen } function GetOtlState(){ return parent.gOtlOpen } function GetOtlTxtState(){ return parent.gOtlTxtExp } function NtsBtnSetFlag( fVal ) { s=3Ddocument.all.item( this.m_flagId ).style s.display=3D"none" if( fVal ) s.display=3D"" else s.display=3D"none" } function _BSetA_Border(){ b =3D gBtnArr[this.mObjId]; if( b !=3D null ) b.S= etActive() } function _BSetI_Border(){ b =3D gBtnArr[this.mObjId]; if( b !=3D null ) b.S= etInactive() } function _BSetP_Border(){ b =3D gBtnArr[this.mObjId]; if( b !=3D null ) b.S= etPressed() } function _BSetA_BorderImg() {=20 b =3D gBtnArr[this.mBorderId]=20 if( b !=3D null && this.mIsOn && !b.GetState() ) { obj=3Dthis.ChgState( gHiliteClr,gShadowClr,2 ) obj.style.posTop=3D0 } } function _BSetI_BorderImg() {=20 b =3D gBtnArr[this.mBorderId] if( b !=3D null && this.mIsOn && !b.GetState() ) { obj=3Dthis.ChgState( gFaceClr,gFaceClr,1 ) obj.style.posTop=3D0 } } var gHiliteClr=3D"THREEDHIGHLIGHT",gShadowClr=3D"THREEDSHADOW",gFaceClr=3D"= THREEDFACE" var gBtnArr =3D new Array() gBtnArr["nb_otl"] =3D new TxtBtn( "nb_otl","nb_otlElem",parent.ToggleOtlPan= e,GetOtlState ) gBtnArr["nb_otlElem"] =3D new TxtBtn( "nb_otl","nb_otlElem",parent.ToggleOt= lPane,GetOtlState ) gBtnArr["nb_nts"] =3D new ImgBtn( "nb_nts","nb_ntsBorder",10,parent.ToggleN= tsPane ) gBtnArr["nb_nts"].SetActive =3D _BSetA_BorderImg; gBtnArr["nb_nts"].SetInactive =3D _BSetI_BorderImg; gBtnArr["nb_ntsBorder"] =3D new TxtBtn( "nb_ntsBorder","nb_ntsElem",parent.= ToggleNtsPane,GetNtsState ) gBtnArr["nb_ntsElem"] =3D new TxtBtn( "nb_ntsBorder","nb_ntsElem",parent.To= ggleNtsPane,GetNtsState ) gBtnArr["nb_prevBorder"] =3D gBtnArr["nb_prev"]=3D new ImgBtn( "nb_prev","n= b_prevBorder",30,parent.GoToPrevSld ) gBtnArr["nb_nextBorder"] =3D gBtnArr["nb_next"]=3D new ImgBtn( "nb_next","n= b_nextBorder",30,parent.GoToNextSld ) gBtnArr["nb_sldshw"]=3D new ImgBtn( "nb_sldshw","nb_sldshwBorder",18,parent= .FullScreen ) gBtnArr["nb_sldshwBorder"] =3D new TxtBtn( "nb_sldshw","nb_sldshwBorder",pa= rent.FullScreen,null ) gBtnArr["nb_sldshwBorder"].SetActive =3D _BSetA_Border; gBtnArr["nb_sldshwBorder"].SetInactive =3D _BSetI_Border; gBtnArr["nb_sldshwText"] =3D new TxtBtn( "nb_sldshw","nb_sldshwText",parent= .FullScreen,null ) gBtnArr["nb_sldshwText"].SetActive =3D _BSetA_Border; gBtnArr["nb_sldshwText"].SetInactive =3D _BSetI_Border; gBtnArr["nb_voice"] =3D gBtnArr["nb_voiceBorder"] =3D new ImgBtn( "nb_voice= ","nb_voiceBorder",18,parent.ToggleVNarration ) gBtnArr["nb_otlTxtBorder"] =3D gBtnArr["nb_otlTxt"]=3D new ImgBtn( "nb_otlT= xt","nb_otlTxtBorder",23,parent.ToggleOtlText ) gBtnArr["nb_ntsBorder"].m_flagId=3D "nb_nts" gBtnArr["nb_ntsBorder"].SetFlag =3D NtsBtnSetFlag gBtnArr["nb_otlTxt"].ChangeIcon=3D GetOtlTxtState /********************************************* Context menu implementation _CM() is the function that's hooked up to the oncontextmenu event. Once we're asked to show the menu, we first build it by creating DIVs on-the-fly. Then we position it=20 within the screen area so it doesn't get clipped. Creating the DIVs using createElement() means we don't have to write out any extra HTML into the slide HTML files. **********************************************/ var sNext=3D"Avançar",sPrev=3D"Voltar",sEnd=3D"Finalizar apresenta&c= cedil;ão",sFont=3D"Arial",sArrow=3D"Seta",sFreeform=3D"Forma livre",= sRect=3D"Retângulo",sOval=3D"Elipse" function ShowMenu() { BuildMenu(); var doc=3DPPTSld.document.body,x=3DPPTSld.event.clientX+doc.scrollLeft,y= =3DPPTSld.event.clientY+doc.scrollTop m =3D PPTSld.document.all.item("ctxtmenu") m.style.pixelLeft=3Dx if( (x+m.scrollWidth > doc.clientWidth)&&(x-m.scrollWidth > 0) ) m.style.pixelLeft=3Dx-m.scrollWidth m.style.pixelTop=3Dy if( (y+m.scrollHeight > doc.clientHeight)&&(y-m.scrollHeight > 0) ) m.style.pixelTop=3Dy-m.scrollHeight m.style.display=3D"" } function _CM() { if( !parent.IsFullScrMode() ) return; if(!PPTSld.event.ctrlKey) { ShowMenu() return false } else HideMenu() } function BuildMenu() { if( PPTSld.document.all.item("ctxtmenu") ) return var mObj=3DCreateItem( PPTSld.document.body ) mObj.id=3D"ctxtmenu" mObj.style.visibility=3D"hidden" var s=3DmObj.style s.position=3D"absolute" s.cursor=3D"default" s.width=3D"120px" SetCMBorder(mObj,"menu","black") var iObj=3DCreateItem( mObj ) SetCMBorder( iObj, "threedhighlight","threedshadow" ) iObj.style.padding=3D2 CreateMenuItem( iObj,sNext,M_GoNextSld,M_True ) CreateMenuItem( iObj,sPrev,M_GoPrevSld,M_HasPrevSld ) =09 CreateSeparator( iObj ) CreateMenuItem( iObj,sEnd,M_End,M_True ) mObj.style.visibility=3D"visible" } function Cancel() { window.event.cancelBubble=3Dtrue; window.event.returnVa= lue=3Dfalse } function Highlight() { ChangeClr("activecaption","threedhighlight") } function Deselect() { ChangeClr("threedface","menutext") } function Perform() { e=3DPPTSld.event.srcElement if( e.type=3D=3D"menuitem" && e.IsActive() ) e.Action() else PPTSld.event.cancelBubble=3Dtrue } function ChangeClr( bg,clr ) { e=3DPPTSld.event.srcElement if( e.type=3D=3D"menuitem" && e.IsActive() ) { e.style.backgroundColor=3Dbg e.style.color=3Dclr } } function M_HasPrevSld() { return( parent.HasPrevSld() ) } function M_GoNextSld() { if( gIsEndShow ) M_End(); else GoToNextSld() } function M_GoPrevSld() { if( gIsEndShow ) { gIsEndShow=3D0; history.back();= PPTSld.event.cancelBubble=3Dtrue; } else GoToPrevSld() } function M_True() { return true } function M_End() { window.close( self ) } function CreateMenuItem( node,text,action,eval ) { var e=3DCreateItem( node ) e.type=3D"menuitem" e.Action=3Daction e.IsActive=3Deval e.innerHTML=3Dtext if( !e.IsActive() ) e.style.color=3D"threedshadow" e.onclick=3DPerform e.onmouseover=3DHighlight e.onmouseout=3DDeselect s=3De.style; 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charset="us-ascii" <html> <head> <meta http-equiv=3DContent-Type content=3D"text/html; charset=3Dus-ascii"> <meta name=3DProgId content=3DPowerPoint.Slide> <meta name=3DGenerator content=3D"Microsoft PowerPoint 11"> <link id=3DMain-File rel=3DMain-File href=3D"../EndoscopicSubmucosal.htm"> <link rel=3DPreview href=3Dpreview.wmf> <title>Serviço de Endoscopia Gastrointestinal Hospital das Clínicas Faculdade de Medicina da Univrsidade de São Paulo</t= itle> <![if IE]> <base href=3D"file:///C:\3069588C\EndoscopicSubmucosal_arquivos\frame.htm" id=3D"webarch_temp_base_tag"> <![endif]><![if !ppt]><script src=3Dscript.js></script><script>  </script><![endif]> </head> <frameset rows=3D"*,25" border=3D0> <frameset cols=3D"25%,*" onload=3D"Load()" id=3DPPTHorizAdjust framespacin= g=3D1 frameborder=3D1> <frame src=3Doutline.htm title=3D"Tópicos" name=3DPPTOtl> <frame src=3Dslide0001.htm title=3D"Slide" name=3DPPTSld> </frameset> <frameset cols=3D"25%,*" framespacing=3D1> <frame src=3Doutline.htm title=3D"Barra de navegação de tópicos" name=3DPPTOtlNav scrolling=3D= no noresize> <frame src=3Doutline.htm title=3D"Barra de navegação de slides" name=3DPPTNav scrolling=3Dno noresize> </frameset> </frameset> </html> ------=_NextPart_01C6E70B.AB4AF270 Content-Location: file:///C:/3069588C/EndoscopicSubmucosal_arquivos/outline.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" <html> <head> <meta http-equiv=3DContent-Type content=3D"text/html; charset=3Dus-ascii"> <meta name=3DProgId content=3DPowerPoint.Slide> <meta name=3DGenerator content=3D"Microsoft PowerPoint 11"> <link id=3DMain-File rel=3DMain-File href=3D"../EndoscopicSubmucosal.htm"> <link rel=3DPreview href=3Dpreview.wmf> <![if IE]> <base href=3D"file:///C:\3069588C\EndoscopicSubmucosal_arquivos\outline.htm" id=3D"webarch_temp_base_tag"> <![endif]> <meta name=3DRobots content=3DNoIndex> <script src=3Dscript.js></script><script></script> <style>  </style> </head> <body onload=3D"Load()" style=3D'margin:2px'> <div id=3DNavObj onload=3D"Load()" onmouseover=3D"BtnOnOver()" onmousedown=3D"BtnOnDown()" onmouseout=3D"BtnOnOut()" onmouseup=3D"BtnOnUp(= )" onkeypress=3D"ExecBtn()" style=3D'display:none;visibility:hidden'> <table id=3D"notesBtn" style=3D'display:none;position:relative;width:55px' = align=3Dleft cellpadding=3D0 cellspacing=3D0> <td nowrap> <div id=3D"nb_ntsElem" title=3D"Mostrar/ocultar anotações" align=3Dcenter style=3D'position:relative;margin-l= eft:5px;margin-right:5px;padding:3px; font-family:Arial;color:buttontext;font-size:9pt; cursor:default'> <img src=3D"notes_flag.gif" id=3D"nb_nts" style=3D'display:none'> An= otações</div> <div id=3D"nb_ntsBorder" title =3D"Mostrar/ocultar anotações" onfocus=3D"BtnOnOver()" onblur=3D"BtnOnOut()" TABI= NDEX=3D1 style=3D'position:absolute;top:0%;left:0%;width:100%;height:20px'> </div> </td> </table> <table style=3D'position:relative;width:70px' align=3Dright cellpadding=3D0= cellspacing=3D0> <td nowrap> <div id=3D"nb_sldshwText" title=3D"Apresentação de slides em= tela inteira" align=3Dcenter style=3D'position:relative;margin-left:20px;padding= :3px; font-family:Arial;color:buttontext;font-size:9pt;cursor:default'>Apresenta= ção de slides</div> <div id=3D"nb_sldshwBorder" title=3D"Apresentação de slides em tela inteira" onfocus=3D"BtnOnOver()" onblur=3D"BtnOnOut()" TA= BINDEX=3D5 style=3D'position:absolute;top:0%;left:0%;width:100%;height:20px= '> <div style=3D'position:absolute;clip:rect(0px, 18px, 18px, 0px)'><img src=3D"buttons.gif" id=3D"nb_sldshw" style=3D'position:relative;left:-254p= x'></div> </div> </td> <td> <div id=3D"nb_voiceBorder" style=3D'display:none;position:absolute;top:0;l= eft:-40px; width:20px;height:20px' onfocus=3D"BtnOnOver()" onblur=3D"BtnOnOut()" TABI= NDEX=3D4 class=3Dbutton> <div style=3D'position:absolute;clip:rect(0px, 18px, 18px, 0px)'><img src=3D"buttons.gif" id=3D"nb_voice" title=3D"Pausar/executar narraç= ão" style=3D'position: relative;left:-290px'></div> </div> </td> </table> <table style=3D'position:relative' align=3Dcenter cellpadding=3D0 cellspaci= ng=3D0> <td nowrap> <div id=3D"nb_prevBorder" onfocus=3D"BtnOnOver()" onblur=3D"BtnOnOut()" TA= BINDEX=3D2 class=3Dbutton style=3D'left:-30px'> <div style=3D'position:absolute;clip:rect(0px, 30px, 18px, 0px)'><img src=3D"buttons.gif" id=3D"nb_prev" title=3D"Slide anterior" style=3D'posit= ion:relative; left:0px'></div> </div> <span id=3D"nav_text" style=3D'position:relative;top:3px;width:100px;font-= family: Arial;color:buttontext;font-size:9pt'></span> <div id=3D"nb_nextBorder" onfocus=3D"BtnOnOver()" onblur=3D"BtnOnOut()" TA= BINDEX=3D3 class=3Dbutton> <div style=3D'position:absolute;clip:rect(0px, 30px, 18px, 0px)'><img src=3D"buttons.gif" id=3D"nb_next" title=3D"Próximo slide" style=3D= 'position:relative; left:-90px'></div> </div> </td> </table> </div> <div id=3DOtlNavObj onload=3D"Load()" onmouseover=3D"BtnOnOver()" onmousedown=3D"BtnOnDown()" onmouseout=3D"BtnOnOut()" onmouseup=3D"BtnOnUp(= )" onkeypress=3D"ExecBtn()" style=3D'display:none;visibility:hidden'> <table style=3D'position:relative;width:70px' align=3Dleft cellpadding=3D0 = cellspacing=3D0> <td nowrap><div title=3D"Mostrar/ocultar tópicos" id=3D"nb_otl" onfocus=3D"BtnOnOver()" onblur=3D"BtnOnOut()"= TABINDEX=3D11 style=3D'position:absolute;top:0%;left:0%;width:100%;height:100%;cursor:de= fault'> <div id=3D"nb_otlElem" align=3Dcenter style=3D'position:relative;padding:3= px;font-family:Arial; color:buttontext;font-size:9pt'>Estrutura de tópicos</div></div> </td> </table> <table style=3D'position:relative' align=3Dcenter cellpadding=3D0 cellspaci= ng=3D0> <td> <div style=3D'position:absolute;left:-18px;width:24px;height:20px;border-s= tyle: solid;border-width:1px;border-color:threedface' onfocus=3D"BtnOnOver()" on= blur=3D"BtnOnOut()" TABINDEX=3D12 id=3D"nb_otlTxtBorder"> <div style=3D'position:absolute;clip:rect(0px, 22px, 18px, 0px)'><img src=3Dbuttons.gif id=3D"nb_otlTxt" title=3D"Expandir/recolher tópic= os" style=3D'position:relative;left:-157px'></div> </div> </td> </table> </div> <div id=3DOtlObj style=3D'display:none;visibility:hidden;'> <table width=3D"100%" style=3D'font-family:Arial;font-size:9pt'> <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(= this)" style=3D'cursor:hand'> <td align=3Dright valign=3Dtop> <div class=3DsldNum><font size=3D2>1</font></div> </td> <td width=3D"100%"> <div id=3DPPTP1 class=3DPTxt><font size=3D2><a href=3D"javascript:GoToSld('slide0001.htm');" id=3DPPTL1>Serviço de Endoscopia Gastrointestinal<br> Hospital das Clínicas<br> Faculdade de Medicina da Universidade de São Paulo</a></font></d= iv> <div id=3DPPTC1 class=3DCTxt style=3D'display:none'><font size=3D2> <ul> <li>Endoscopic submucosal dissection allows curative resection of locally recurrent early gastric cancer after prior endoscopic mucosal resect= ion</li> <br> <br> <br> <li>Chizu Yokoi, MD, Takuji Gotoda, MD, Hisanao Hamanaka, MD, Ichiro Oda= , MD</li> <br> <br> <li>Gastrointestinal Endoscpy, Vol 64, No 2, Aug/2006</li> </ul> </font></div> </td> </tr> <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(= this)" style=3D'cursor:hand'> <td align=3Dright valign=3Dtop> <div class=3DsldNum><font size=3D2>2</font></div> </td> <td> <div id=3DPPTP2 class=3DPTxt><font size=3D2><a href=3D"javascript:GoToSld('slide0003.htm');" id=3DPPTL2>"Dissec&cce= dil;ão submucosa endoscópica permite ressecção..."</a>= </font></div> <div id=3DPPTC2 class=3DCTxt style=3D'display:none'><font size=3D2> <ul> <br> <li>Dissecção submucosa endoscópica permite ressecção curativa de recorrência local de câncer gástrico precoce após mucosectomia endoscópica prévia</li> <br> <br> </ul> </font></div> </td> </tr> <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(= this)" style=3D'cursor:hand'> <td align=3Dright valign=3Dtop> <div class=3DsldNum><font size=3D2>3</font></div> </td> <td> <div id=3DPPTP3 class=3DPTxt><font size=3D2><a href=3D"javascript:GoToSld('slide0018.htm');" id=3DPPTL3>Endoscopic submu= cosal dissection allows curative resection of locally recurrent early gastric cancer after prior endoscopic mucosal resection</a></font></div> <div id=3DPPTC3 class=3DCTxt style=3D'display:none'><font size=3D2> <ul> <li>Introdução</li> <li> A mucosectomia endoscópica (ME) é aceita mundialmente como um tratamento minimamente invasivo para câncer gástrico precoce (CGP). Técnicas de ME convencionais c= omo Stripy biopsy, ME com CAP, ME com ligadura, são normalmente utilizados. Infelizmente quando utilizados para ressecar grandes lesões ou remover em piecemeal, estão associados a alt= as taxas de recorrência. As taxas variam de 2 a 35%. Técni= cas de dissecção submucosa têm sido agora descritas.= O trabalho reporta a segurança e prognóstico com o uso d= a Dissecção Submucosa Endoscópica (DSE) para tratar a recorrência do CGP após ressecção prévia por técnicas convencionais de ME.</li> </ul> </font></div> </td> </tr> <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(= this)" style=3D'cursor:hand'> <td align=3Dright valign=3Dtop> <div class=3DsldNum><font size=3D2>4</font></div> </td> <td> <div id=3DPPTP4 class=3DPTxt><font size=3D2><a href=3D"javascript:GoToSld('slide0019.htm');" id=3DPPTL4>Endoscopic submu= cosal dissection allows curative resection of locally recurrent early gastric cancer after prior endoscopic mucosal resection</a></font></div> <div id=3DPPTC4 class=3DCTxt style=3D'display:none'><font size=3D2> <ul> <li>Métodos</li> <li> Retrospectivamente foram analizados dados de todos os pacientes que foram submetidos a ME no National Cancer Center Hospital (NCCH), Tok= yo. Foram identificados e incluidos todos os pacientes que tiveram recorrência local, com adenocarcinoma bem ou moderadamente diferenciado, de Novembro de 1993 a Dezembro de 2003, num total de 66 pacientes.</li> </ul> </font></div> </td> </tr> <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(= this)" style=3D'cursor:hand'> <td align=3Dright valign=3Dtop> <div class=3DsldNum><font size=3D2>5</font></div> </td> <td> <div id=3DPPTP5 class=3DPTxt><font size=3D2><a href=3D"javascript:GoToSld('slide0005.htm');" id=3DPPTL5>Endoscopic submu= cosal dissection allows curative resection of locally recurrent early gastric cancer after prior endoscopic mucosal resection</a></font></div> <div id=3DPPTC5 class=3DCTxt style=3D'display:none'><font size=3D2> <ul> <li>Técnicas de Ressecção Endoscópica</li> <li> 1. ME Convencional: 18 pacientes foram submetidos a Strip Biopsy.</= li> <br> <br> <li> 2. DSE com IT Knife: 46 pacientes. Resumidamente, foi marcado a muc= osa normal adjacente ao tumor por pelo menos 5mm distante usando Needle Knife. Após injeção de solução sa= lina com epinefrina (0.025mg/ml) na submucosa, foi feito um corte inicial (pre cut) ao longo das marcas com a needle knife. A IT knife é inserida na incisão previamente feita e é usado o bist= uri elétrico para completar a incisão ao redor da lesão. Após o corte circunferencial ser completado, solução salina é injetada na submucosa abaixo da lesão, sendo utilizada a IT knife para dissecar a submucosa. Quando não houver elevação da lesão a IT knife foi utilizada para dissecar cuidadosamente a lesão ao l= ongo da submucosa.</li> </ul> </font></div> </td> </tr> <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(= this)" style=3D'cursor:hand'> <td align=3Dright valign=3Dtop> <div class=3DsldNum><font size=3D2>6</font></div> </td> <td> <div id=3DPPTP6 class=3DPTxt><font size=3D2><a href=3D"javascript:GoToSld('slide0034.htm');" id=3DPPTL6>Endoscopic submu= cosal dissection allows curative resection of locally recurrent early gastric cancer after prior endoscopic mucosal resection</a></font></div> <div id=3DPPTC6 class=3DCTxt style=3D'display:none'><font size=3D2> <ul> <li>Avaliação Patológica</li> <li>Foi definida a ressecção em bloco (1 peça) ou piecemeal (múltiplos fragmentos). Seguindo a recomendação da Sociedade Japonesa de Câncer Gástrico foi seccionado as peças em intervalos de 2mm.= Foi classificado os achados patológicos em curativo (margens verticais e laterais livres, não há invasão submucosa maior que 500mc da musculares mucosae, sem invasão linfática ou vascular), não curativo (não obede= ce a estes critérios ou são pouco diferenciados ou com células em anel de sinete) e não avaliável . O = grau de diferenciação do tumor foi estudado em cada corte.<= /li> </ul> </font></div> </td> </tr> <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(= this)" style=3D'cursor:hand'> <td align=3Dright valign=3Dtop> <div class=3DsldNum><font size=3D2>7</font></div> </td> <td> <div id=3DPPTP7 class=3DPTxt><font size=3D2><a href=3D"javascript:GoToSld('slide0036.htm');" id=3DPPTL7>Endoscopic submu= cosal dissection allows curative resection of locally recurrent early gastric cancer after prior endoscopic mucosal resection</a></font></div> <div id=3DPPTC7 class=3DCTxt style=3D'display:none'><font size=3D2> <ul> <li>Seguimento</li> <li> Todos os pacientes receberam exame clínico e endoscóp= ico semestrais, com USG e TC de abdome quando necessários. Cirurg= ia foi recomendada quando a ressecção foi não cura= tiva ou não avaliável.</li> </ul> </font></div> </td> </tr> <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(= this)" style=3D'cursor:hand'> <td align=3Dright valign=3Dtop> <div class=3DsldNum><font size=3D2>8</font></div> </td> <td> <div id=3DPPTP8 class=3DPTxt><font size=3D2><a href=3D"javascript:GoToSld('slide0037.htm');" id=3DPPTL8>Endoscopic submu= cosal dissection allows curative resection of locally recurrent early gastric cancer after prior endoscopic mucosal resection</a></font></div> <div id=3DPPTC8 class=3DCTxt style=3D'display:none'><font size=3D2> <ul> <li>Resultados</li> <li> Análise estatística: Teste de Fischer</li> <br> <br> <li>As características dos pacientes e dos tumores estão resumidos na tabela 1.</li> </ul> </font></div> </td> </tr> <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(= this)" style=3D'cursor:hand'> <td align=3Dright valign=3Dtop> <div class=3DsldNum><font size=3D2>9</font></div> </td> <td> <div id=3DPPTP9 class=3DPTxt><font size=3D2><a href=3D"javascript:GoToSld('slide0035.htm');" id=3DPPTL9>Endoscopic submu= cosal dissection allows curative resection of locally recurrent early gastric cancer after prior endoscopic mucosal resection</a></font></div> </td> </tr> <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(= this)" style=3D'cursor:hand'> <td align=3Dright valign=3Dtop> <div class=3DsldNum><font size=3D2>10</font></div> </td> <td> <div id=3DPPTP10 class=3DPTxt><font size=3D2><a href=3D"javascript:GoToSld('slide0007.htm');" id=3DPPTL10>Endoscopic subm= ucosal dissection allows curative resection of locally recurrent early gastric cancer after prior endoscopic mucosal resection</a></font></div> <div id=3DPPTC10 class=3DCTxt style=3D'display:none'><font size=3D2> <ul> <li>Taxa de ressecção em bloco</li> <li> Os resultados dos espécimens ressecados estão resumid= os na figura 2 e tabela 2. A DSE alcançou ressecçã= o em bloco em 41 de 46 pacientes (89%) comparativamente maior que a ME (0= /18 pacientes).</li> </ul> </font></div> </td> </tr> <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(= this)" style=3D'cursor:hand'> <td align=3Dright valign=3Dtop> <div class=3DsldNum><font size=3D2>11</font></div> </td> <td> <div id=3DPPTP11 class=3DPTxt><font size=3D2><a href=3D"javascript:GoToSld('slide0038.htm');" id=3DPPTL11>Endoscopic subm= ucosal dissection allows curative resection of locally recurrent early gastric cancer after prior endoscopic mucosal resection</a></font></div> </td> </tr> <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(= this)" style=3D'cursor:hand'> <td align=3Dright valign=3Dtop> <div class=3DsldNum><font size=3D2>12</font></div> </td> <td> <div id=3DPPTP12 class=3DPTxt><font size=3D2><a href=3D"javascript:GoToSld('slide0039.htm');" id=3DPPTL12>Endoscopic subm= ucosal dissection allows curative resection of locally recurrent early gastric cancer after prior endoscopic mucosal resection</a></font></div> </td> </tr> <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(= this)" style=3D'cursor:hand'> <td align=3Dright valign=3Dtop> <div class=3DsldNum><font size=3D2>13</font></div> </td> <td> <div id=3DPPTP13 class=3DPTxt><font size=3D2><a href=3D"javascript:GoToSld('slide0033.htm');" id=3DPPTL13>Endoscopic subm= ucosal dissection allows curative resection of locally recurrent early gastric cancer after prior endoscopic mucosal resection</a></font></div> <div id=3DPPTC13 class=3DCTxt style=3D'display:none'><font size=3D2> <ul> <li>Critérios histológicos de cura</li> <li> No grupo da DSE os critérios foram satisfatórios em 4= 5/46 peças (97%) – curativo ou não curativo.</li> <br> <br> <li> No grupo da ME 10/18 peças (56%) foram não avaliáveis.</li> <br> <br> <li> No total 76% (35/46) foram classificados como curativo no grupo DSE contra 33% (6/18) no ME (p<0001).</li> </ul> </font></div> </td> </tr> <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(= this)" style=3D'cursor:hand'> <td align=3Dright valign=3Dtop> <div class=3DsldNum><font size=3D2>14</font></div> </td> <td> <div id=3DPPTP14 class=3DPTxt><font size=3D2><a href=3D"javascript:GoToSld('slide0008.htm');" id=3DPPTL14>Endoscopic subm= ucosal dissection allows curative resection of locally recurrent early gastric cancer after prior endoscopic mucosal resection</a></font></div> <div id=3DPPTC14 class=3DCTxt style=3D'display:none'><font size=3D2> <ul> <li>Acompanhamento clínico</li> <li> Os 41 pacientes que foram submetidos a ressecção cura= tiva (6ME/35DSE) não tiveram recorrência local ou metástase à distância durante um seguimento médio de 43 meses (15-63 meses).</li> <br> <br> <li> Ressecção não curativa: 3 pacientes do grupo da ressecção não curativa perderam o seguimento. 6 pacientes foram submetidos a cirugia (gastrectomia+linfadenectomia), sendo que a análise patológica<span style=3D'mso-spacerun:yes'> </span>revelou que 3 tinham tumor residual e 2 tinham linfonodo metastático. Não houve metástase à distância ou recorrência.</li> <li> 2 pacientes foram submetidos a nova DSE pois a margem lateral foi positiva.</li> <li> 3 pacientes recusaram cirurgia adicional e escolheram observação. Doença residual foi encontrada em 2 deles. 1 recebeu paliação endoscópica com laser= , e outro o tumor desenvolveu-se gradualmente sendo submetido a cirugia.= </li> <br> <br> <li> Não avaliável: 11 pacientes. Foram explicados os risc= os de doença residual. 9 escolheram observação sem cirurgia. 1 escolheu novo tratamento endoscópico e 1 escolheu cirurgia. 3 recorrências ocorreram (3/11:27%)- grupo ME - . As= sim a taxa de recorrência local após nova ME foi de 17% con= tra 0/46 na DSE. Destes 3, 1 morreu de metástase à distância.</li> </ul> </font></div> </td> </tr> <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(= this)" style=3D'cursor:hand'> <td align=3Dright valign=3Dtop> <div class=3DsldNum><font size=3D2>15</font></div> </td> <td> <div id=3DPPTP15 class=3DPTxt><font size=3D2><a href=3D"javascript:GoToSld('slide0040.htm');" id=3DPPTL15>Endoscopic subm= ucosal dissection allows curative resection of locally recurrent early gastric cancer after prior endoscopic mucosal resection</a></font></div> </td> </tr> <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(= this)" style=3D'cursor:hand'> <td align=3Dright valign=3Dtop> <div class=3DsldNum><font size=3D2>16</font></div> </td> <td> <div id=3DPPTP16 class=3DPTxt><font size=3D2><a href=3D"javascript:GoToSld('slide0009.htm');" id=3DPPTL16>Endoscopic subm= ucosal dissection allows curative resection of locally recurrent early gastric cancer after prior endoscopic mucosal resection</a></font></div> <div id=3DPPTC16 class=3DCTxt style=3D'display:none'><font size=3D2> <ul> <li>Complicações</li> <br> <br> <li>Hemorragia: em nenhum caso foi maciço. Os episódios menores foram tratados endoscopicamentes com clipes ou coagulação com hot biopsy.</li> <br> <br> <li>Perfuração: 4 casos (8.7%), após DSE, tratadas endoscopicamente com sucesso usando endoclips. Foram utilizados nest= es pacientes SNG por 6 horas e ATB por 2 dias, mantidos em jeum e internados por 7 dias.</li> </ul> </font></div> </td> </tr> <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(= this)" style=3D'cursor:hand'> <td align=3Dright valign=3Dtop> <div class=3DsldNum><font size=3D2>17</font></div> </td> <td> <div id=3DPPTP17 class=3DPTxt><font size=3D2><a href=3D"javascript:GoToSld('slide0020.htm');" id=3DPPTL17>Endoscopic subm= ucosal dissection allows curative resection of locally recurrent early gastric cancer after prior endoscopic mucosal resection</a></font></div> <div id=3DPPTC17 class=3DCTxt style=3D'display:none'><font size=3D2> <ul> <li>Discussão</li> <li> ME é o tratamento padrão para CGP no Japão. Qu= ando usa-se ME convencional, limita-se para lesões pequenas (< 1,5cm), pois lesões maiores requerem retirada em piecemeal.</= li> <br> <br> <li> Foram realizadas no NCCH 2000 ME (desde 1987), sendo que a taxa de recorrência para a ME foi de 8.5% (53/620). A ressecção endoscópica para recorrência lo= cal após ME é difícil, devido a fibrose que ocorre = na submucosa, que dificulta a elevação da lesão recorrente durante a injeção de solução salina na submucosa. Restringe-se o uso de ME convencional quando não há elevação da lesão ap&oacut= e;s a injeção devido ao alto risco de perfuraç&atil= de;o e recorrência. A terapia de ablação pode ser útil, mas não recomendado pois impede a avaliação patológica. Cirurgia tem sido recomendado, mas pode ser excessiva, visto que a recorrência p= ode atingir somente a mucosa.</li> <br> <br> </ul> </font></div> </td> </tr> <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(= this)" style=3D'cursor:hand'> <td align=3Dright valign=3Dtop> <div class=3DsldNum><font size=3D2>18</font></div> </td> <td> <div id=3DPPTP18 class=3DPTxt><font size=3D2><a href=3D"javascript:GoToSld('slide0021.htm');" id=3DPPTL18>Endoscopic subm= ucosal dissection allows curative resection of locally recurrent early gastric cancer after prior endoscopic mucosal resection</a></font></div> <div id=3DPPTC18 class=3DCTxt style=3D'display:none'><font size=3D2> <ul> <li></li> <li> O desenvolvimento de técnicas de DSE permitiu a ressecção de tumores antes não passíveis= de tratamento endoscópico.</li> <br> <br> <li> O uso da DSE permitiu ressecar lesões maiores, e em bloco, o= que melhorou a avaliação patológicas destas peças, diminuiu recorrência local por visualizar diretamente a submucosa, e permitiu, ainda, ressecar lesões após ME prévia, dando outra opção, que não cirurgica, para os pacientes que tiveram recorrênci= a.</li> <br> <br> <li> Este estudo mostrou que a DSE é segura, eficaz e permit ressecções em bloco.</li> <br> <br> <li> Novos avanços são necessários no campo da DSE = para diminuir complicações e facilitar o procedimento.</li> </ul> </font></div> </td> </tr> <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(= this)" style=3D'cursor:hand'> <td align=3Dright valign=3Dtop> <div class=3DsldNum><font size=3D2>19</font></div> </td> <td> <div id=3DPPTP19 class=3DPTxt><font size=3D2><a href=3D"javascript:GoToSld('slide0025.htm');" id=3DPPTL19>Endoscopic subm= ucosal dissection allows curative resection of locally recurrent early gastric cancer after prior endoscopic mucosal resection</a></font></div> <div id=3DPPTC19 class=3DCTxt style=3D'display:none'><font size=3D2> <ul> <li></li> <li>Conclusão</li> <br> <br> <li>A DSE oferece uma opção alternativa a cirurgia, para recorrência local de<span style=3D'mso-spacerun:yes'> </span>tumores bom ou moderadamente diferenciados, com menor mortali= dade e morbidade, permitindo a ressecção em bloco para melh= or avaliação histológica e menor taxa de recorrência.</li> <li></li> <br> <br> <br> <br> <br> </ul> </font></div> </td> </tr> </table> </div> <div style=3D'display:none'><a href=3D"../EndoscopicSubmucosal.htm"></a><a href=3Dmaster04.htm></a><a href=3Dmaster04.xml></a><a href=3Dpreview.wmf></= a><a href=3Dmaster05.htm></a><a href=3Dmaster05.xml></a><a href=3D"master05_imag= e001.png"></a><a href=3Dpres.xml></a><a href=3Dslide0001.htm></a><a href=3D"master05_image00= 2.gif"></a><a href=3D"master05_image003.gif"></a><a href=3Dslide0003.htm></a><a href=3D"master04_image004.gif"></a><a href=3Dslide0018.htm></a><a href=3Dslide0019.htm></a><a href=3Dslide0005.htm></a><a href=3Dslide0034.ht= m></a><a href=3Dslide0036.htm></a><a href=3Dslide0037.htm></a><a href=3Dslide0035.ht= m></a><a href=3Dslide0035.xml></a><a href=3D"slide0035_image005.gif"></a><a href=3Dslide0007.htm></a><a href=3Dslide0038.htm></a><a href=3D"slide0038_image006.png"></a><a href=3D"slide0038_image007.jpg"></a>= <a href=3Dslide0039.htm></a><a href=3D"slide0039_image008.gif"></a><a href=3Dslide0033.htm></a><a href=3Dslide0008.htm></a><a href=3Dslide0040.ht= m></a><a href=3D"slide0040_image009.gif"></a><a href=3D"slide0040_image010.gif"></a>= <a href=3Dslide0009.htm></a><a href=3Dslide0020.htm></a><a href=3Dslide0021.ht= m></a><a href=3Dslide0025.htm></a><a href=3D"slide0025_image011.gif"></a><a href=3D"master04_stylesheet.css"></a><a href=3Dscript.js></a><a href=3Dfullscreen.htm></a><a href=3Dbuttons.gif></a><a href=3Dframe.htm></a= ><a href=3Doutline.htm></a></div> </body> </html> ------=_NextPart_01C6E70B.AB4AF270 Content-Location: file:///C:/3069588C/EndoscopicSubmucosal_arquivos/filelist.xml Content-Transfer-Encoding: quoted-printable Content-Type: text/xml; 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xmlns:o=3D"urn:schemas-microsoft-com:office:office" xmlns:p=3D"urn:schemas-microsoft-com:office:powerpoint" xmlns:oa=3D"urn:schemas-microsoft-com:office:activation" xmlns=3D"http://www.w3.org/TR/REC-html40"> <head> <meta http-equiv=3DContent-Type content=3D"text/html; charset=3Dus-ascii"> <meta name=3DProgId content=3DPowerPoint.Slide> <meta name=3DGenerator content=3D"Microsoft PowerPoint 11"> <link id=3DMain-File rel=3DMain-File href=3D"../EndoscopicSubmucosal.htm"> <link rel=3DPreview href=3Dpreview.wmf> <![if IE]> <base href=3D"file:///C:\3069588C\EndoscopicSubmucosal_arquivos\master05.ht= m" id=3D"webarch_temp_base_tag"> <![endif]> <meta name=3DRobots content=3DNoIndex> <link rel=3DStylesheet href=3D"master04_stylesheet.css"> <![if !ppt]><script src=3Dscript.js></script> <script>  </script> <![endif]> </head> <body> <div v:shape=3D"_x0000_m5131" class=3DCT>Serviço de Endoscopia Gastrointestinal<br> Hospital das Clínicas<br> Faculdade de Medicina da Univrsidade de São Paulo</div> 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<head> <meta http-equiv=3DContent-Type content=3D"text/html; charset=3Dus-ascii"> <meta name=3DProgId content=3DPowerPoint.Slide> <meta name=3DGenerator content=3D"Microsoft PowerPoint 11"> <link id=3DMain-File rel=3DMain-File href=3D"../EndoscopicSubmucosal.htm"> <link rel=3DPreview href=3Dpreview.wmf>  <title>Serviço de Endoscopia Gastrointestinal Hospital das Clínicas Faculdade de Medicina da Univrsidade de São Paulo</t= itle> <![if IE]> <base href=3D"file:///C:\3069588C\EndoscopicSubmucosal_arquivos\slide0001.h= tm" id=3D"webarch_temp_base_tag"> <![endif]> <meta name=3DDescription content=3D"3/10/2006: Serviço de Endoscopia Gastrointestinal Hospita= l das Clínicas Faculdade de Medicina da Universidade de São P= aulo"> <link rel=3DStylesheet href=3D"master04_stylesheet.css"> <![if !ppt]> <style> .CB {color:white;} .CT {color:#E5E5FF;} </style> <style media=3Dprint>  </style> <script src=3Dscript.js></script><script></script><![endif]><o:shapelayout v:ext=3D"edit"> <o:idmap 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<p:placeholder type=3D"subTitle" position=3D"1"/></v:shape> <div v:shape=3D"_x0000_s2050" class=3DCT><span style=3D'position:absolute; top:4.75%;left:8.42%;width:83.14%;height:4.25%'><span style=3D'font-weight= :normal'>Serviço de Endoscopia Gastrointestinal<br> </span></span><span style=3D'position:absolute;top:9.25%;left:8.42%;width= :83.14%; height:4.25%'><span style=3D'font-weight:normal'>Hospital das Clínicas<br> </span></span><span style=3D'position:absolute;top:13.5%;left:8.42%;width= :83.14%; height:4.25%'><span style=3D'font-weight:normal'>Faculdade de Medicina da Universidade de São Paulo</span></span></div> <div v:shape=3D"_x0000_s2051" class=3DCB> <div style=3D'mso-line-spacing:"80 20 0"'><span style=3D'position:absolute; top:27.75%;left:15.54%;width:68.16%;height:7.75%'><span style=3D'font-size= :67%'><b>Endoscopic submucosal </b></span></span><span style=3D'position:absolute;top:34.25%; left:15.54%;width:68.16%;height:7.75%'><span style=3D'font-size:67%'><b>di= ssection allows curative </b></span></span><span style=3D'position:absolute;top:40.= 5%; left:13.67%;width:72.09%;height:7.75%'><span style=3D'font-size:67%'><b>re= section of locally recurrent </b></span></span><span style=3D'position:absolute; top:47.0%;left:11.79%;width:75.65%;height:7.75%'><span style=3D'font-size:= 67%'><b>early gastric cancer after prior </b></span></span><span style=3D'position:absol= ute; top:53.5%;left:11.61%;width:76.21%;height:7.75%'><span style=3D'font-size:= 67%'><b>endoscopic mucosal resection </b></span></span></div> <div style=3D'mso-line-spacing:"80 20 0";position:absolute;top:61.5%;left:= 15.54%; width:68.16%;height:7.75%'><span style=3D'font-size:67%;display:none'><b>&= #13;</b></span></div> <div style=3D'mso-line-spacing:"80 20 0";position:absolute;top:69.25%; left:15.54%;width:68.16%;height:7.0%'><span style=3D'font-size:59%;display= :none'> </span></div> <div style=3D'text-align:right;mso-line-spacing:"80 20 0"'><span style=3D'position:absolute;top:76.25%;left:8.23%;width:75.65%;height:5.25%= '><span style=3D'font-size:44%'>Chizu Yokoi, MD, Takuji Gotoda, MD, Hisanao </span= ></span><span style=3D'position:absolute;top:80.5%;left:15.54%;width:68.16%;height:5.25%= '><span style=3D'font-size:44%'>Hamanaka, MD, Ichiro Oda, MD </span></span></d= iv> <div style=3D'text-align:right;mso-line-spacing:"80 20 0";position:absolut= e; top:86.0%;left:15.54%;width:68.16%;height:5.25%'><span style=3D'font-size:= 44%; display:none'> </span></div> <div style=3D'text-align:right;mso-line-spacing:"80 20 0";position:absolut= e; top:91.0%;left:11.42%;width:72.28%;height:4.5%'><span style=3D'font-size:3= 7%'><b><i>Gastrointestinal Endoscpy, Vol 64, No 2, Aug/2006</i></b></span></div> </div> </p:slide></div> </body> </html> ------=_NextPart_01C6E70B.AB4AF270 Content-Location: file:///C:/3069588C/EndoscopicSubmucosal_arquivos/master05_image002.gif Content-Transfer-Encoding: base64 Content-Type: image/gif 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style=3D'text-align:center;position:absolute;top:24.25%;left:5.99%; width:88.2%;height:7.0%'><span style=3D'mso-special-format:nobullet;displa= y: none;color:#FFCC00;mso-color-index:6;font-family:Wingdings;font-size:70%'>= n</span> </div> <div style=3D'text-align:center'><span style=3D'position:absolute;top:32.7= 5%; left:5.43%;width:89.51%;height:7.0%'><span style=3D'mso-special-format:nob= ullet; display:none;color:#FFCC00;mso-color-index:6;font-family:Wingdings;font-si= ze: 70%'>n</span>Dissecção submucosa endoscópica permite = </span><span style=3D'position:absolute;top:40.0%;left:2.05%;width:99.62%;height:7.0%'>= ressecção curativa de recorrência local de câncer </span><span style=3D'position:absolute;top:47.0%;left:9.73%;width:84.45%;height:7.0%'>= gástrico precoce após mucosectomia </span><span style=3D'position:absolute; top:54.25%;left:9.73%;width:84.45%;height:7.0%'>endoscópica prévia </span></div> <div style=3D'position:absolute;top:62.74%;left:5.99%;width:88.2%;height:7= 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file:///C:/3069588C/EndoscopicSubmucosal_arquivos/slide0018.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" <html xmlns:v=3D"urn:schemas-microsoft-com:vml" xmlns:o=3D"urn:schemas-microsoft-com:office:office" xmlns:p=3D"urn:schemas-microsoft-com:office:powerpoint" xmlns:oa=3D"urn:schemas-microsoft-com:office:activation" xmlns=3D"http://www.w3.org/TR/REC-html40"> <head> <meta http-equiv=3DContent-Type content=3D"text/html; charset=3Dus-ascii"> <meta name=3DProgId content=3DPowerPoint.Slide> <meta name=3DGenerator content=3D"Microsoft PowerPoint 11"> <link id=3DMain-File rel=3DMain-File href=3D"../EndoscopicSubmucosal.htm"> <link rel=3DPreview href=3Dpreview.wmf>  <title>Serviço de Endoscopia Gastrointestinal Hospital das Clínicas Faculdade de Medicina da Univrsidade de São Paulo</t= itle> <![if IE]> <base href=3D"file:///C:\3069588C\EndoscopicSubmucosal_arquivos\slide0018.h= tm" id=3D"webarch_temp_base_tag"> <![endif]> <meta name=3DDescription content=3D"3/10/2006: Endoscopic submucosal dissection allows curative rese= ction of locally recurrent early gastric cancer after prior endoscopic muco= sal resection"> <link rel=3DStylesheet href=3D"master04_stylesheet.css"> <![if !ppt]> <style media=3Dprint>  </style> <script src=3Dscript.js></script><script></script><![endif]><o:shapelayout v:ext=3D"edit"> <o:idmap v:ext=3D"edit" data=3D"34"/> </o:shapelayout> </head> <body lang=3DPT-BR style=3D'margin:0px;background-color:black' onclick=3D"DocumentOnClick()" onresize=3D"_RSW()" onload=3D"LoadSld()" onkeypress=3D"_KPH()"> <div id=3DSlideObj class=3Dsld style=3D'position:absolute;top:0px;left:0px; width:534px;height:400px;font-size:16px;background-color:#003399;clip:rect(= 0%, 101%, 101%, 0%); visibility:hidden'><p:slide coordsize=3D"720,540" colors=3D"#003399,#ffffff,#000514,#e5e5ff,#0099cc,#a886e0,#ffcc00,#ffffcc" masterhref=3D"master04.xml"> <p:shaperange href=3D"master04.xml#_x0000_s4097"/><![if !ppt]><p:shaperange href=3D"master04.xml#_x0000_s4098"/><p:shaperange href=3D"master04.xml#_x0000_s4100"/><![if !vml]><img border=3D0 v:shapes=3D"_x0000_s4100,_x0000_s4102,_x0000_s4103,_x0000_s4104,_x0000_s41= 05,_x0000_s4106,_x0000_s4107,_x0000_s4108" src=3D"master04_image004.gif" style=3D'position:absolute;top:0%;left:0%; width:100.18%;height:100.25%'><![endif]><p:shaperange href=3D"master04.xml#_x0000_s4110"/><![endif]><p:shaperange href=3D"master04.xml#_x0000_m4109"/><v:shape id=3D"_x0000_s34818" type=3D= "#_x0000_m4109" style=3D'position:absolute;left:36pt;top:21.625pt;width:9in;height:90pt' o:userdrawn=3D"f"> <v:fill o:detectmouseclick=3D"f"/> <v:stroke o:forcedash=3D"f"/> <o:lock v:ext=3D"edit" text=3D"f"/> <p:placeholder type=3D"title"/></v:shape><p:shaperange href=3D"master04.xml#_x0000_m4111"/><v:shape id=3D"_x0000_s34819" type=3D= "#_x0000_m4111" style=3D'position:absolute;left:36pt;top:126pt;width:9in;height:356.375pt' o:userdrawn=3D"f"> <v:fill o:detectmouseclick=3D"f"/> <v:stroke o:forcedash=3D"f"/> <o:lock v:ext=3D"edit" text=3D"f"/> <p:placeholder type=3D"body" position=3D"1"/></v:shape> <div v:shape=3D"_x0000_s34818" class=3DT><span style=3D'position:absolute; top:8.5%;left:-.56%;width:101.31%;height:4.0%'><span style=3D'font-size:41= %'>Endoscopic submucosal dissection allows curative resection of locally recurrent </spa= n></span><span style=3D'position:absolute;top:12.5%;left:5.99%;width:88.2%;height:4.0%'><= span style=3D'font-size:41%'>early gastric cancer after prior endoscopic mucosal resection</span></span></div> <div v:shape=3D"_x0000_s34819" class=3DB> <div style=3D'mso-line-spacing:"90 20 0";position:absolute;top:23.75%; left:5.99%;width:88.2%;height:5.25%'><span style=3D'mso-special-format:nob= ullet; display:none;color:#FFCC00;mso-color-index:6;font-family:Wingdings;font-si= ze: 70%'>n</span><span style=3D'font-size:75%'><b>Introdução = ;</b></span></div> <div style=3D'mso-line-spacing:"90 20 0"'><span style=3D'position:absolute; top:29.75%;left:5.99%;width:102.99%;height:5.25%'><span style=3D'mso-speci= al-format: nobullet;display:none;color:#FFCC00;mso-color-index:6;font-family:Wingding= s; font-size:70%'>n</span><span style=3D'font-size:75%'><span style=3D'mso-ta= b-count: 1;width:3.64%'> </span>A </span><span style=3D'font-size:75%'><i>mucosecto= mia endoscópica</i></span><span style=3D'font-size:75%'> (</span><span style=3D'font-size:75%'><b>ME</b></span><span style=3D'font-size:75%'>) &e= acute; aceita mundialmente como um </span></span><span style=3D'position:absolute; top:34.5%;left:9.73%;width:90.07%;height:5.25%'><span style=3D'font-size:7= 5%'>tratamento minimamente invasivo para </span><span style=3D'font-size:75%'><i>câ= ncer gástrico precoce</i></span><span style=3D'font-size:75%'> </span></= span><span style=3D'position:absolute;top:39.25%;left:9.73%;width:99.43%;height:5.25%= '><span style=3D'font-size:75%'>(</span><span style=3D'font-size:75%'><b>CGP</b></= span><span style=3D'font-size:75%'>). Técnicas de ME convencionais como Stripy biopsy, ME </span></span><span style=3D'position:absolute;top:44.0%;left:9= .73%; width:89.51%;height:5.25%'><span style=3D'font-size:75%'>com CAP, ME com ligadura, são normalmente utilizados. </span></span><span style=3D'position:absolute;top:48.75%;left:9.73%;width:97.0%;height:5.25%'= ><span style=3D'font-size:75%'>Infelizmente quando utilizados para ressecar grand= es lesões ou </span></span><span style=3D'position:absolute;top:53.75%; left:9.73%;width:86.14%;height:5.25%'><span style=3D'font-size:75%'>remove= r em piecemeal, estão associados a altas taxas de </span></span><span style=3D'position:absolute;top:58.5%;left:9.73%;width:97.37%;height:5.25%'= ><span style=3D'font-size:75%'>recorrência. As taxas variam de 2 a 35%. Técnicas de dissecção </span></span><span style=3D'position:absolute;top:63.24%;left:9.73%;width:89.13%;height:5.25%= '><span style=3D'font-size:75%'>submucosa têm sido agora descritas. O trabal= ho reporta a </span></span><span style=3D'position:absolute;top:68.0%;left:9.= 73%; width:88.95%;height:5.25%'><span style=3D'font-size:75%'>segurança e prognóstico com o uso da </span><span style=3D'font-size:75%'><i>Di= ssecção Submucosa </i></span></span><span style=3D'position:absolute;top:72.75%; left:9.73%;width:87.82%;height:5.25%'><span style=3D'font-size:75%'><i>End= oscópica</i></span><span style=3D'font-size:75%'> (</span><span style=3D'font-size:75%'><b>DSE</b><= /span><span style=3D'font-size:75%'>) para tratar a recorrência do CGP apó= ;s </span></span><span style=3D'position:absolute;top:77.5%;left:9.73%;width:84.45%;height:5.25%'= ><span style=3D'font-size:75%'>ressecção prévia por técnicas convencionais de ME.</span></span></div> </div> </p:slide></div> </body> </html> ------=_NextPart_01C6E70B.AB4AF270 Content-Location: file:///C:/3069588C/EndoscopicSubmucosal_arquivos/slide0019.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" <html xmlns:v=3D"urn:schemas-microsoft-com:vml" xmlns:o=3D"urn:schemas-microsoft-com:office:office" xmlns:p=3D"urn:schemas-microsoft-com:office:powerpoint" xmlns:oa=3D"urn:schemas-microsoft-com:office:activation" xmlns=3D"http://www.w3.org/TR/REC-html40"> <head> <meta http-equiv=3DContent-Type content=3D"text/html; charset=3Dus-ascii"> <meta name=3DProgId content=3DPowerPoint.Slide> <meta name=3DGenerator content=3D"Microsoft PowerPoint 11"> <link id=3DMain-File rel=3DMain-File href=3D"../EndoscopicSubmucosal.htm"> <link rel=3DPreview href=3Dpreview.wmf>  <title>Serviço de Endoscopia Gastrointestinal Hospital das Clínicas Faculdade de Medicina da Univrsidade de São Paulo</t= itle> <![if IE]> <base href=3D"file:///C:\3069588C\EndoscopicSubmucosal_arquivos\slide0019.h= tm" id=3D"webarch_temp_base_tag"> <![endif]> <meta name=3DDescription content=3D"3/10/2006: Endoscopic submucosal dissection allows curative rese= ction of locally recurrent early gastric cancer after prior endoscopic muco= sal resection"> <link rel=3DStylesheet href=3D"master04_stylesheet.css"> <![if !ppt]> <style media=3Dprint>  </style> <script src=3Dscript.js></script><script></script><![endif]><o:shapelayout v:ext=3D"edit"> <o:idmap v:ext=3D"edit" data=3D"35"/> </o:shapelayout> </head> <body lang=3DPT-BR style=3D'margin:0px;background-color:black' onclick=3D"DocumentOnClick()" onresize=3D"_RSW()" onload=3D"LoadSld()" onkeypress=3D"_KPH()"> <div id=3DSlideObj class=3Dsld style=3D'position:absolute;top:0px;left:0px; width:534px;height:400px;font-size:16px;background-color:#003399;clip:rect(= 0%, 101%, 101%, 0%); visibility:hidden'><p:slide coordsize=3D"720,540" colors=3D"#003399,#ffffff,#000514,#e5e5ff,#0099cc,#a886e0,#ffcc00,#ffffcc" masterhref=3D"master04.xml"> <p:shaperange href=3D"master04.xml#_x0000_s4097"/><![if !ppt]><p:shaperange href=3D"master04.xml#_x0000_s4098"/><p:shaperange href=3D"master04.xml#_x0000_s4100"/><![if !vml]><img border=3D0 v:shapes=3D"_x0000_s4100,_x0000_s4102,_x0000_s4103,_x0000_s4104,_x0000_s41= 05,_x0000_s4106,_x0000_s4107,_x0000_s4108" src=3D"master04_image004.gif" style=3D'position:absolute;top:0%;left:0%; width:100.18%;height:100.25%'><![endif]><p:shaperange href=3D"master04.xml#_x0000_s4110"/><![endif]><p:shaperange href=3D"master04.xml#_x0000_m4109"/><v:shape id=3D"_x0000_s35842" type=3D= "#_x0000_m4109" style=3D'position:absolute;left:36pt;top:21.625pt;width:9in;height:90pt' o:userdrawn=3D"f"> <v:fill o:detectmouseclick=3D"f"/> <v:stroke o:forcedash=3D"f"/> <o:lock v:ext=3D"edit" text=3D"f"/> <p:placeholder type=3D"title"/></v:shape><p:shaperange href=3D"master04.xml#_x0000_m4111"/><v:shape id=3D"_x0000_s35843" type=3D= "#_x0000_m4111" style=3D'position:absolute;left:36pt;top:133.875pt;width:9in;height:317.6= 25pt' o:userdrawn=3D"f"> <v:fill o:detectmouseclick=3D"f"/> <v:stroke o:forcedash=3D"f"/> <o:lock v:ext=3D"edit" text=3D"f"/> <p:placeholder type=3D"body" position=3D"1"/></v:shape> <div v:shape=3D"_x0000_s35842" class=3DT><span style=3D'position:absolute; top:8.5%;left:-.56%;width:101.31%;height:4.0%'><span style=3D'font-size:41= %'>Endoscopic submucosal dissection allows curative resection of locally recurrent </spa= n></span><span style=3D'position:absolute;top:12.5%;left:5.99%;width:88.2%;height:4.0%'><= span style=3D'font-size:41%'>early gastric cancer after prior endoscopic mucosal resection</span></span></div> <div v:shape=3D"_x0000_s35843" class=3DB> <div style=3D'position:absolute;top:25.75%;left:5.99%;width:88.2%;height:6= .0%'><span style=3D'mso-special-format:nobullet;display:none;color:#FFCC00;mso-color-= index: 6;font-family:Wingdings;font-size:70%'>n</span><span style=3D'font-family:= "Franklin Gothic Medium"; font-size:88%'><b>Métodos </b></span></div> <span style=3D'position:absolute;top:33.25%;left:5.99%;width:100.37%;heigh= t: 6.0%'><span style=3D'mso-special-format:nobullet;display:none;color:#FFCC0= 0; mso-color-index:6;font-family:Wingdings;font-size:70%'>n</span><span style=3D'font-family:"Franklin Gothic Medium";font-size:88%'><span style=3D'mso-tab-count:1;width:3.73%'> </span>Retrospectivamente foram analizados dados de </span></span><span style=3D'position:absolute;top:39.= 5%; left:9.73%;width:101.31%;height:6.0%'><span style=3D'font-family:"Franklin= Gothic Medium"; font-size:88%'>todos os pacientes que foram submetidos a ME no </span></sp= an><span style=3D'position:absolute;top:45.75%;left:9.73%;width:94.75%;height:6.0%'= ><span style=3D'font-family:"Franklin Gothic Medium";font-size:88%'><i>National C= ancer Center Hospital (</i></span><span style=3D'font-family:"Franklin Gothic Me= dium"; font-size:88%'><b>NCCH</b></span><span style=3D'font-family:"Franklin Goth= ic Medium"; font-size:88%'><i>)</i></span><span style=3D'font-family:"Franklin Gothic = Medium"; font-size:88%'>, Tokyo. </span></span><span style=3D'position:absolute; top:52.0%;left:9.73%;width:101.12%;height:6.0%'><span style=3D'font-family= :"Franklin Gothic Medium"; font-size:88%'>Foram identificados e incluidos todos os pacientes </span><= /span><span style=3D'position:absolute;top:58.25%;left:9.73%;width:84.45%;height:6.0%'= ><span style=3D'font-family:"Franklin Gothic Medium";font-size:88%'>que tiveram recorrência local, com </span></span><span style=3D'position:absolut= e; top:64.25%;left:9.73%;width:84.83%;height:6.0%'><span style=3D'font-family= :"Franklin Gothic Medium"; font-size:88%'>adenocarcinoma bem ou moderadamente </span></span><span style=3D'position:absolute;top:70.5%;left:9.73%;width:97.56%;height:6.0%'>= <span style=3D'font-family:"Franklin Gothic Medium";font-size:88%'>diferenciado,= de Novembro de 1993 a Dezembro </span></span><span style=3D'position:absolute; top:76.75%;left:9.73%;width:84.45%;height:6.0%'><span style=3D'font-family= :"Franklin Gothic Medium"; font-size:88%'>de 2003, num total de 66 pacientes.</span></span></div> </p:slide></div> </body> </html> ------=_NextPart_01C6E70B.AB4AF270 Content-Location: file:///C:/3069588C/EndoscopicSubmucosal_arquivos/slide0005.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" <html xmlns:v=3D"urn:schemas-microsoft-com:vml" xmlns:o=3D"urn:schemas-microsoft-com:office:office" xmlns:p=3D"urn:schemas-microsoft-com:office:powerpoint" xmlns:oa=3D"urn:schemas-microsoft-com:office:activation" xmlns=3D"http://www.w3.org/TR/REC-html40"> <head> <meta http-equiv=3DContent-Type content=3D"text/html; charset=3Dus-ascii"> <meta name=3DProgId content=3DPowerPoint.Slide> <meta name=3DGenerator content=3D"Microsoft PowerPoint 11"> <link id=3DMain-File rel=3DMain-File href=3D"../EndoscopicSubmucosal.htm"> <link rel=3DPreview href=3Dpreview.wmf>  <title>Serviço de Endoscopia Gastrointestinal Hospital das Clínicas Faculdade de Medicina da Univrsidade de São Paulo</t= itle> <![if IE]> <base href=3D"file:///C:\3069588C\EndoscopicSubmucosal_arquivos\slide0005.h= tm" id=3D"webarch_temp_base_tag"> <![endif]> <meta name=3DDescription content=3D"3/10/2006: Endoscopic submucosal dissection allows curative rese= ction of locally recurrent early gastric cancer after prior endoscopic muco= sal resection"> <link rel=3DStylesheet href=3D"master04_stylesheet.css"> <![if !ppt]> <style media=3Dprint>  </style> <script src=3Dscript.js></script><script></script><![endif]><o:shapelayout v:ext=3D"edit"> <o:idmap v:ext=3D"edit" data=3D"9"/> </o:shapelayout> </head> <body lang=3DPT-BR style=3D'margin:0px;background-color:black' onclick=3D"DocumentOnClick()" onresize=3D"_RSW()" onload=3D"LoadSld()" onkeypress=3D"_KPH()"> <div id=3DSlideObj class=3Dsld style=3D'position:absolute;top:0px;left:0px; width:534px;height:400px;font-size:16px;background-color:#003399;clip:rect(= 0%, 101%, 101%, 0%); visibility:hidden'><p:slide coordsize=3D"720,540" colors=3D"#003399,#ffffff,#000514,#e5e5ff,#0099cc,#a886e0,#ffcc00,#ffffcc" masterhref=3D"master04.xml"> <p:shaperange href=3D"master04.xml#_x0000_s4097"/><![if !ppt]><p:shaperange href=3D"master04.xml#_x0000_s4098"/><p:shaperange href=3D"master04.xml#_x0000_s4100"/><![if !vml]><img border=3D0 v:shapes=3D"_x0000_s4100,_x0000_s4102,_x0000_s4103,_x0000_s4104,_x0000_s41= 05,_x0000_s4106,_x0000_s4107,_x0000_s4108" src=3D"master04_image004.gif" style=3D'position:absolute;top:0%;left:0%; width:100.18%;height:100.25%'><![endif]><p:shaperange href=3D"master04.xml#_x0000_s4110"/><![endif]><p:shaperange href=3D"master04.xml#_x0000_m4109"/><v:shape id=3D"_x0000_s9218" type=3D"= #_x0000_m4109" style=3D'position:absolute;left:36pt;top:21.625pt;width:9in;height:90pt' o:userdrawn=3D"f"> <v:fill o:detectmouseclick=3D"f"/> <v:stroke o:forcedash=3D"f"/> <o:lock v:ext=3D"edit" text=3D"f"/> <p:placeholder type=3D"title"/></v:shape><p:shaperange href=3D"master04.xml#_x0000_m4111"/><v:shape id=3D"_x0000_s9219" type=3D"= #_x0000_m4111" style=3D'position:absolute;left:36pt;top:126pt;width:9in;height:399.125pt' o:userdrawn=3D"f"> <v:fill o:detectmouseclick=3D"f"/> <v:stroke o:forcedash=3D"f"/> <o:lock v:ext=3D"edit" text=3D"f"/> <p:placeholder type=3D"body" position=3D"1"/></v:shape> <div v:shape=3D"_x0000_s9218" class=3DT style=3D'text-align:left'><span style=3D'position:absolute;top:8.5%;left:5.99%;width:101.31%;height:4.0%'>= <span style=3D'font-size:41%'>Endoscopic submucosal dissection allows curative resection of locally recurrent </span></span><span style=3D'position:absol= ute; top:12.5%;left:5.99%;width:88.2%;height:4.0%'><span style=3D'font-size:41%= '>early gastric cancer after prior endoscopic mucosal resection</span></span></div> <div v:shape=3D"_x0000_s9219" class=3DB> <div style=3D'mso-line-spacing:"80 20 0";position:absolute;top:23.5%;left:= 5.99%; width:88.2%;height:5.25%'><span style=3D'mso-special-format:nobullet;displ= ay: none;color:#FFCC00;mso-color-index:6;font-family:Wingdings;font-size:70%'>= n</span><span style=3D'font-size:75%'><b>Técnicas de Ressecção Endoscópica </b></span></div> <div style=3D'mso-line-spacing:"80 20 0"'><span style=3D'position:absolute; top:28.74%;left:5.99%;width:105.05%;height:5.25%'><span style=3D'mso-speci= al-format: nobullet;display:none;color:#FFCC00;mso-color-index:6;font-family:Wingding= s; font-size:70%'>n</span><span style=3D'font-size:75%'><b><span style=3D'mso= -tab-count: 1;width:3.56%'> </span>1. ME Convencional: 18 pacientes foram submetidos a Strip </b></span></span><span style=3D'position:absolute;top:33.0%;left:9.= 73%; width:84.45%;height:5.25%'><span style=3D'font-size:75%'><b>Biopsy. </= b></span></span></div> <div style=3D'mso-line-spacing:"80 20 0";position:absolute;top:38.25%; left:5.99%;width:88.2%;height:5.25%'><span style=3D'mso-special-format:nob= ullet; display:none;color:#FFCC00;mso-color-index:6;font-family:Wingdings;font-si= ze: 70%'>n</span><span style=3D'font-size:75%;display:none'><b> </b></span= ></div> <div style=3D'mso-line-spacing:"80 20 0"'><span style=3D'position:absolute; top:43.75%;left:5.99%;width:99.43%;height:5.25%'><span style=3D'mso-specia= l-format: nobullet;display:none;color:#FFCC00;mso-color-index:6;font-family:Wingding= s; font-size:70%'>n</span><span style=3D'font-size:75%'><b><span style=3D'mso= -tab-count: 1;width:3.77%'> </span>2. DSE com IT Knife: 46 pacientes. Resumidamente, f= oi </b></span></span><span style=3D'position:absolute;top:48.0%;left:9.73%;width:93.25%;height:5.25%'= ><span style=3D'font-size:75%'><b>marcado a mucosa normal adjacente ao tumor por = pelo </b></span></span><span style=3D'position:absolute;top:52.25%;left:9.73%;width:101.12%;height:5.25= %'><span style=3D'font-size:75%'><b>menos 5mm distante usando Needle Knife. Ap&oacu= te;s injeção de </b></span></span><span style=3D'position:absolut= e; top:56.49%;left:9.73%;width:84.45%;height:5.25%'><span style=3D'font-size:= 75%'><b>solução salina com epinefrina (0.025mg/ml) na </b></span></span><span style=3D'position:absolute;top:60.75%;left:9.73%;width:99.81%;height:5.25%= '><span style=3D'font-size:75%'><b>submucosa, foi feito um corte inicial (pre cut)= ao longo das </b></span></span><span style=3D'position:absolute;top:65.0%; left:9.73%;width:100.18%;height:5.25%'><span style=3D'font-size:75%'><b>ma= rcas com a needle knife. A IT knife é inserida na incisão </b></s= pan></span><span style=3D'position:absolute;top:69.25%;left:9.73%;width:101.31%;height:5.25= %'><span style=3D'font-size:75%'><b>previamente feita e é usado o bisturi elétrico para completar </b></span></span><span style=3D'position:a= bsolute; top:73.5%;left:9.73%;width:100.0%;height:5.25%'><span style=3D'font-size:7= 5%'><b>a incisão ao redor da lesão. Após o corte circunferenci= al ser </b></span></span><span style=3D'position:absolute;top:77.75%;left:9.7= 3%; width:100.93%;height:5.25%'><span style=3D'font-size:75%'><b>completado, solução salina é injetada na submucosa abaixo </b></s= pan></span><span style=3D'position:absolute;top:82.0%;left:9.73%;width:85.39%;height:5.25%'= ><span style=3D'font-size:75%'><b>da lesão, sendo utilizada a IT knife para dissecar a </b></span></span><span style=3D'position:absolute;top:86.25%; left:9.73%;width:93.44%;height:5.25%'><span style=3D'font-size:75%'><b>sub= mucosa. Quando não houver elevação da lesão a IT </b><= /span></span><span style=3D'position:absolute;top:90.5%;left:9.73%;width:99.25%;height:5.25%'= ><span style=3D'font-size:75%'><b>knife foi utilizada para dissecar cuidadosament= e a lesão ao </b></span></span><span style=3D'position:absolute;top:94.= 75%; left:9.73%;width:84.45%;height:5.25%'><span style=3D'font-size:75%'><b>lon= go da submucosa.</b></span></span></div> </div> </p:slide></div> </body> </html> ------=_NextPart_01C6E70B.AB4AF270 Content-Location: file:///C:/3069588C/EndoscopicSubmucosal_arquivos/slide0034.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" <html xmlns:v=3D"urn:schemas-microsoft-com:vml" xmlns:o=3D"urn:schemas-microsoft-com:office:office" xmlns:p=3D"urn:schemas-microsoft-com:office:powerpoint" xmlns:oa=3D"urn:schemas-microsoft-com:office:activation" xmlns=3D"http://www.w3.org/TR/REC-html40"> <head> <meta http-equiv=3DContent-Type content=3D"text/html; charset=3Dus-ascii"> <meta name=3DProgId content=3DPowerPoint.Slide> <meta name=3DGenerator content=3D"Microsoft PowerPoint 11"> <link id=3DMain-File rel=3DMain-File href=3D"../EndoscopicSubmucosal.htm"> <link rel=3DPreview href=3Dpreview.wmf>  <title>Serviço de Endoscopia Gastrointestinal Hospital das Clínicas Faculdade de Medicina da Univrsidade de São Paulo</t= itle> <![if IE]> <base href=3D"file:///C:\3069588C\EndoscopicSubmucosal_arquivos\slide0034.h= tm" id=3D"webarch_temp_base_tag"> <![endif]> <meta name=3DDescription content=3D"3/10/2006: Endoscopic submucosal dissection allows curative rese= ction of locally recurrent early gastric cancer after prior endoscopic muco= sal resection"> <link rel=3DStylesheet href=3D"master04_stylesheet.css"> <![if !ppt]> <style media=3Dprint>  </style> <script src=3Dscript.js></script><script></script><![endif]><o:shapelayout v:ext=3D"edit"> <o:idmap v:ext=3D"edit" data=3D"54"/> </o:shapelayout> </head> <body lang=3DPT-BR style=3D'margin:0px;background-color:black' onclick=3D"DocumentOnClick()" onresize=3D"_RSW()" onload=3D"LoadSld()" onkeypress=3D"_KPH()"> <div id=3DSlideObj class=3Dsld style=3D'position:absolute;top:0px;left:0px; width:534px;height:400px;font-size:16px;background-color:#003399;clip:rect(= 0%, 101%, 101%, 0%); visibility:hidden'><p:slide coordsize=3D"720,540" colors=3D"#003399,#ffffff,#000514,#e5e5ff,#0099cc,#a886e0,#ffcc00,#ffffcc" masterhref=3D"master04.xml"> <p:shaperange href=3D"master04.xml#_x0000_s4097"/><![if !ppt]><p:shaperange href=3D"master04.xml#_x0000_s4098"/><p:shaperange href=3D"master04.xml#_x0000_s4100"/><![if !vml]><img border=3D0 v:shapes=3D"_x0000_s4100,_x0000_s4102,_x0000_s4103,_x0000_s4104,_x0000_s41= 05,_x0000_s4106,_x0000_s4107,_x0000_s4108" src=3D"master04_image004.gif" style=3D'position:absolute;top:0%;left:0%; width:100.18%;height:100.25%'><![endif]><p:shaperange href=3D"master04.xml#_x0000_s4110"/><![endif]><p:shaperange href=3D"master04.xml#_x0000_m4109"/><v:shape id=3D"_x0000_s55298" type=3D= "#_x0000_m4109" style=3D'position:absolute;left:36pt;top:21.625pt;width:9in;height:90pt' o:userdrawn=3D"f"> <v:fill o:detectmouseclick=3D"f"/> <v:stroke o:forcedash=3D"f"/> <o:lock v:ext=3D"edit" text=3D"f"/> <p:placeholder type=3D"title"/></v:shape><p:shaperange href=3D"master04.xml#_x0000_m4111"/><v:shape id=3D"_x0000_s55299" type=3D= "#_x0000_m4111" style=3D'position:absolute;left:36pt;top:126pt;width:9in;height:356.375pt' o:userdrawn=3D"f"> <v:fill o:detectmouseclick=3D"f"/> <v:stroke o:forcedash=3D"f"/> <o:lock v:ext=3D"edit" text=3D"f"/> <p:placeholder type=3D"body" position=3D"1"/></v:shape> <div v:shape=3D"_x0000_s55298" class=3DT style=3D'text-align:left'><span style=3D'position:absolute;top:8.5%;left:5.99%;width:101.31%;height:4.0%'>= <span style=3D'font-size:41%'>Endoscopic submucosal dissection allows curative resection of locally recurrent </span></span><span style=3D'position:absol= ute; top:12.5%;left:5.99%;width:88.2%;height:4.0%'><span style=3D'font-size:41%= '>early gastric cancer after prior endoscopic mucosal resection</span></span></div> <div v:shape=3D"_x0000_s55299" class=3DB> <div style=3D'mso-line-spacing:"80 20 0";position:absolute;top:23.25%; left:5.99%;width:88.2%;height:6.0%'><span style=3D'mso-special-format:nobu= llet; display:none;color:#FFCC00;mso-color-index:6;font-family:Wingdings;font-si= ze: 70%'>n</span><span style=3D'font-size:88%'><b>Avaliação Patológica </b></span></div> <div style=3D'mso-line-spacing:"80 20 0"'><span style=3D'position:absolute; top:29.5%;left:5.99%;width:101.31%;height:6.0%'><span style=3D'mso-special= -format: nobullet;display:none;color:#FFCC00;mso-color-index:6;font-family:Wingding= s; font-size:70%'>n</span><span style=3D'font-size:88%'>Foi definida a ressecção em bloco (1 peça) ou piecemeal </span></spa= n><span style=3D'position:absolute;top:34.5%;left:9.73%;width:96.06%;height:6.0%'>= <span style=3D'font-size:88%'>(múltiplos fragmentos). Seguindo a recomendação da </span></span><span style=3D'position:absolu= te; top:39.5%;left:9.73%;width:98.68%;height:6.0%'><span style=3D'font-size:88= %'>Sociedade Japonesa de Câncer Gástrico foi seccionado </span></span><span style=3D'position:absolute;top:44.5%;left:9.73%;width:91.38%;height:6.0%'>= <span style=3D'font-size:88%'>as peças em intervalos de 2mm. Foi classifi= cado os </span></span><span style=3D'position:absolute;top:49.5%;left:9.73%; width:95.69%;height:6.0%'><span style=3D'font-size:88%'>achados patológicos em curativo (margens verticais e </span></span><span style=3D'position:absolute;top:54.5%;left:9.73%;width:93.07%;height:6.0%'>= <span style=3D'font-size:88%'>laterais livres, não há invasã= ;o submucosa maior que </span></span><span style=3D'position:absolute;top:59.= 5%; left:9.73%;width:101.12%;height:6.0%'><span style=3D'font-size:88%'>500mc = da musculares mucosae, sem invasão linfática ou </span></span><= span style=3D'position:absolute;top:64.5%;left:9.73%;width:100.37%;height:6.0%'= ><span style=3D'font-size:88%'>vascular), não curativo (não obedece= a estes critérios ou </span></span><span style=3D'position:absolute; top:69.5%;left:9.73%;width:92.5%;height:6.0%'><span style=3D'font-size:88%= '>são pouco diferenciados ou com células em anel de </span></span><span style=3D'position:absolute;top:74.5%;left:9.73%;width:91.57%;height:6.0%'>= <span style=3D'font-size:88%'>sinete) e não avaliável . O grau de diferenciação do </span></span><span style=3D'position:absol= ute; top:79.25%;left:9.73%;width:84.45%;height:6.0%'><span style=3D'font-size:8= 8%'>tumor foi estudado em cada corte.</span></span></div> </div> </p:slide></div> </body> </html> ------=_NextPart_01C6E70B.AB4AF270 Content-Location: file:///C:/3069588C/EndoscopicSubmucosal_arquivos/slide0036.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" <html xmlns:v=3D"urn:schemas-microsoft-com:vml" xmlns:o=3D"urn:schemas-microsoft-com:office:office" xmlns:p=3D"urn:schemas-microsoft-com:office:powerpoint" xmlns:oa=3D"urn:schemas-microsoft-com:office:activation" xmlns=3D"http://www.w3.org/TR/REC-html40"> <head> <meta http-equiv=3DContent-Type content=3D"text/html; charset=3Dus-ascii"> <meta name=3DProgId content=3DPowerPoint.Slide> <meta name=3DGenerator content=3D"Microsoft PowerPoint 11"> <link id=3DMain-File rel=3DMain-File href=3D"../EndoscopicSubmucosal.htm"> <link rel=3DPreview href=3Dpreview.wmf>  <title>Serviço de Endoscopia Gastrointestinal Hospital das Clínicas Faculdade de Medicina da Univrsidade de São Paulo</t= itle> <![if IE]> <base href=3D"file:///C:\3069588C\EndoscopicSubmucosal_arquivos\slide0036.h= tm" id=3D"webarch_temp_base_tag"> <![endif]> <meta name=3DDescription content=3D"3/10/2006: Endoscopic submucosal dissection allows curative rese= ction of locally recurrent early gastric cancer after prior endoscopic muco= sal resection"> <link rel=3DStylesheet href=3D"master04_stylesheet.css"> <![if !ppt]> <style media=3Dprint>  </style> <script src=3Dscript.js></script><script></script><![endif]><o:shapelayout v:ext=3D"edit"> <o:idmap v:ext=3D"edit" data=3D"56"/> </o:shapelayout> </head> <body lang=3DPT-BR style=3D'margin:0px;background-color:black' onclick=3D"DocumentOnClick()" onresize=3D"_RSW()" onload=3D"LoadSld()" onkeypress=3D"_KPH()"> <div id=3DSlideObj class=3Dsld style=3D'position:absolute;top:0px;left:0px; width:534px;height:400px;font-size:16px;background-color:#003399;clip:rect(= 0%, 101%, 101%, 0%); visibility:hidden'><p:slide coordsize=3D"720,540" colors=3D"#003399,#ffffff,#000514,#e5e5ff,#0099cc,#a886e0,#ffcc00,#ffffcc" masterhref=3D"master04.xml"> <p:shaperange href=3D"master04.xml#_x0000_s4097"/><![if !ppt]><p:shaperange href=3D"master04.xml#_x0000_s4098"/><p:shaperange href=3D"master04.xml#_x0000_s4100"/><![if !vml]><img border=3D0 v:shapes=3D"_x0000_s4100,_x0000_s4102,_x0000_s4103,_x0000_s4104,_x0000_s41= 05,_x0000_s4106,_x0000_s4107,_x0000_s4108" src=3D"master04_image004.gif" style=3D'position:absolute;top:0%;left:0%; width:100.18%;height:100.25%'><![endif]><p:shaperange href=3D"master04.xml#_x0000_s4110"/><![endif]><p:shaperange href=3D"master04.xml#_x0000_m4109"/><v:shape id=3D"_x0000_s57346" type=3D= "#_x0000_m4109" style=3D'position:absolute;left:36pt;top:21.625pt;width:9in;height:90pt' o:userdrawn=3D"f"> <v:fill o:detectmouseclick=3D"f"/> <v:stroke o:forcedash=3D"f"/> <o:lock v:ext=3D"edit" text=3D"f"/> <p:placeholder type=3D"title"/></v:shape><p:shaperange href=3D"master04.xml#_x0000_m4111"/><v:shape id=3D"_x0000_s57347" type=3D= "#_x0000_m4111" style=3D'position:absolute;left:36pt;top:126pt;width:9in;height:356.375pt' o:userdrawn=3D"f"> <v:fill o:detectmouseclick=3D"f"/> <v:stroke o:forcedash=3D"f"/> <o:lock v:ext=3D"edit" text=3D"f"/> <p:placeholder type=3D"body" position=3D"1"/></v:shape> <div v:shape=3D"_x0000_s57346" class=3DT style=3D'text-align:left'><span style=3D'position:absolute;top:8.5%;left:5.99%;width:101.31%;height:4.0%'>= <span style=3D'font-size:41%'>Endoscopic submucosal dissection allows curative resection of locally recurrent </span></span><span style=3D'position:absol= ute; top:12.5%;left:5.99%;width:88.2%;height:4.0%'><span style=3D'font-size:41%= '>early gastric cancer after prior endoscopic mucosal resection</span></span></div> <div v:shape=3D"_x0000_s57347" class=3DB> <div style=3D'position:absolute;top:24.25%;left:5.99%;width:88.2%;height:7= .0%'><span style=3D'mso-special-format:nobullet;display:none;color:#FFCC00;mso-color-= index: 6;font-family:Wingdings;font-size:70%'>n</span><b>Seguimento </b></div> = <span style=3D'position:absolute;top:32.75%;left:5.99%;width:100.18%;heigh= t: 7.0%'><span style=3D'mso-special-format:nobullet;display:none;color:#FFCC0= 0; mso-color-index:6;font-family:Wingdings;font-size:70%'>n</span><span style=3D'mso-tab-count:1;width:3.74%'> </span>Todos os pacientes receberam= exame clínico e </span><span style=3D'position:absolute;top:40.0%;left:9.= 73%; width:89.88%;height:7.0%'>endoscópico semestrais, com USG e TC de <= /span><span style=3D'position:absolute;top:47.0%;left:9.73%;width:84.45%;height:7.0%'>= abdome quando necessários. Cirurgia foi </span><span style=3D'position:abs= olute; top:54.25%;left:9.73%;width:85.01%;height:7.0%'>recomendada quando a ressecção foi não </span><span style=3D'position:abso= lute; top:61.25%;left:9.73%;width:84.45%;height:7.0%'>curativa ou não avaliável.</span></div> </p:slide></div> </body> </html> ------=_NextPart_01C6E70B.AB4AF270 Content-Location: file:///C:/3069588C/EndoscopicSubmucosal_arquivos/slide0037.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" <html xmlns:v=3D"urn:schemas-microsoft-com:vml" xmlns:o=3D"urn:schemas-microsoft-com:office:office" xmlns:p=3D"urn:schemas-microsoft-com:office:powerpoint" xmlns:oa=3D"urn:schemas-microsoft-com:office:activation" xmlns=3D"http://www.w3.org/TR/REC-html40"> <head> <meta http-equiv=3DContent-Type content=3D"text/html; charset=3Dus-ascii"> <meta name=3DProgId content=3DPowerPoint.Slide> <meta name=3DGenerator content=3D"Microsoft PowerPoint 11"> <link id=3DMain-File rel=3DMain-File href=3D"../EndoscopicSubmucosal.htm"> <link rel=3DPreview href=3Dpreview.wmf>  <title>Serviço de Endoscopia Gastrointestinal Hospital das Clínicas Faculdade de Medicina da Univrsidade de São Paulo</t= itle> <![if IE]> <base href=3D"file:///C:\3069588C\EndoscopicSubmucosal_arquivos\slide0037.h= tm" id=3D"webarch_temp_base_tag"> <![endif]> <meta name=3DDescription content=3D"3/10/2006: Endoscopic submucosal dissection allows curative rese= ction of locally recurrent early gastric cancer after prior endoscopic muco= sal resection"> <link rel=3DStylesheet href=3D"master04_stylesheet.css"> <![if !ppt]> <style media=3Dprint>  </style> <script src=3Dscript.js></script><script></script><![endif]><o:shapelayout v:ext=3D"edit"> <o:idmap v:ext=3D"edit" data=3D"57"/> </o:shapelayout> </head> <body lang=3DPT-BR style=3D'margin:0px;background-color:black' onclick=3D"DocumentOnClick()" onresize=3D"_RSW()" onload=3D"LoadSld()" onkeypress=3D"_KPH()"> <div id=3DSlideObj class=3Dsld style=3D'position:absolute;top:0px;left:0px; width:534px;height:400px;font-size:16px;background-color:#003399;clip:rect(= 0%, 101%, 101%, 0%); visibility:hidden'><p:slide coordsize=3D"720,540" colors=3D"#003399,#ffffff,#000514,#e5e5ff,#0099cc,#a886e0,#ffcc00,#ffffcc" masterhref=3D"master04.xml"> <p:shaperange href=3D"master04.xml#_x0000_s4097"/><![if !ppt]><p:shaperange href=3D"master04.xml#_x0000_s4098"/><p:shaperange href=3D"master04.xml#_x0000_s4100"/><![if !vml]><img border=3D0 v:shapes=3D"_x0000_s4100,_x0000_s4102,_x0000_s4103,_x0000_s4104,_x0000_s41= 05,_x0000_s4106,_x0000_s4107,_x0000_s4108" src=3D"master04_image004.gif" style=3D'position:absolute;top:0%;left:0%; width:100.18%;height:100.25%'><![endif]><p:shaperange href=3D"master04.xml#_x0000_s4110"/><![endif]><p:shaperange href=3D"master04.xml#_x0000_m4109"/><v:shape id=3D"_x0000_s58370" type=3D= "#_x0000_m4109" style=3D'position:absolute;left:36pt;top:21.625pt;width:9in;height:90pt' o:userdrawn=3D"f"> <v:fill o:detectmouseclick=3D"f"/> <v:stroke o:forcedash=3D"f"/> <o:lock v:ext=3D"edit" text=3D"f"/> <p:placeholder type=3D"title"/></v:shape><p:shaperange href=3D"master04.xml#_x0000_m4111"/><v:shape id=3D"_x0000_s58371" type=3D= "#_x0000_m4111" style=3D'position:absolute;left:36pt;top:126pt;width:9in;height:356.375pt' o:userdrawn=3D"f"> <v:fill o:detectmouseclick=3D"f"/> <v:stroke o:forcedash=3D"f"/> <o:lock v:ext=3D"edit" text=3D"f"/> <p:placeholder type=3D"body" position=3D"1"/></v:shape> <div v:shape=3D"_x0000_s58370" class=3DT style=3D'text-align:left'><span style=3D'position:absolute;top:8.0%;left:5.99%;width:98.5%;height:4.5%'><s= pan style=3D'font-size:45%'>Endoscopic submucosal dissection allows curative resection of locally </span></span><span style=3D'position:absolute;top:12= .5%; left:5.99%;width:98.87%;height:4.5%'><span style=3D'font-size:45%'>recurre= nt early gastric cancer after prior endoscopic mucosal resection</span></span= ></div> <div v:shape=3D"_x0000_s58371" class=3DB> <div style=3D'position:absolute;top:24.25%;left:5.99%;width:88.2%;height:7= .0%'><span style=3D'mso-special-format:nobullet;display:none;color:#FFCC00;mso-color-= index: 6;font-family:Wingdings;font-size:70%'>n</span><b>Resultados </b></div> <div style=3D'position:absolute;top:32.75%;left:5.99%;width:88.2%;height:7= .0%'><span style=3D'mso-special-format:nobullet;display:none;color:#FFCC00;mso-color-= index: 6;font-family:Wingdings;font-size:70%'>n</span><b><span style=3D'mso-tab-c= ount: 1;width:4.25%'> </span>Análise estatística: Teste de Fischer </b></div> <div style=3D'position:absolute;top:41.5%;left:5.99%;width:88.2%;height:7.= 0%'><span style=3D'mso-special-format:nobullet;display:none;color:#FFCC00;mso-color-= index: 6;font-family:Wingdings;font-size:70%'>n</span><b> </b></div> <span style=3D'position:absolute;top:50.0%;left:5.99%;width:104.3%;height:= 7.0%'><span style=3D'mso-special-format:nobullet;display:none;color:#FFCC00;mso-color-= index: 6;font-family:Wingdings;font-size:70%'>n</span><b>As características dos pacientes e dos tumores </b></span><span style=3D'position:absolute; top:56.99%;left:9.73%;width:84.45%;height:7.0%'><b>estão resumidos = na tabela 1. </b></span></div> </p:slide></div> </body> </html> ------=_NextPart_01C6E70B.AB4AF270 Content-Location: file:///C:/3069588C/EndoscopicSubmucosal_arquivos/slide0035.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" <html xmlns:v=3D"urn:schemas-microsoft-com:vml" xmlns:o=3D"urn:schemas-microsoft-com:office:office" xmlns:p=3D"urn:schemas-microsoft-com:office:powerpoint" xmlns:oa=3D"urn:schemas-microsoft-com:office:activation" xmlns=3D"http://www.w3.org/TR/REC-html40"> <head> <meta http-equiv=3DContent-Type content=3D"text/html; charset=3Dus-ascii"> <meta name=3DProgId content=3DPowerPoint.Slide> <meta name=3DGenerator content=3D"Microsoft PowerPoint 11"> <link id=3DMain-File rel=3DMain-File href=3D"../EndoscopicSubmucosal.htm"> <link rel=3DPreview href=3Dpreview.wmf>  <title>Serviço de Endoscopia Gastrointestinal Hospital das Clínicas Faculdade de Medicina da Univrsidade de São Paulo</t= itle> <![if IE]> <base href=3D"file:///C:\3069588C\EndoscopicSubmucosal_arquivos\slide0035.h= tm" id=3D"webarch_temp_base_tag"> <![endif]> <meta name=3DDescription content=3D"3/10/2006: Endoscopic submucosal dissection allows curative rese= ction of locally recurrent early gastric cancer after prior endoscopic muco= sal resection"> <link rel=3DStylesheet href=3D"master04_stylesheet.css"> <![if !ppt]> <style media=3Dprint>  </style> <script src=3Dscript.js></script><script></script><![endif]> </head> <body lang=3DPT-BR style=3D'margin:0px;background-color:black' onclick=3D"DocumentOnClick()" onresize=3D"_RSW()" onload=3D"LoadSld()" onkeypress=3D"_KPH()"> <div id=3DSlideObj class=3Dsld style=3D'position:absolute;top:0px;left:0px; width:534px;height:400px;font-size:16px;background-color:#003399;clip:rect(= 0%, 101%, 101%, 0%); visibility:hidden'><p:slide coordsize=3D"720,540" colors=3D"#003399,#ffffff,#000514,#e5e5ff,#0099cc,#a886e0,#ffcc00,#ffffcc" masterhref=3D"master04.xml" href=3D"slide0035.xml"> <p:shaperange href=3D"master04.xml#_x0000_s4097"/><![if !ppt]><p:shaperange href=3D"master04.xml#_x0000_s4098"/><p:shaperange href=3D"master04.xml#_x0000_s4100"/><![if !vml]><img border=3D0 v:shapes=3D"_x0000_s4100,_x0000_s4102,_x0000_s4103,_x0000_s4104,_x0000_s41= 05,_x0000_s4106,_x0000_s4107,_x0000_s4108" src=3D"master04_image004.gif" style=3D'position:absolute;top:0%;left:0%; width:100.18%;height:100.25%'><![endif]><p:shaperange href=3D"master04.xml#_x0000_s4110"/><![endif]><p:shaperange href=3D"master04.xml#_x0000_m4109"/><p:shaperange href=3D"master04.xml#_x0000_m4111"/><p:shaperange href=3D"slide0035.xml#_x0000_s56322"/> <div v:shape=3D"_x0000_s56322" class=3DT style=3D'text-align:left'><span style=3D'position:absolute;top:1.5%;left:.93%;width:98.5%;height:4.5%'><sp= an style=3D'font-size:45%'>Endoscopic submucosal dissection allows curative resection of locally </span></span><span style=3D'position:absolute;top:6.= 0%; left:.93%;width:98.87%;height:4.5%'><span style=3D'font-size:45%'>recurrent early gastric cancer after prior endoscopic mucosal resection</span></span= ></div> <div v:shape=3D"_x0000_s56323" class=3DB><span style=3D'position:absolute; top:28.99%;left:41.76%;width:.18%;height:7.0%'><span style=3D'mso-special-= format: nobullet;display:none;color:#FFCC00;mso-color-index:6;font-family:Wingding= s; font-size:70%'>n</span><span style=3D'font-family:"Franklin Gothic Medium"; mso-special-format:lastCR;display:none'><b> </b></span></span></div> <div v:shape=3D"_x0000_s56688" class=3DO> <div style=3D'position:absolute;top:21.5%;left:.93%;width:26.96%;height:4.= 0%'>Table 1. </div> <div style=3D'mso-char-wrap:0;mso-kinsoku-overflow:0'><span style=3D'posit= ion: absolute;top:25.5%;left:.93%;width:28.27%;height:4.0%'>Characteristics of = the </span><span style=3D'position:absolute;top:29.5%;left:.93%;width:31.46%;height:4.0%'>p= atients and the tumors </span></div> </div> <p:shaperange href=3D"slide0035.xml#_x0000_s57064"/><![if !vml]><img borde= r=3D0 v:shapes=3D"_x0000_s57064,_x0000_s56803,_x0000_s56802,_x0000_s56801,_x0000= _s56800,_x0000_s56799,_x0000_s56798,_x0000_s56797,_x0000_s56796,_x0000_s567= 95,_x0000_s56794,_x0000_s56793,_x0000_s56792,_x0000_s56791,_x0000_s56790,_x= 0000_s56789,_x0000_s56788,_x0000_s56787,_x0000_s56786,_x0000_s56785,_x0000_= s56784,_x0000_s56783,_x0000_s56782,_x0000_s56781,_x0000_s56780,_x0000_s5677= 9,_x0000_s56778,_x0000_s56777,_x0000_s56776,_x0000_s56775,_x0000_s56774,_x0= 000_s56773,_x0000_s56772,_x0000_s56771,_x0000_s56770,_x0000_s56769,_x0000_s= 56768,_x0000_s56767,_x0000_s56766,_x0000_s56765,_x0000_s56764,_x0000_s56763= ,_x0000_s56762,_x0000_s56761,_x0000_s56760,_x0000_s56759,_x0000_s56758,_x00= 00_s56757,_x0000_s56756,_x0000_s56755,_x0000_s56754,_x0000_s56753,_x0000_s5= 6752,_x0000_s56751,_x0000_s56750,_x0000_s56749,_x0000_s56748,_x0000_s56747,= _x0000_s56804,_x0000_s56805,_x0000_s56806,_x0000_s56807,_x0000_s56810,_x000= 0_s56812,_x0000_s56815,_x0000_s56819,_x0000_s56832,_x0000_s56845,_x0000_s56= 858,_x0000_s56871,_x0000_s56884,_x0000_s56897,_x0000_s56910,_x0000_s56923,_= x0000_s56936,_x0000_s56949,_x0000_s56962,_x0000_s56975,_x0000_s56988,_x0000= _s57001,_x0000_s57014,_x0000_s57027" src=3D"slide0035_image005.gif" style=3D'position:absolute;top:11.0%;left:2= 7.15%; width:61.79%;height:88.25%'><![endif]> <div v:shape=3D"_x0000_s56803"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:96.5%;left:76.4%;width:11.42%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'>22 (48%)</span>= <span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56802"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:96.5%;left:52.24%;width:22.09%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'>8 (45%)</span><= span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56801"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:96.5%;left:28.08%;width:22.28%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'> Scar</spa= n><span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56800"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:93.25%;left:76.4%;width:11.42%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'>8 (17%)</span><= span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56799"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0;= position:absolute;top:93.25%;left:52.24%;width:22.09%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'>4 (22%)</span><= span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56798"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:93.25%;left:28.08%;width:22.28%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'> 0-IIc (superficial depressed)</span><span style=3D'font-family:Arial;font-size:8= 6%; text-shadow:none;mso-special-format:lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56797"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:90.25%;left:76.4%;width:11.42%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'>16 (35%)</span>= <span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56796"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:90.25%;left:52.24%;width:22.09%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'>6 (33%)</span><= span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56795"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:90.25%;left:28.08%;width:22.28%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'> 0-IIa (superficial elevated)</span><span style=3D'font-family:Arial;font-size:86= %; text-shadow:none;mso-special-format:lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56794"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-margin-left-alt:0'><span style=3D'position:a= bsolute; top:81.25%;left:76.4%;width:11.42%;height:7.75%'><span style=3D'font-size:= 129%; mso-special-format:lastCR;display:none'> </span></span></div> </div> <div v:shape=3D"_x0000_s56793"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-margin-left-alt:0'><span style=3D'position:a= bsolute; top:81.25%;left:52.24%;width:22.09%;height:7.75%'><span style=3D'font-size= :129%; mso-special-format:lastCR;display:none'> </span></span></div> </div> <div v:shape=3D"_x0000_s56792"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:84.0%;left:28.08%;width:22.28%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'>Macroscopic typ= e</span><span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56791"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:77.75%;left:76.4%;width:11.42%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'>3 (7%)</span><s= pan style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56790"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:77.75%;left:52.24%;width:22.09%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'>0</span><span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56789"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:77.75%;left:28.08%;width:22.28%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'> ≥31= mm</span><span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56788"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:74.75%;left:76.4%;width:11.42%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'>7 (15%)</span><= span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56787"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:74.75%;left:52.24%;width:22.09%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'>3 (17%)</span><= span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56786"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:74.75%;left:28.08%;width:22.28%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'> 21-30 mm<= /span><span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56785"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:71.5%;left:76.4%;width:11.42%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'>14 (30%)</span>= <span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56784"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:71.5%;left:52.24%;width:22.09%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'>5 (28%)</span><= span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56783"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:71.5%;left:28.08%;width:22.28%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'> 11-20 mm<= /span><span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56782"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:68.5%;left:76.4%;width:11.42%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'>15 (33%)</span>= <span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56781"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:68.5%;left:52.24%;width:22.09%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'>4 (22%)</span><= span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56780"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:68.5%;left:28.08%;width:22.28%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'> 5-10 mm</= span><span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56779"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:65.25%;left:76.4%;width:11.42%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'>7(15%)</span><s= pan style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56778"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:65.25%;left:52.24%;width:22.09%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'>6 (33%)</span><= span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56777"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:65.25%;left:28.08%;width:22.28%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'> <5 mm<= /span><span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56776"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-margin-left-alt:0'><span style=3D'position:a= bsolute; top:56.25%;left:76.4%;width:11.42%;height:7.75%'><span style=3D'font-size:= 129%; mso-special-format:lastCR;display:none'> </span></span></div> </div> <div v:shape=3D"_x0000_s56775"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-margin-left-alt:0'><span style=3D'position:a= bsolute; top:56.25%;left:52.24%;width:22.09%;height:7.75%'><span style=3D'font-size= :129%; mso-special-format:lastCR;display:none'> </span></span></div> </div> <div v:shape=3D"_x0000_s56774"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:59.0%;left:28.08%;width:22.28%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'>Tumor size</spa= n><span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56773"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:53.0%;left:76.4%;width:11.42%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'>9 (20%)</span><= span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56772"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:53.0%;left:52.24%;width:22.09%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'>5 (28%)</span><= span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56771"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:53.0%;left:28.08%;width:22.28%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'> Antrum</s= pan><span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56770"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:49.75%;left:76.4%;width:11.42%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'>28 (60%)</span>= <span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56769"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:49.75%;left:52.24%;width:22.09%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'>8 (44%)</span><= span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56768"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:49.75%;left:28.08%;width:22.28%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'> Body</spa= n><span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56767"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:46.75%;left:76.4%;width:11.42%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'>9 (20%)</span><= span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56766"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:46.75%;left:52.24%;width:22.09%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'>5 (28%)</span><= span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56765"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:46.75%;left:28.08%;width:22.28%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'> Cardia</s= pan><span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56764"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-margin-left-alt:0'><span style=3D'position:a= bsolute; top:37.75%;left:76.4%;width:11.42%;height:7.75%'><span style=3D'font-size:= 129%; mso-special-format:lastCR;display:none'> </span></span></div> </div> <div v:shape=3D"_x0000_s56763"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-margin-left-alt:0'><span style=3D'position:a= bsolute; top:37.75%;left:52.24%;width:22.09%;height:7.75%'><span style=3D'font-size= :129%; mso-special-format:lastCR;display:none'> </span></span></div> </div> <div v:shape=3D"_x0000_s56762"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:40.5%;left:28.08%;width:22.28%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'>Tumor location,= no. (%)</span><span style=3D'font-family:Arial;font-size:86%;text-shadow:none; mso-special-format:lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56761"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:34.25%;left:76.4%;width:11.42%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'>42 (91%)</span>= <span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56760"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:34.25%;left:52.24%;width:22.09%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'>10 (56%)</span>= <span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56759"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:34.25%;left:28.08%;width:22.28%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'>Male sex, no. (= %)</span><span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56758"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:31.25%;left:76.4%;width:11.42%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'>45–89</sp= an><span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56757"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:31.25%;left:52.24%;width:22.09%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'>45–87</sp= an><span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56756"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:31.25%;left:28.08%;width:22.28%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'> Range</sp= an><span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56755"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:28.0%;left:76.4%;width:11.42%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'>67</span><span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56754"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:28.0%;left:52.24%;width:22.09%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'>75</span><span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56753"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:28.0%;left:28.08%;width:22.28%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'> Median</s= pan><span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56752"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-margin-left-alt:0'><span style=3D'position:a= bsolute; top:19.0%;left:76.4%;width:11.42%;height:7.75%'><span style=3D'font-size:1= 29%; mso-special-format:lastCR;display:none'> </span></span></div> </div> <div v:shape=3D"_x0000_s56751"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-margin-left-alt:0'><span style=3D'position:a= bsolute; top:19.0%;left:52.24%;width:22.09%;height:7.75%'><span style=3D'font-size:= 129%; mso-special-format:lastCR;display:none'> </span></span></div> </div> <div v:shape=3D"_x0000_s56750"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:21.75%;left:28.08%;width:22.28%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'>Age (y)</span><= span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56749"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:13.75%;left:76.4%;width:11.42%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'><b>ESD (n =3D 4= 6)</b></span><span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56748"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:13.75%;left:52.24%;width:22.09%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'><b>Conventional= EMR (n =3D 18)</b></span><span style=3D'font-family:Arial;font-size:86%;text-s= hadow: none;mso-special-format:lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s56747"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:13.75%;left:28.08%;width:22.28%;height:2.0%'><span style=3D'font-family:Arial;font-size:29%;text-shadow:none'><b>Characterist= ics</b></span><span style=3D'font-family:Arial;font-size:86%;text-shadow:none;mso-special-form= at: lastCR;display:none'> </span></div> </div> </p:slide> </div> </body> </html> ------=_NextPart_01C6E70B.AB4AF270 Content-Location: file:///C:/3069588C/EndoscopicSubmucosal_arquivos/slide0035.xml Content-Transfer-Encoding: quoted-printable Content-Type: text/xml; charset="utf-8" <xml xmlns:v=3D"urn:schemas-microsoft-com:vml" xmlns:o=3D"urn:schemas-microsoft-com:office:office" xmlns:p=3D"urn:schemas-microsoft-com:office:powerpoint" xmlns:oa=3D"urn:schemas-microsoft-com:office:activation"> <o:shapelayout 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style=3D'position:absolute;top:8.0%;left:5.99%;width:98.5%;height:4.5%'><s= pan style=3D'font-size:45%'>Endoscopic submucosal dissection allows curative resection of locally </span></span><span style=3D'position:absolute;top:12= .5%; left:5.99%;width:98.87%;height:4.5%'><span style=3D'font-size:45%'>recurre= nt early gastric cancer after prior endoscopic mucosal resection</span></span= ></div> <div v:shape=3D"_x0000_s11267"> <div class=3DB1 style=3D'mso-margin-left-alt:624'></div> <div class=3DB2 style=3D'mso-margin-left-alt:864'></div> <div class=3DB3 style=3D'mso-margin-left-alt:1104'></div> <div class=3DB4 style=3D'mso-margin-left-alt:1392'></div> <div class=3DB style=3D'mso-margin-left-alt:384;position:absolute;top:24.2= 5%; left:5.99%;width:88.76%;height:7.0%'><span style=3D'mso-special-format:nob= ullet; display:none;color:#FFCC00;mso-color-index:6;font-family:Wingdings;font-si= ze: 70%'>n</span><b>Taxa de ressecção em bloco </b></div> <div class=3DB 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href=3D"../EndoscopicSubmucosal.htm"> <link rel=3DPreview href=3Dpreview.wmf>  <title>Serviço de Endoscopia Gastrointestinal Hospital das Clínicas Faculdade de Medicina da Univrsidade de São Paulo</t= itle> <![if IE]> <base href=3D"file:///C:\3069588C\EndoscopicSubmucosal_arquivos\slide0039.h= tm" id=3D"webarch_temp_base_tag"> <![endif]> <meta name=3DDescription content=3D"3/10/2006: Endoscopic submucosal dissection allows curative rese= ction of locally recurrent early gastric cancer after prior endoscopic muco= sal resection"> <link rel=3DStylesheet href=3D"master04_stylesheet.css"> <![if !ppt]> <style media=3Dprint>  </style> <script src=3Dscript.js></script><script></script><![endif]><o:shapelayout v:ext=3D"edit"> <o:idmap v:ext=3D"edit" data=3D"59"/> </o:shapelayout> </head> <body lang=3DPT-BR style=3D'margin:0px;background-color:black' onclick=3D"DocumentOnClick()" onresize=3D"_RSW()" onload=3D"LoadSld()" onkeypress=3D"_KPH()"> <div id=3DSlideObj class=3Dsld 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style=3D'position:absolute;top:15.25%;left:.93%;width:24.53%;height:2= .25%'><span style=3D'font-size:56%'>Table 2. </span></div> <div style=3D'mso-char-wrap:0;mso-kinsoku-overflow:0'><span style=3D'posit= ion: absolute;top:17.5%;left:.93%;width:25.28%;height:2.25%'><span style=3D'font-size:56%'>Summary of results with statistical </span></span>= <span style=3D'position:absolute;top:19.75%;left:.93%;width:24.53%;height:2.25%'= ><span style=3D'font-size:56%'>analysis</span><span style=3D'font-size:33%'> </sp= an><span style=3D'mso-special-format:lastCR;display:none'> </span></span></div> </div> <v:group id=3D"_x0000_s60636" style=3D'position:absolute;left:36.875pt;top= :116.875pt; width:663.375pt;height:409pt' coordorigin=3D"295,935" coordsize=3D"5307,3= 272" o:tableproperties=3D"1" o:tablelimits=3D"84.25pt 84.25pt 30pt 30pt 84.25p= t 29.875pt 30pt 30pt"> <o:lock v:ext=3D"edit" rotation=3D"t"/> <v:rect id=3D"_x0000_s60485" style=3D'position:absolute;left:4882;top:396= 7; 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class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:92.75%;left:85.76%;width:10.67%;height:4.0%'><span style=3D'font-family:Arial;font-size:64%;text-shadow:none'>< .0001</spa= n><span style=3D'font-family:Arial;font-size:171%;text-shadow:none;mso-special-for= mat: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s60484"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:92.75%;left:69.1%;width:14.79%;height:4.0%'><span style=3D'font-family:Arial;font-size:64%;text-shadow:none'>2% (1/46)</span= ><span style=3D'font-family:Arial;font-size:171%;text-shadow:none;mso-special-for= mat: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s60483"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:92.75%;left:45.31%;width:21.91%;height:4.0%'><span style=3D'font-family:Arial;font-size:64%;text-shadow:none'>56% (10/18)</sp= an><span style=3D'font-family:Arial;font-size:171%;text-shadow:none;mso-special-for= mat: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s60482"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:92.75%;left:6.17%;width:39.88%;height:4.0%'><span style=3D'font-family:Arial;font-size:64%;text-shadow:none'>Not able to eva= luate resection</span><span style=3D'font-family:Arial;font-size:171%;text-shado= w: none;mso-special-format:lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s60481"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:87.25%;left:85.76%;width:10.67%;height:4.0%'><span style=3D'font-family:Arial;font-size:64%;text-shadow:none'>< .0001</spa= n><span style=3D'font-family:Arial;font-size:171%;text-shadow:none;mso-special-for= mat: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s60480"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:87.25%;left:69.1%;width:16.47%;height:4.0%'><span style=3D'font-family:Arial;font-size:64%;text-shadow:none'>22% (10/46)</sp= an><span style=3D'font-family:Arial;font-size:171%;text-shadow:none;mso-special-for= mat: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s60479"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:87.25%;left:45.31%;width:21.91%;height:4.0%'><span style=3D'font-family:Arial;font-size:64%;text-shadow:none'>11% (2/18)</spa= n><span style=3D'font-family:Arial;font-size:171%;text-shadow:none;mso-special-for= mat: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s60478"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:87.25%;left:6.17%;width:37.45%;height:4.0%'><span style=3D'font-family:Arial;font-size:64%;text-shadow:none'>Not curative resection</span><span style=3D'font-family:Arial;font-size:171%;text-shado= w: none;mso-special-format:lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s60477"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:81.75%;left:85.76%;width:10.67%;height:4.0%'><span style=3D'font-family:Arial;font-size:64%;text-shadow:none'>< .0001</spa= n><span style=3D'font-family:Arial;font-size:171%;text-shadow:none;mso-special-for= mat: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s60476"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:81.75%;left:69.1%;width:16.47%;height:4.0%'><span style=3D'font-family:Arial;font-size:64%;text-shadow:none'>76% (35/46)</sp= an><span style=3D'font-family:Arial;font-size:171%;text-shadow:none;mso-special-for= mat: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s60475"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:81.75%;left:45.31%;width:21.91%;height:4.0%'><span style=3D'font-family:Arial;font-size:64%;text-shadow:none'>33% (6/18)</spa= n><span style=3D'font-family:Arial;font-size:171%;text-shadow:none;mso-special-for= mat: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s60474"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:81.75%;left:6.17%;width:37.45%;height:4.0%'><span style=3D'font-family:Arial;font-size:64%;text-shadow:none'>Curative resect= ion</span><span style=3D'font-family:Arial;font-size:171%;text-shadow:none;mso-special-for= mat: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s60473"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-margin-left-alt:0'><span style=3D'position:a= bsolute; top:66.25%;left:85.76%;width:10.67%;height:14.0%'><span style=3D'font-size= :236%; mso-special-format:lastCR;display:none'> </span></span></div> </div> <div v:shape=3D"_x0000_s60472"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-margin-left-alt:0'><span style=3D'position:a= bsolute; top:66.25%;left:69.1%;width:14.79%;height:14.0%'><span style=3D'font-size:= 236%; mso-special-format:lastCR;display:none'> </span></span></div> </div> <div v:shape=3D"_x0000_s60471"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-margin-left-alt:0'><span style=3D'position:a= bsolute; top:66.25%;left:45.31%;width:21.91%;height:14.0%'><span style=3D'font-size= :236%; mso-special-format:lastCR;display:none'> </span></span></div> </div> <div v:shape=3D"_x0000_s60470"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0= '><span style=3D'position:absolute;top:69.0%;left:6.17%;width:37.45%;height:4.0%'>= <span style=3D'font-family:Arial;font-size:64%;text-shadow:none'>Histological assessment of </span></span><span style=3D'position:absolute;top:73.0%; left:6.17%;width:37.45%;height:4.0%'><span style=3D'font-family:Arial; font-size:64%;text-shadow:none'>curability</span><span style=3D'font-famil= y: Arial;font-size:171%;text-shadow:none;mso-special-format:lastCR;display:no= ne'> </span></span></div> </div> <div v:shape=3D"_x0000_s60469"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:60.25%;left:85.76%;width:10.67%;height:4.0%'><span style=3D'font-family:Arial;font-size:64%;text-shadow:none'>< .0001</spa= n><span style=3D'font-family:Arial;font-size:171%;text-shadow:none;mso-special-for= mat: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s60468"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:60.25%;left:69.1%;width:14.79%;height:4.0%'><span style=3D'font-family:Arial;font-size:64%;text-shadow:none'>11% (5/46)</spa= n><span style=3D'font-family:Arial;font-size:171%;text-shadow:none;mso-special-for= mat: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s60467"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:60.25%;left:45.31%;width:21.91%;height:4.0%'><span style=3D'font-family:Arial;font-size:64%;text-shadow:none'>100% (18/18)</s= pan><span style=3D'font-family:Arial;font-size:171%;text-shadow:none;mso-special-for= mat: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s60466"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:60.25%;left:6.17%;width:37.45%;height:4.0%'><span style=3D'font-family:Arial;font-size:64%;text-shadow:none'>Piecemeal resec= tion</span><span style=3D'font-family:Arial;font-size:171%;text-shadow:none;mso-special-for= mat: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s60465"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:54.75%;left:85.76%;width:10.67%;height:4.0%'><span style=3D'font-family:Arial;font-size:64%;text-shadow:none'>< .0001</spa= n><span style=3D'font-family:Arial;font-size:171%;text-shadow:none;mso-special-for= mat: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s60464"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:54.75%;left:69.1%;width:16.47%;height:4.0%'><span style=3D'font-family:Arial;font-size:64%;text-shadow:none'>89% (41/46)</sp= an><span style=3D'font-family:Arial;font-size:171%;text-shadow:none;mso-special-for= mat: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s60463"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:54.75%;left:45.31%;width:21.91%;height:4.0%'><span style=3D'font-family:Arial;font-size:64%;text-shadow:none'>0%</span><span style=3D'font-family:Arial;font-size:171%;text-shadow:none;mso-special-for= mat: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s60462"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:54.75%;left:6.17%;width:37.45%;height:4.0%'><span style=3D'font-family:Arial;font-size:64%;text-shadow:none'>En bloc resecti= on</span><span style=3D'font-family:Arial;font-size:171%;text-shadow:none;mso-special-for= mat: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s60461"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-margin-left-alt:0'><span style=3D'position:a= bsolute; top:39.0%;left:85.76%;width:10.67%;height:14.0%'><span style=3D'font-size:= 236%; mso-special-format:lastCR;display:none'> </span></span></div> </div> <div v:shape=3D"_x0000_s60460"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-margin-left-alt:0'><span style=3D'position:a= bsolute; top:39.0%;left:69.1%;width:14.79%;height:14.0%'><span style=3D'font-size:2= 36%; mso-special-format:lastCR;display:none'> </span></span></div> </div> <div v:shape=3D"_x0000_s60459"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-margin-left-alt:0'><span style=3D'position:a= bsolute; top:39.0%;left:45.31%;width:21.91%;height:14.0%'><span style=3D'font-size:= 236%; mso-special-format:lastCR;display:none'> </span></span></div> </div> <div v:shape=3D"_x0000_s60458"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0= '><span style=3D'position:absolute;top:41.75%;left:6.17%;width:37.45%;height:4.0%'= ><span style=3D'font-family:Arial;font-size:64%;text-shadow:none'>Condition of the resected </span></span><span style=3D'position:absolute;top:45.75%;left:6.= 17%; width:37.45%;height:4.0%'><span style=3D'font-family:Arial;font-size:64%; text-shadow:none'>materials</span><span style=3D'font-family:Arial;font-si= ze: 171%;text-shadow:none;mso-special-format:lastCR;display:none'> </span>= </span></div> </div> <div v:shape=3D"_x0000_s60457"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:27.75%;left:85.76%;width:10.67%;height:4.0%'><span style=3D'font-family:Arial;font-size:64%;text-shadow:none'><b><i>P</i></b>= </span><span style=3D'font-family:Arial;font-size:64%;text-shadow:none'><b> value</b></= span><span style=3D'font-family:Arial;font-size:171%;text-shadow:none;mso-special-for= mat: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s60456"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:27.75%;left:69.1%;width:14.79%;height:4.0%'><span style=3D'font-family:Arial;font-size:64%;text-shadow:none'><b>ESD</b></spa= n><span style=3D'font-family:Arial;font-size:171%;text-shadow:none;mso-special-for= mat: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s60455"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0= '><span style=3D'position:absolute;top:25.75%;left:45.31%;width:21.91%;height:4.0%= '><span style=3D'font-family:Arial;font-size:64%;text-shadow:none'><b>Conventional= </b></span></span><span style=3D'position:absolute;top:29.75%;left:45.31%;width:21.91%;height:4.0%= '><span style=3D'font-family:Arial;font-size:64%;text-shadow:none'><b>EMR</b></spa= n><span style=3D'font-family:Arial;font-size:171%;text-shadow:none;mso-special-for= mat: lastCR;display:none'> </span></span></div> </div> <div v:shape=3D"_x0000_s60454"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-margin-left-alt:0'><span style=3D'position:a= bsolute; top:23.0%;left:6.17%;width:37.45%;height:14.0%'><span style=3D'font-size:2= 36%; mso-special-format:lastCR;display:none'> </span></span></div> </div> <div v:shape=3D"_x0000_s60628" class=3DO> <div style=3D'position:absolute;top:67.5%;left:32.77%;width:.18%;height:1.= 5%'><span style=3D'font-size:33%;display:none'> </span></div> <div style=3D'mso-char-wrap:0;mso-kinsoku-overflow:0;position:absolute; top:69.0%;left:32.77%;width:.18%;height:4.0%'><span style=3D'mso-special-f= ormat: lastCR;display:none'> </span></div> </div> </p:slide></div> </body> </html> ------=_NextPart_01C6E70B.AB4AF270 Content-Location: file:///C:/3069588C/EndoscopicSubmucosal_arquivos/slide0039_image008.gif Content-Transfer-Encoding: base64 Content-Type: image/gif R0lGODlh7gExAXcAMSH+GlNvZnR3YXJlOiBNaWNyb3NvZnQgT2ZmaWNlACH5BAEAAAAALAAAAADt 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xmlns:o=3D"urn:schemas-microsoft-com:office:office" xmlns:p=3D"urn:schemas-microsoft-com:office:powerpoint" xmlns:oa=3D"urn:schemas-microsoft-com:office:activation" xmlns=3D"http://www.w3.org/TR/REC-html40"> <head> <meta http-equiv=3DContent-Type content=3D"text/html; charset=3Dus-ascii"> <meta name=3DProgId content=3DPowerPoint.Slide> <meta name=3DGenerator content=3D"Microsoft PowerPoint 11"> <link id=3DMain-File rel=3DMain-File href=3D"../EndoscopicSubmucosal.htm"> <link rel=3DPreview href=3Dpreview.wmf>  <title>Serviço de Endoscopia Gastrointestinal Hospital das Clínicas Faculdade de Medicina da Univrsidade de São Paulo</t= itle> <![if IE]> <base href=3D"file:///C:\3069588C\EndoscopicSubmucosal_arquivos\slide0033.h= tm" id=3D"webarch_temp_base_tag"> <![endif]> <meta name=3DDescription content=3D"3/10/2006: Endoscopic submucosal dissection allows curative rese= ction of locally recurrent early gastric cancer after prior endoscopic muco= sal resection"> <link rel=3DStylesheet 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style=3D'position:absolute;top:8.0%;left:5.99%;width:98.5%;height:4.5%'><s= pan style=3D'font-size:45%'>Endoscopic submucosal dissection allows curative resection of locally </span></span><span style=3D'position:absolute;top:12= .5%; left:5.99%;width:98.87%;height:4.5%'><span style=3D'font-size:45%'>recurre= nt early gastric cancer after prior endoscopic mucosal resection</span></span= ></div> <div v:shape=3D"_x0000_s54275"> <div class=3DB1 style=3D'mso-margin-left-alt:624'></div> <div class=3DB2 style=3D'mso-margin-left-alt:864'></div> <div class=3DB3 style=3D'mso-margin-left-alt:1104'></div> <div class=3DB4 style=3D'mso-margin-left-alt:1392'></div> <div class=3DB style=3D'mso-line-spacing:"90 20 0";mso-margin-left-alt:384; position:absolute;top:23.75%;left:5.99%;width:88.2%;height:6.0%'><span style=3D'mso-special-format:nobullet;display:none;color:#FFCC00;mso-color-= index: 6;font-family:Wingdings;font-size:70%'>n</span><span style=3D'font-size:88= %'><b>Critérios histológicos de cura </b></span></div> <div class=3DB style=3D'mso-line-spacing:"90 20 0";mso-margin-left-alt:384= '><span style=3D'position:absolute;top:30.75%;left:5.99%;width:104.3%;height:6.0%'= ><span style=3D'mso-special-format:nobullet;display:none;color:#FFCC00;mso-color-= index: 6;font-family:Wingdings;font-size:70%'>n</span><span style=3D'font-size:88= %'><b><span style=3D'mso-tab-count:1;width:6.39%'> </span>No grupo da DSE os critérios foram satisfatórios </b></span></span><span style=3D'position:absolute;top:36.25%;left:12.73%;width:97.37%;height:6.0%= '><span style=3D'font-size:88%'><b>em 45/46 peças (97%) – curativo ou não curativo. </b></span></span></div> <div class=3DB style=3D'mso-line-spacing:"90 20 0";mso-margin-left-alt:384; position:absolute;top:43.25%;left:5.99%;width:88.2%;height:6.0%'><span style=3D'mso-special-format:nobullet;display:none;color:#FFCC00;mso-color-= index: 6;font-family:Wingdings;font-size:70%'>n</span><span style=3D'font-size:88= %; display:none'><b> </b></span></div> <div class=3DB style=3D'mso-line-spacing:"90 20 0";mso-margin-left-alt:384= '><span style=3D'position:absolute;top:50.0%;left:5.99%;width:100.18%;height:6.0%'= ><span style=3D'mso-special-format:nobullet;display:none;color:#FFCC00;mso-color-= index: 6;font-family:Wingdings;font-size:70%'>n</span><span style=3D'font-size:88= %'><b><span style=3D'mso-tab-count:1;width:6.65%'> </span>No grupo da ME 10/18 pe&cced= il;as (56%) foram não </b></span></span><span style=3D'position:absolute; top:55.5%;left:12.73%;width:81.46%;height:6.0%'><span style=3D'font-size:8= 8%'><b>avaliáveis. </b></span></span></div> <div class=3DB style=3D'mso-line-spacing:"90 20 0";mso-margin-left-alt:384; position:absolute;top:62.5%;left:5.99%;width:88.2%;height:6.0%'><span style=3D'mso-special-format:nobullet;display:none;color:#FFCC00;mso-color-= index: 6;font-family:Wingdings;font-size:70%'>n</span><span style=3D'font-size:88= %; display:none'><b> </b></span></div> <div class=3DB style=3D'mso-line-spacing:"90 20 0";mso-margin-left-alt:384= '><span style=3D'position:absolute;top:69.25%;left:5.99%;width:100.74%;height:6.0%= '><span style=3D'mso-special-format:nobullet;display:none;color:#FFCC00;mso-color-= index: 6;font-family:Wingdings;font-size:70%'>n</span><span style=3D'font-size:88= %'><b><span style=3D'mso-tab-count:1;width:6.61%'> </span>No total 76% (35/46) foram classificados como </b></span></span><span style=3D'position:absolute; top:75.0%;left:12.73%;width:97.0%;height:6.0%'><span style=3D'font-size:88= %'><b>curativo no grupo DSE contra 33% (6/18) no ME </b></span></span><span style=3D'posi= tion: absolute;top:80.5%;left:12.73%;width:81.46%;height:6.0%'><span style=3D'font-size:88%'><b>(p<0001).</b></span></span></div> </div> </p:slide></div> </body> </html> ------=_NextPart_01C6E70B.AB4AF270 Content-Location: file:///C:/3069588C/EndoscopicSubmucosal_arquivos/slide0008.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" <html xmlns:v=3D"urn:schemas-microsoft-com:vml" xmlns:o=3D"urn:schemas-microsoft-com:office:office" xmlns:p=3D"urn:schemas-microsoft-com:office:powerpoint" xmlns:oa=3D"urn:schemas-microsoft-com:office:activation" xmlns=3D"http://www.w3.org/TR/REC-html40"> <head> <meta http-equiv=3DContent-Type content=3D"text/html; charset=3Dus-ascii"> <meta name=3DProgId content=3DPowerPoint.Slide> <meta name=3DGenerator content=3D"Microsoft PowerPoint 11"> <link id=3DMain-File rel=3DMain-File href=3D"../EndoscopicSubmucosal.htm"> <link rel=3DPreview href=3Dpreview.wmf>  <title>Serviço de Endoscopia Gastrointestinal Hospital das Clínicas Faculdade de Medicina da Univrsidade de São Paulo</t= itle> <![if IE]> <base href=3D"file:///C:\3069588C\EndoscopicSubmucosal_arquivos\slide0008.h= tm" id=3D"webarch_temp_base_tag"> <![endif]> <meta name=3DDescription content=3D"3/10/2006: Endoscopic submucosal dissection allows curative rese= ction of locally recurrent early gastric cancer after prior endoscopic muco= sal resection"> <link rel=3DStylesheet href=3D"master04_stylesheet.css"> <![if !ppt]> <style media=3Dprint>  </style> <script src=3Dscript.js></script><script></script><![endif]><o:shapelayout v:ext=3D"edit"> <o:idmap v:ext=3D"edit" data=3D"12"/> </o:shapelayout> </head> <body lang=3DPT-BR style=3D'margin:0px;background-color:black' onclick=3D"DocumentOnClick()" onresize=3D"_RSW()" onload=3D"LoadSld()" onkeypress=3D"_KPH()"> <div id=3DSlideObj class=3Dsld style=3D'position:absolute;top:0px;left:0px; width:534px;height:400px;font-size:16px;background-color:#003399;clip:rect(= 0%, 101%, 101%, 0%); visibility:hidden'><p:slide coordsize=3D"720,540" colors=3D"#003399,#ffffff,#000514,#e5e5ff,#0099cc,#a886e0,#ffcc00,#ffffcc" masterhref=3D"master04.xml"> <p:shaperange href=3D"master04.xml#_x0000_s4097"/><![if !ppt]><p:shaperange href=3D"master04.xml#_x0000_s4098"/><p:shaperange href=3D"master04.xml#_x0000_s4100"/><![if !vml]><img border=3D0 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v:shape=3D"_x0000_s12290" class=3DT><span style=3D'position:absolute; top:8.0%;left:.74%;width:98.5%;height:4.5%'><span style=3D'font-size:45%'>= Endoscopic submucosal dissection allows curative resection of locally </span></span><= span style=3D'position:absolute;top:12.5%;left:.56%;width:98.87%;height:4.5%'><= span style=3D'font-size:45%'>recurrent early gastric cancer after prior endosco= pic mucosal resection</span></span></div> <div v:shape=3D"_x0000_s12291" class=3DB> <div style=3D'mso-line-spacing:"80 20 0";position:absolute;top:17.75%; left:5.99%;width:88.2%;height:4.5%'><span style=3D'mso-special-format:nobu= llet; display:none;color:#FFCC00;mso-color-index:6;font-family:Wingdings;font-si= ze: 70%'>n</span><span style=3D'font-size:63%'><b>Acompanhamento clínic= o </b></span></div> <div style=3D'mso-line-spacing:"80 20 0"'><span style=3D'position:absolute; top:22.0%;left:5.99%;width:104.11%;height:4.5%'><span style=3D'mso-special= -format: nobullet;display:none;color:#FFCC00;mso-color-index:6;font-family:Wingding= s; font-size:70%'>n</span><span style=3D'font-size:63%'><span style=3D'mso-ta= b-count: 1;width:3.6%'> </span>Os 41 pacientes que foram submetidos a </span><span style=3D'font-size:63%'><b><i>ressecção curativa</i></b></sp= an><span style=3D'font-size:63%'> (6ME/35DSE) </span></span><span style=3D'position= :absolute; top:25.75%;left:9.73%;width:100.74%;height:4.5%'><span style=3D'font-size:= 63%'>não tiveram recorrência local ou metástase à distânc= ia durante um seguimento </span></span><span style=3D'position:absolute;top:2= 9.25%; left:9.73%;width:84.45%;height:4.5%'><span style=3D'font-size:63%'>m&eacut= e;dio de 43 meses (15-63 meses). </span></span></div> <div style=3D'mso-line-spacing:"80 20 0";position:absolute;top:33.75%; left:5.99%;width:88.2%;height:4.5%'><span style=3D'mso-special-format:nobu= llet; display:none;color:#FFCC00;mso-color-index:6;font-family:Wingdings;font-si= ze: 70%'>n</span><span style=3D'font-size:63%;display:none'> </span></div> <div style=3D'mso-line-spacing:"80 20 0"'><span style=3D'position:absolute; top:38.25%;left:5.99%;width:99.43%;height:4.5%'><span style=3D'mso-special= -format: nobullet;display:none;color:#FFCC00;mso-color-index:6;font-family:Wingding= s; font-size:70%'>n</span><span style=3D'font-size:63%'><span style=3D'mso-ta= b-count: 1;width:3.77%'> </span></span><span style=3D'font-size:63%'><b><i>Ressec&c= cedil;ão não curativa</i></b></span><span style=3D'font-size:63%'>: 3 pacien= tes do grupo da ressecção não curativa </span></span><span style=3D'position:absolute;top:41.75%;left:9.73%;width:84.45%;height:4.5%'= ><span style=3D'font-size:63%'>perderam o seguimento. 6 pacientes foram submetido= s a cirugia </span></span><span style=3D'position:absolute;top:45.25%;left:9.7= 3%; width:100.74%;height:4.5%'><span style=3D'font-size:63%'>(gastrectomia+lin= fadenectomia), sendo que a análise patológica<span style=3D'mso-spacerun:yes'> </span>revelou que 3 </span></span><span style=3D'position:absolute;top:48.75%;left:9.73%;width:88.57%;height:4.5%'= ><span style=3D'font-size:63%'>tinham tumor residual e 2 tinham linfonodo metastático. Não houve </span></span><span style=3D'position= :absolute; top:52.5%;left:9.73%;width:84.45%;height:4.5%'><span style=3D'font-size:63= %'>metástase à distância ou recorrência. </span></span></div> <div style=3D'mso-line-spacing:"80 20 0";position:absolute;top:56.75%; left:5.99%;width:104.11%;height:4.5%'><span style=3D'mso-special-format:no= bullet; display:none;color:#FFCC00;mso-color-index:6;font-family:Wingdings;font-si= ze: 70%'>n</span><span style=3D'font-size:63%'><span style=3D'mso-tab-count:1; width:3.6%'> </span>2 pacientes foram submetidos a nova DSE pois a margem lateral foi positiva. </span></div> <div style=3D'mso-line-spacing:"80 20 0"'><span style=3D'position:absolute; top:61.25%;left:5.99%;width:100.37%;height:4.5%'><span style=3D'mso-specia= l-format: nobullet;display:none;color:#FFCC00;mso-color-index:6;font-family:Wingding= s; font-size:70%'>n</span><span style=3D'font-size:63%'><span style=3D'mso-ta= b-count: 1;width:3.73%'> </span>3 pacientes recusaram cirurgia adicional e escolher= am observação. Doença </span></span><span style=3D'posit= ion: absolute;top:64.75%;left:9.73%;width:100.18%;height:4.5%'><span style=3D'font-size:63%'>residual foi encontrada em 2 deles. 1 recebeu paliação endoscópica com laser, </span></span><span style=3D'position:absolute;top:68.5%;left:9.73%;width:94.94%;height:4.5%'>= <span style=3D'font-size:63%'>e outro o tumor desenvolveu-se gradualmente sendo submetido a cirugia. </span></span></div> <div style=3D'mso-line-spacing:"80 20 0";position:absolute;top:72.75%; left:5.99%;width:88.2%;height:4.5%'><span style=3D'mso-special-format:nobu= llet; display:none;color:#FFCC00;mso-color-index:6;font-family:Wingdings;font-si= ze: 70%'>n</span><span style=3D'font-size:63%;display:none'> </span></div> <div style=3D'mso-line-spacing:"80 20 0"'><span style=3D'position:absolute; top:77.25%;left:5.99%;width:105.43%;height:4.5%'><span style=3D'mso-specia= l-format: nobullet;display:none;color:#FFCC00;mso-color-index:6;font-family:Wingding= s; font-size:70%'>n</span><span style=3D'font-size:63%'><span style=3D'mso-ta= b-count: 1;width:3.55%'> </span></span><span style=3D'font-size:63%'><b><i>Nã= ;o avaliável</i></b></span><span style=3D'font-size:63%'>: 11 paciente= s. Foram explicados os riscos de doença residual. 9 </span></span><span style=3D'position:absolute;top:80.75%;left:9.73%;width:84.45%;height:4.5%'= ><span style=3D'font-size:63%'>escolheram observação sem cirurgia. 1 escolheu novo tratamento </span></span><span style=3D'position:absolute; top:84.5%;left:9.73%;width:94.38%;height:4.5%'><span style=3D'font-size:63= %'>endoscópico e 1 escolheu cirurgia. 3 recorrências ocorreram (3/11:27%)- </span><= /span><span style=3D'position:absolute;top:88.0%;left:9.73%;width:94.94%;height:4.5%'>= <span style=3D'font-size:63%'>grupo ME - . Assim a taxa de recorrência loc= al após nova ME foi de 17% </span></span><span style=3D'position:absol= ute; top:91.5%;left:9.73%;width:85.01%;height:4.5%'><span style=3D'font-size:63= %'>contra 0/46 na DSE. 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left:0;top:511.125pt;width:10in;height:28.875pt;v-text-anchor:middle' filled=3D"f" fillcolor=3D"#09c [4]" stroked=3D"f" strokecolor=3D"white [1= ]"> <v:fill color2=3D"#039 [0]"/> <v:shadow color=3D"#000514 [2]"/> <v:textbox style=3D'mso-fit-shape-to-text:t'/> </v:rect><![if !vml]><img border=3D0 v:shapes=3D"_x0000_s61547,_x0000_s61476,_x0000_s61475,_x0000_s61474,_x0000= _s61473,_x0000_s61472,_x0000_s61471,_x0000_s61470,_x0000_s61469,_x0000_s614= 68,_x0000_s61467,_x0000_s61466,_x0000_s61465,_x0000_s61464,_x0000_s61463,_x= 0000_s61462,_x0000_s61477,_x0000_s61478,_x0000_s61479,_x0000_s61480,_x0000_= s61483,_x0000_s61485,_x0000_s61488,_x0000_s61492,_x0000_s61505,_x0000_s6151= 8" src=3D"slide0040_image009.gif" style=3D'position:absolute;top:17.5%;left:0= %; width:99.43%;height:74.0%'><![endif]> <div v:shape=3D"_x0000_s61442" class=3DT><span style=3D'position:absolute; top:-1.0%;left:-4.11%;width:98.5%;height:4.5%'><span style=3D'font-size:45= %'>Endoscopic submucosal dissection allows curative resection of locally </span></span><= span style=3D'position:absolute;top:3.5%;left:-4.3%;width:98.87%;height:4.5%'><= span style=3D'font-size:45%'>recurrent early gastric cancer after prior endosco= pic mucosal resection</span></span></div> <div v:shape=3D"_x0000_s61444" class=3DO> <div style=3D'position:absolute;top:9.0%;left:.93%;width:34.08%;height:4.0= %'>Table 3. </div> <div style=3D'mso-char-wrap:0;mso-kinsoku-overflow:0;position:absolute; top:13.0%;left:.93%;width:40.82%;height:4.0%'>Summary of clinical outcomes= </div> </div> <div v:shape=3D"_x0000_s61476"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:84.0%;left:25.84%;width:72.47%;height:3.25%'><span style=3D'font-family:Arial;font-size:50%;text-shadow:none'>1 surgery, 1 re= peated endoscopic treatment, and 9 followed up</span><span style=3D'font-family:A= rial; font-size:143%;text-shadow:none;mso-special-format:lastCR;display:none'>&#= 13;</span></div> </div> <div v:shape=3D"_x0000_s61475"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0= '><span style=3D'position:absolute;top:82.5%;left:15.91%;width:8.98%;height:3.25%'= ><span style=3D'font-family:Arial;font-size:50%;text-shadow:none'>1 ESD + </span>= </span><span style=3D'position:absolute;top:85.75%;left:15.91%;width:8.61%;height:3.25%= '><span style=3D'font-family:Arial;font-size:50%;text-shadow:none'>10 EMR</span><s= pan style=3D'font-family:Arial;font-size:143%;text-shadow:none;mso-special-for= mat: lastCR;display:none'> </span></span></div> </div> <div v:shape=3D"_x0000_s61474"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0= '><span style=3D'position:absolute;top:81.0%;left:.93%;width:14.41%;height:3.25%'>= <span style=3D'font-family:Arial;font-size:50%;text-shadow:none'>Resection not <= /span></span><span style=3D'position:absolute;top:84.0%;left:.93%;width:13.1%;height:3.25%'><= span style=3D'font-family:Arial;font-size:50%;text-shadow:none'>able to be </sp= an></span><span style=3D'position:absolute;top:87.25%;left:.93%;width:13.1%;height:3.25%'>= <span style=3D'font-family:Arial;font-size:50%;text-shadow:none'>evaluated</span= ><span style=3D'font-family:Arial;font-size:143%;text-shadow:none;mso-special-for= mat: lastCR;display:none'> </span></span></div> </div> <div v:shape=3D"_x0000_s61473"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:63.74%;left:25.84%;width:72.47%;height:3.25%'><span style=3D'font-family:Arial;font-size:50%;text-shadow:none'>3 subjects lost= ; 9 subjects offered surgery and 3 did not accept</span><span style=3D'font-fa= mily: Arial;font-size:33%;text-shadow:none;position:relative;top:-.45em;mso-text= -raise: 30%'><p:onmouseclick hyperlinktype=3D"slideNumber" location=3D"tblfn1"/><a style=3D'color:#FFCC00;text-decoration:underline'><span style=3D'mso-spacerun:yes'> </span></a></span><span style=3D'font-fa= mily: Arial;font-size:9%;text-shadow:none;position:relative;top:-.45em;mso-text-= raise: 30%'> </span><span style=3D'font-family:Arial;font-size:33%;text-shad= ow: none;position:relative;top:-.45em;mso-text-raise:30%'> &n= bsp;</span></div> </div> <div v:shape=3D"_x0000_s61472"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-margin-left-alt:0'><span style=3D'position:a= bsolute; top:59.75%;left:15.91%;width:8.05%;height:11.5%'><span style=3D'font-size:= 193%; mso-special-format:lastCR;display:none'> </span></span></div> </div> <div v:shape=3D"_x0000_s61471"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-margin-left-alt:0'><span style=3D'position:a= bsolute; top:59.75%;left:.93%;width:13.1%;height:11.5%'><span style=3D'font-size:19= 3%; mso-special-format:lastCR;display:none'> </span></span></div> </div> <div v:shape=3D"_x0000_s61470"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0= '><span style=3D'position:absolute;top:40.5%;left:25.84%;width:85.58%;height:3.25%= '><span style=3D'font-family:Arial;font-size:50%;text-shadow:none'>Factors: deep submucosal invasion (> 500 μm), 6 cases; vertical margin positive,= 5 </span></span><span style=3D'position:absolute;top:43.5%;left:25.84%;width:78.08%;height:3.25%= '><span style=3D'font-family:Arial;font-size:50%;text-shadow:none'>cases; lateral = margin positive, 3 cases; lymphatic infiltration, 2 cases; poorly </span></span><= span style=3D'position:absolute;top:46.75%;left:25.84%;width:72.47%;height:3.25= %'><span style=3D'font-family:Arial;font-size:50%;text-shadow:none'>differentiated adenocarcinoma, 4 cases</span><span style=3D'font-family:Arial;font-size:1= 43%; text-shadow:none;mso-special-format:lastCR;display:none'> </span></spa= n></div> </div> <div v:shape=3D"_x0000_s61469"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0= '><span style=3D'position:absolute;top:42.0%;left:15.91%;width:8.23%;height:3.25%'= ><span style=3D'font-family:Arial;font-size:50%;text-shadow:none'>10 ESD </span><= /span><span style=3D'position:absolute;top:45.0%;left:15.91%;width:9.36%;height:3.25%'= ><span style=3D'font-family:Arial;font-size:50%;text-shadow:none'>+ 2 EMR</span><= span style=3D'font-family:Arial;font-size:143%;text-shadow:none;mso-special-for= mat: lastCR;display:none'> </span></span></div> </div> <div v:shape=3D"_x0000_s61468"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0= '><span style=3D'position:absolute;top:42.0%;left:.93%;width:13.1%;height:3.25%'><= span style=3D'font-family:Arial;font-size:50%;text-shadow:none'>Not curative </= span></span><span style=3D'position:absolute;top:45.0%;left:.93%;width:13.1%;height:3.25%'><= span style=3D'font-family:Arial;font-size:50%;text-shadow:none'>resection</span= ><span style=3D'font-family:Arial;font-size:143%;text-shadow:none;mso-special-for= mat: lastCR;display:none'> </span></span></div> </div> <div v:shape=3D"_x0000_s61467"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:33.0%;left:25.84%;width:72.47%;height:3.25%'><span style=3D'font-family:Arial;font-size:50%;text-shadow:none'>All confirmed</= span><span style=3D'font-family:Arial;font-size:143%;text-shadow:none;mso-special-for= mat: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s61466"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0= '><span style=3D'position:absolute;top:31.25%;left:15.91%;width:8.23%;height:3.25%= '><span style=3D'font-family:Arial;font-size:50%;text-shadow:none'>35 ESD </span><= /span><span style=3D'position:absolute;top:34.5%;left:15.91%;width:9.36%;height:3.25%'= ><span style=3D'font-family:Arial;font-size:50%;text-shadow:none'>+ 6 EMR</span><= span style=3D'font-family:Arial;font-size:143%;text-shadow:none;mso-special-for= mat: lastCR;display:none'> </span></span></div> </div> <div v:shape=3D"_x0000_s61465"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0= '><span style=3D'position:absolute;top:31.25%;left:.93%;width:13.1%;height:3.25%'>= <span style=3D'font-family:Arial;font-size:50%;text-shadow:none'>Curative </span= ></span><span style=3D'position:absolute;top:34.5%;left:.93%;width:13.1%;height:3.25%'><= span style=3D'font-family:Arial;font-size:50%;text-shadow:none'>resection</span= ><span style=3D'font-family:Arial;font-size:143%;text-shadow:none;mso-special-for= mat: lastCR;display:none'> </span></span></div> </div> <div v:shape=3D"_x0000_s61464"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:21.75%;left:25.84%;width:72.47%;height:3.25%'><span style=3D'font-family:Arial;font-size:50%;text-shadow:none'><b>Clinical out= comes</b></span><span style=3D'font-family:Arial;font-size:143%;text-shadow:none;mso-special-for= mat: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s61463"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0; position:absolute;top:21.75%;left:15.91%;width:8.42%;height:3.25%'><span style=3D'font-family:Arial;font-size:50%;text-shadow:none'><b>Method</b></= span><span style=3D'font-family:Arial;font-size:143%;text-shadow:none;mso-special-for= mat: lastCR;display:none'> </span></div> </div> <div v:shape=3D"_x0000_s61462"> <div class=3DTbl1 style=3D'mso-margin-left-alt:288'></div> <div class=3DTbl2 style=3D'mso-margin-left-alt:576'></div> <div class=3DTbl3 style=3D'mso-margin-left-alt:864'></div> <div class=3DTbl4 style=3D'mso-margin-left-alt:1152'></div> <div class=3DTbl style=3D'mso-line-spacing:"100 0 0";mso-margin-left-alt:0= '><span style=3D'position:absolute;top:20.25%;left:.93%;width:14.04%;height:3.25%'= ><span style=3D'font-family:Arial;font-size:50%;text-shadow:none'><b>Pathological= </b></span></span><span style=3D'position:absolute;top:23.5%;left:.93%;width:13.1%;height:3.25%'><= span style=3D'font-family:Arial;font-size:50%;text-shadow:none'><b>state</b></s= pan><span style=3D'font-family:Arial;font-size:143%;text-shadow:none;mso-special-for= mat: lastCR;display:none'> </span></span></div> </div> <div v:shape=3D"_x0000_s61542" class=3DO style=3D'position:absolute;top:95= .5%; 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charset="us-ascii" <html xmlns:v=3D"urn:schemas-microsoft-com:vml" xmlns:o=3D"urn:schemas-microsoft-com:office:office" xmlns:p=3D"urn:schemas-microsoft-com:office:powerpoint" xmlns:oa=3D"urn:schemas-microsoft-com:office:activation" xmlns=3D"http://www.w3.org/TR/REC-html40"> <head> <meta http-equiv=3DContent-Type content=3D"text/html; charset=3Dus-ascii"> <meta name=3DProgId content=3DPowerPoint.Slide> <meta name=3DGenerator content=3D"Microsoft PowerPoint 11"> <link id=3DMain-File rel=3DMain-File href=3D"../EndoscopicSubmucosal.htm"> <link rel=3DPreview href=3Dpreview.wmf>  <title>Serviço de Endoscopia Gastrointestinal Hospital das Clínicas Faculdade de Medicina da Univrsidade de São Paulo</t= itle> <![if IE]> <base href=3D"file:///C:\3069588C\EndoscopicSubmucosal_arquivos\slide0009.h= tm" id=3D"webarch_temp_base_tag"> <![endif]> <meta name=3DDescription content=3D"3/10/2006: Endoscopic submucosal dissection allows curative rese= ction of locally recurrent early gastric cancer after prior endoscopic muco= sal resection"> <link rel=3DStylesheet href=3D"master04_stylesheet.css"> <![if !ppt]> <style media=3Dprint>  </style> <script src=3Dscript.js></script><script></script><![endif]><o:shapelayout v:ext=3D"edit"> <o:idmap v:ext=3D"edit" data=3D"13"/> </o:shapelayout> </head> <body lang=3DPT-BR style=3D'margin:0px;background-color:black' onclick=3D"DocumentOnClick()" onresize=3D"_RSW()" onload=3D"LoadSld()" onkeypress=3D"_KPH()"> <div id=3DSlideObj class=3Dsld style=3D'position:absolute;top:0px;left:0px; width:534px;height:400px;font-size:16px;background-color:#003399;clip:rect(= 0%, 101%, 101%, 0%); visibility:hidden'><p:slide coordsize=3D"720,540" colors=3D"#003399,#ffffff,#000514,#e5e5ff,#0099cc,#a886e0,#ffcc00,#ffffcc" masterhref=3D"master04.xml"> <p:shaperange href=3D"master04.xml#_x0000_s4097"/><![if !ppt]><p:shaperange href=3D"master04.xml#_x0000_s4098"/><p:shaperange href=3D"master04.xml#_x0000_s4100"/><![if !vml]><img border=3D0 v:shapes=3D"_x0000_s4100,_x0000_s4102,_x0000_s4103,_x0000_s4104,_x0000_s41= 05,_x0000_s4106,_x0000_s4107,_x0000_s4108" src=3D"master04_image004.gif" style=3D'position:absolute;top:0%;left:0%; width:100.18%;height:100.25%'><![endif]><p:shaperange href=3D"master04.xml#_x0000_s4110"/><![endif]><p:shaperange href=3D"master04.xml#_x0000_m4109"/><v:shape id=3D"_x0000_s13314" type=3D= "#_x0000_m4109" style=3D'position:absolute;left:36pt;top:21.625pt;width:9in;height:90pt' o:userdrawn=3D"f"> <v:fill o:detectmouseclick=3D"f"/> <v:stroke o:forcedash=3D"f"/> <o:lock v:ext=3D"edit" text=3D"f"/> <p:placeholder type=3D"title"/></v:shape><p:shaperange href=3D"master04.xml#_x0000_m4111"/><v:shape id=3D"_x0000_s13315" type=3D= "#_x0000_m4111" style=3D'position:absolute;left:36pt;top:126pt;width:9in;height:356.375pt' o:userdrawn=3D"f"> <v:fill o:detectmouseclick=3D"f"/> <v:stroke o:forcedash=3D"f"/> <o:lock v:ext=3D"edit" text=3D"f"/> <p:placeholder type=3D"body" position=3D"1"/></v:shape> <div v:shape=3D"_x0000_s13314" class=3DT style=3D'text-align:left'><span style=3D'position:absolute;top:8.0%;left:5.99%;width:98.5%;height:4.5%'><s= pan style=3D'font-size:45%'>Endoscopic submucosal dissection allows curative resection of locally </span></span><span style=3D'position:absolute;top:12= .5%; left:5.99%;width:98.87%;height:4.5%'><span style=3D'font-size:45%'>recurre= nt early gastric cancer after prior endoscopic mucosal resection</span></span= ></div> <div v:shape=3D"_x0000_s13315" class=3DB> <div style=3D'mso-line-spacing:"80 20 0";position:absolute;top:23.5%;left:= 5.99%; width:88.2%;height:5.25%'><span style=3D'mso-special-format:nobullet;displ= ay: none;color:#FFCC00;mso-color-index:6;font-family:Wingdings;font-size:70%'>= n</span><span style=3D'font-size:75%'><b>Complicações </b></span></div> <div style=3D'mso-line-spacing:"80 20 0";position:absolute;top:28.74%; left:5.99%;width:88.2%;height:5.25%'><span style=3D'mso-special-format:nob= ullet; display:none;color:#FFCC00;mso-color-index:6;font-family:Wingdings;font-si= ze: 70%'>n</span><span style=3D'font-size:75%;display:none'> </span></div> <div style=3D'mso-line-spacing:"80 20 0"'><span style=3D'position:absolute; top:34.0%;left:5.99%;width:102.62%;height:5.25%'><span style=3D'mso-specia= l-format: nobullet;display:none;color:#FFCC00;mso-color-index:6;font-family:Wingding= s; font-size:70%'>n</span><span style=3D'font-size:75%'><b>Hemorragia</b></sp= an><span style=3D'font-size:75%'>: em nenhum caso foi maciço. Os episó= ;dios menores </span></span><span style=3D'position:absolute;top:38.25%;left:9.7= 3%; width:94.56%;height:5.25%'><span style=3D'font-size:75%'>foram tratados endoscopicamentes com clipes ou coagulação </span></span><sp= an style=3D'position:absolute;top:42.5%;left:9.73%;width:84.45%;height:5.25%'= ><span style=3D'font-size:75%'>com hot biopsy. </span></span></div> <div style=3D'mso-line-spacing:"80 20 0";position:absolute;top:48.0%;left:= 5.99%; width:88.2%;height:5.25%'><span style=3D'mso-special-format:nobullet;displ= ay: none;color:#FFCC00;mso-color-index:6;font-family:Wingdings;font-size:70%'>= n</span><span style=3D'font-size:75%;display:none'> </span></div> <div style=3D'mso-line-spacing:"80 20 0"'><span style=3D'position:absolute; top:53.25%;left:5.99%;width:104.11%;height:5.25%'><span style=3D'mso-speci= al-format: nobullet;display:none;color:#FFCC00;mso-color-index:6;font-family:Wingding= s; font-size:70%'>n</span><span style=3D'font-size:75%'><b>Perfuraç&at= ilde;o</b></span><span style=3D'font-size:75%'>: 4 casos (8.7%), após DSE, tratadas endoscopicamente </span></span><span style=3D'position:absolute;top:57.49%; left:9.73%;width:101.12%;height:5.25%'><span style=3D'font-size:75%'>com s= ucesso usando endoclips. Foram utilizados nestes pacientes </span></span><span style=3D'position:absolute;top:61.75%;left:9.73%;width:87.82%;height:5.25%= '><span style=3D'font-size:75%'>SNG por 6 horas e ATB por 2 dias, mantidos em jeum= e </span></span><span style=3D'position:absolute;top:66.0%;left:9.73%;width:84.45%;height:5.25%'= ><span style=3D'font-size:75%'>internados por 7 dias.</span></span></div> </div> </p:slide></div> </body> </html> ------=_NextPart_01C6E70B.AB4AF270 Content-Location: file:///C:/3069588C/EndoscopicSubmucosal_arquivos/slide0020.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" <html xmlns:v=3D"urn:schemas-microsoft-com:vml" xmlns:o=3D"urn:schemas-microsoft-com:office:office" xmlns:p=3D"urn:schemas-microsoft-com:office:powerpoint" xmlns:oa=3D"urn:schemas-microsoft-com:office:activation" xmlns=3D"http://www.w3.org/TR/REC-html40"> <head> <meta http-equiv=3DContent-Type content=3D"text/html; charset=3Dus-ascii"> <meta name=3DProgId content=3DPowerPoint.Slide> <meta name=3DGenerator content=3D"Microsoft PowerPoint 11"> <link id=3DMain-File rel=3DMain-File href=3D"../EndoscopicSubmucosal.htm"> <link rel=3DPreview href=3Dpreview.wmf>  <title>Serviço de Endoscopia Gastrointestinal Hospital das Clínicas Faculdade de Medicina da Univrsidade de São Paulo</t= itle> <![if IE]> <base href=3D"file:///C:\3069588C\EndoscopicSubmucosal_arquivos\slide0020.h= tm" id=3D"webarch_temp_base_tag"> <![endif]> <meta name=3DDescription content=3D"3/10/2006: Endoscopic submucosal dissection allows curative rese= ction of locally recurrent early gastric cancer after prior endoscopic muco= sal resection"> <link rel=3DStylesheet href=3D"master04_stylesheet.css"> <![if !ppt]> <style media=3Dprint>  </style> <script src=3Dscript.js></script><script></script><![endif]><o:shapelayout v:ext=3D"edit"> <o:idmap v:ext=3D"edit" data=3D"37"/> </o:shapelayout> </head> <body lang=3DPT-BR style=3D'margin:0px;background-color:black' onclick=3D"DocumentOnClick()" onresize=3D"_RSW()" onload=3D"LoadSld()" onkeypress=3D"_KPH()"> <div id=3DSlideObj class=3Dsld style=3D'position:absolute;top:0px;left:0px; width:534px;height:400px;font-size:16px;background-color:#003399;clip:rect(= 0%, 101%, 101%, 0%); visibility:hidden'><p:slide coordsize=3D"720,540" colors=3D"#003399,#ffffff,#000514,#e5e5ff,#0099cc,#a886e0,#ffcc00,#ffffcc" masterhref=3D"master04.xml"> <p:shaperange href=3D"master04.xml#_x0000_s4097"/><![if !ppt]><p:shaperange href=3D"master04.xml#_x0000_s4098"/><p:shaperange href=3D"master04.xml#_x0000_s4100"/><![if !vml]><img border=3D0 v:shapes=3D"_x0000_s4100,_x0000_s4102,_x0000_s4103,_x0000_s4104,_x0000_s41= 05,_x0000_s4106,_x0000_s4107,_x0000_s4108" src=3D"master04_image004.gif" style=3D'position:absolute;top:0%;left:0%; width:100.18%;height:100.25%'><![endif]><p:shaperange href=3D"master04.xml#_x0000_s4110"/><![endif]><p:shaperange href=3D"master04.xml#_x0000_m4109"/><v:shape id=3D"_x0000_s37890" type=3D= "#_x0000_m4109" style=3D'position:absolute;left:36pt;top:21.625pt;width:9in;height:90pt' o:userdrawn=3D"f"> <v:fill o:detectmouseclick=3D"f"/> <v:stroke o:forcedash=3D"f"/> <o:lock v:ext=3D"edit" text=3D"f"/> <p:placeholder type=3D"title"/></v:shape><p:shaperange href=3D"master04.xml#_x0000_m4111"/><v:shape id=3D"_x0000_s37891" type=3D= "#_x0000_m4111" style=3D'position:absolute;left:36pt;top:126pt;width:9in;height:356.375pt' o:userdrawn=3D"f"> <v:fill o:detectmouseclick=3D"f"/> <v:stroke o:forcedash=3D"f"/> <o:lock v:ext=3D"edit" text=3D"f"/> <p:placeholder type=3D"body" position=3D"1"/></v:shape> <div v:shape=3D"_x0000_s37890" class=3DT style=3D'text-align:left'><span style=3D'position:absolute;top:8.0%;left:5.99%;width:98.5%;height:4.5%'><s= pan style=3D'font-size:45%'>Endoscopic submucosal dissection allows curative resection of locally </span></span><span style=3D'position:absolute;top:12= .5%; left:5.99%;width:98.87%;height:4.5%'><span style=3D'font-size:45%'>recurre= nt early gastric cancer after prior endoscopic mucosal resection</span></span= ></div> <div v:shape=3D"_x0000_s37891" class=3DB> <div style=3D'mso-line-spacing:"80 20 0";position:absolute;top:23.5%;left:= 5.99%; width:88.2%;height:4.5%'><span style=3D'mso-special-format:nobullet;displa= y: none;color:#FFCC00;mso-color-index:6;font-family:Wingdings;font-size:70%'>= n</span><span style=3D'font-size:63%'><b>Discussão </b></span></div> <div style=3D'mso-line-spacing:"80 20 0"'><span style=3D'position:absolute; top:28.0%;left:5.99%;width:91.76%;height:4.5%'><span style=3D'mso-special-= format: nobullet;display:none;color:#FFCC00;mso-color-index:6;font-family:Wingding= s; font-size:70%'>n</span><span style=3D'font-size:63%'><span style=3D'mso-ta= b-count: 1;width:4.08%'> </span>ME é o tratamento padrão para CGP no Japão. Quando usa-se ME </span></span><span style=3D'position:absol= ute; top:31.5%;left:9.73%;width:97.56%;height:4.5%'><span style=3D'font-size:63= %'>convencional, limita-se para lesões pequenas (< 1,5cm), pois lesões mai= ores </span></span><span style=3D'position:absolute;top:35.0%;left:9.73%;width:= 84.45%; height:4.5%'><span style=3D'font-size:63%'>requerem retirada em piecemeal.= </span></span></div> <div style=3D'mso-line-spacing:"80 20 0";position:absolute;top:39.5%;left:= 5.99%; width:88.2%;height:4.5%'><span style=3D'mso-special-format:nobullet;displa= y: none;color:#FFCC00;mso-color-index:6;font-family:Wingdings;font-size:70%'>= n</span><span style=3D'font-size:63%;display:none'> </span></div> <div style=3D'mso-line-spacing:"80 20 0"'><span style=3D'position:absolute; top:44.0%;left:5.99%;width:97.94%;height:4.5%'><span style=3D'mso-special-= format: nobullet;display:none;color:#FFCC00;mso-color-index:6;font-family:Wingding= s; font-size:70%'>n</span><span style=3D'font-size:63%'><span style=3D'mso-ta= b-count: 1;width:3.82%'> </span>Foram realizadas no NCCH 2000 ME (desde 1987), sendo que a taxa de </span></span><span style=3D'position:absolute;top:47.5%; left:9.73%;width:97.0%;height:4.5%'><span style=3D'font-size:63%'>recorr&e= circ;ncia para a ME foi de 8.5% (53/620). A ressecção endoscópi= ca para </span></span><span style=3D'position:absolute;top:51.24%;left:9.73%; width:101.31%;height:4.5%'><span style=3D'font-size:63%'>recorrência= local após ME é difícil, devido a fibrose que ocorre na submucosa, </span></span><span style=3D'position:absolute;top:54.75%;left:= 9.73%; width:100.56%;height:4.5%'><span style=3D'font-size:63%'>que dificulta a elevação da lesão recorrente durante a injeção de solução salina </span></span><span style=3D'position:absolute;top:58.25%;left:9.73%;width:91.57%;height:4.5%'= ><span style=3D'font-size:63%'>na submucosa. Restringe-se o uso de ME convencional quando não há </span></span><span style=3D'position:absolute; top:61.75%;left:9.73%;width:88.2%;height:4.5%'><span style=3D'font-size:63= %'>elevação da lesão após a injeção devido ao alto risco de perfuração e </span></span><span style=3D'position:absolute; top:65.5%;left:9.73%;width:96.25%;height:4.5%'><span style=3D'font-size:63= %'>recorrência. A terapia de ablação pode ser útil, mas não recomendado pois </span></span><span style=3D'position:absolute;top:69.0%; left:9.73%;width:99.25%;height:4.5%'><span style=3D'font-size:63%'>impede a avaliação patológica. Cirurgia tem sido recomendado, = mas pode ser </span></span><span style=3D'position:absolute;top:72.5%;left:9.7= 3%; width:84.45%;height:4.5%'><span style=3D'font-size:63%'>excessiva, visto q= ue a recorrência pode atingir somente a mucosa. </span></span></div> <div style=3D'mso-line-spacing:"80 20 0";position:absolute;top:77.0%;left:= 5.99%; width:88.2%;height:4.5%'><span style=3D'mso-special-format:nobullet;displa= y: none;color:#FFCC00;mso-color-index:6;font-family:Wingdings;font-size:70%'>= n</span><span style=3D'font-size:63%;mso-special-format:lastCR;display:none'> </span= ></div> </div> </p:slide></div> </body> </html> ------=_NextPart_01C6E70B.AB4AF270 Content-Location: file:///C:/3069588C/EndoscopicSubmucosal_arquivos/slide0021.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" <html xmlns:v=3D"urn:schemas-microsoft-com:vml" xmlns:o=3D"urn:schemas-microsoft-com:office:office" xmlns:p=3D"urn:schemas-microsoft-com:office:powerpoint" xmlns:oa=3D"urn:schemas-microsoft-com:office:activation" xmlns=3D"http://www.w3.org/TR/REC-html40"> <head> <meta http-equiv=3DContent-Type content=3D"text/html; charset=3Dus-ascii"> <meta name=3DProgId content=3DPowerPoint.Slide> <meta name=3DGenerator content=3D"Microsoft PowerPoint 11"> <link id=3DMain-File rel=3DMain-File href=3D"../EndoscopicSubmucosal.htm"> <link rel=3DPreview href=3Dpreview.wmf>  <title>Serviço de Endoscopia Gastrointestinal Hospital das Clínicas Faculdade de Medicina da Univrsidade de São Paulo</t= itle> <![if IE]> <base href=3D"file:///C:\3069588C\EndoscopicSubmucosal_arquivos\slide0021.h= tm" id=3D"webarch_temp_base_tag"> <![endif]> <meta name=3DDescription content=3D"3/10/2006: Endoscopic submucosal dissection allows curative rese= ction of locally recurrent early gastric cancer after prior endoscopic muco= sal resection"> <link rel=3DStylesheet href=3D"master04_stylesheet.css"> <![if !ppt]> <style media=3Dprint>  </style> <script src=3Dscript.js></script><script></script><![endif]><o:shapelayout v:ext=3D"edit"> <o:idmap v:ext=3D"edit" data=3D"38"/> </o:shapelayout> </head> <body lang=3DPT-BR style=3D'margin:0px;background-color:black' onclick=3D"DocumentOnClick()" onresize=3D"_RSW()" onload=3D"LoadSld()" onkeypress=3D"_KPH()"> <div id=3DSlideObj class=3Dsld style=3D'position:absolute;top:0px;left:0px; width:534px;height:400px;font-size:16px;background-color:#003399;clip:rect(= 0%, 101%, 101%, 0%); visibility:hidden'><p:slide coordsize=3D"720,540" colors=3D"#003399,#ffffff,#000514,#e5e5ff,#0099cc,#a886e0,#ffcc00,#ffffcc" masterhref=3D"master04.xml"> <p:shaperange href=3D"master04.xml#_x0000_s4097"/><![if !ppt]><p:shaperange href=3D"master04.xml#_x0000_s4098"/><p:shaperange href=3D"master04.xml#_x0000_s4100"/><![if !vml]><img border=3D0 v:shapes=3D"_x0000_s4100,_x0000_s4102,_x0000_s4103,_x0000_s4104,_x0000_s41= 05,_x0000_s4106,_x0000_s4107,_x0000_s4108" src=3D"master04_image004.gif" style=3D'position:absolute;top:0%;left:0%; width:100.18%;height:100.25%'><![endif]><p:shaperange href=3D"master04.xml#_x0000_s4110"/><![endif]><p:shaperange href=3D"master04.xml#_x0000_m4109"/><v:shape id=3D"_x0000_s38914" type=3D= "#_x0000_m4109" style=3D'position:absolute;left:36pt;top:21.625pt;width:9in;height:90pt' o:userdrawn=3D"f"> <v:fill o:detectmouseclick=3D"f"/> <v:stroke o:forcedash=3D"f"/> <o:lock v:ext=3D"edit" text=3D"f"/> <p:placeholder type=3D"title"/></v:shape><p:shaperange href=3D"master04.xml#_x0000_m4111"/><v:shape id=3D"_x0000_s38915" type=3D= "#_x0000_m4111" style=3D'position:absolute;left:36pt;top:126pt;width:9in;height:356.375pt' o:userdrawn=3D"f"> <v:fill o:detectmouseclick=3D"f"/> <v:stroke o:forcedash=3D"f"/> <o:lock v:ext=3D"edit" text=3D"f"/> <p:placeholder type=3D"body" position=3D"1"/></v:shape> <div v:shape=3D"_x0000_s38914" class=3DT style=3D'text-align:left'><span style=3D'position:absolute;top:8.0%;left:5.99%;width:98.5%;height:4.5%'><s= pan style=3D'font-size:45%'>Endoscopic submucosal dissection allows curative resection of locally </span></span><span style=3D'position:absolute;top:12= .5%; left:5.99%;width:98.87%;height:4.5%'><span style=3D'font-size:45%'>recurre= nt early gastric cancer after prior endoscopic mucosal resection</span></span= ></div> <div v:shape=3D"_x0000_s38915" class=3DB> <div style=3D'mso-line-spacing:"80 20 0";position:absolute;top:23.75%; left:5.99%;width:88.2%;height:2.0%'><span style=3D'mso-special-format:nobu= llet; display:none;color:#FFCC00;mso-color-index:6;font-family:Wingdings;font-si= ze: 70%'>n</span><span style=3D'font-family:"Franklin Gothic Medium";font-size= :25%'> </span></div> <div style=3D'mso-line-spacing:"80 20 0"'><span style=3D'position:absolute; top:26.0%;left:5.99%;width:103.37%;height:5.25%'><span style=3D'mso-specia= l-format: nobullet;display:none;color:#FFCC00;mso-color-index:6;font-family:Wingding= s; font-size:70%'>n</span><span style=3D'font-size:75%'><span style=3D'mso-ta= b-count: 1;width:3.62%'> </span>O desenvolvimento de técnicas de DSE permiti= u a ressecção de </span></span><span style=3D'position:absolute; top:30.25%;left:9.73%;width:87.07%;height:5.25%'><span style=3D'font-size:= 75%'>tumores antes não passíveis de tratamento endoscópico. </= span></span></div> <div style=3D'mso-line-spacing:"80 20 0";position:absolute;top:35.5%;left:= 5.99%; width:88.2%;height:5.25%'><span style=3D'mso-special-format:nobullet;displ= ay: none;color:#FFCC00;mso-color-index:6;font-family:Wingdings;font-size:70%'>= n</span><span style=3D'font-size:75%;display:none'> </span></div> <div style=3D'mso-line-spacing:"80 20 0"'><span style=3D'position:absolute; top:40.75%;left:5.99%;width:101.12%;height:5.25%'><span style=3D'mso-speci= al-format: nobullet;display:none;color:#FFCC00;mso-color-index:6;font-family:Wingding= s; font-size:70%'>n</span><span style=3D'font-size:75%'><span style=3D'mso-ta= b-count: 1;width:3.7%'> </span>O uso da DSE permitiu ressecar lesões maiores= , e em bloco, o </span></span><span style=3D'position:absolute;top:45.0%;left:= 9.73%; width:93.25%;height:5.25%'><span style=3D'font-size:75%'>que melhorou a avaliação patológicas destas peças, diminuiu <= /span></span><span style=3D'position:absolute;top:49.5%;left:9.73%;width:91.19%;height:5.25%'= ><span style=3D'font-size:75%'>recorrência local por visualizar diretamente= a submucosa, e </span></span><span style=3D'position:absolute;top:53.75%; left:9.73%;width:94.0%;height:5.25%'><span style=3D'font-size:75%'>permiti= u, ainda, ressecar lesões após ME prévia, dando outra </= span></span><span style=3D'position:absolute;top:57.99%;left:9.73%;width:85.39%;height:5.25%= '><span style=3D'font-size:75%'>opção, que não cirurgica, par= a os pacientes que tiveram </span></span><span style=3D'position:absolute;top:6= 2.25%; left:9.73%;width:84.45%;height:5.25%'><span style=3D'font-size:75%'>recorr= ência. </span></span></div> <div style=3D'mso-line-spacing:"80 20 0";position:absolute;top:67.5%;left:= 5.99%; width:88.2%;height:5.25%'><span style=3D'mso-special-format:nobullet;displ= ay: none;color:#FFCC00;mso-color-index:6;font-family:Wingdings;font-size:70%'>= n</span><span style=3D'font-size:75%;display:none'> </span></div> <div style=3D'mso-line-spacing:"80 20 0"'><span style=3D'position:absolute; top:72.75%;left:5.99%;width:92.88%;height:5.25%'><span style=3D'mso-specia= l-format: nobullet;display:none;color:#FFCC00;mso-color-index:6;font-family:Wingding= s; font-size:70%'>n</span><span style=3D'font-size:75%'><span style=3D'mso-ta= b-count: 1;width:4.03%'> </span>Este estudo mostrou que a DSE é segura, efic= az e permit </span></span><span style=3D'position:absolute;top:77.0%;left:9.73%; width:84.45%;height:5.25%'><span style=3D'font-size:75%'>ressecç&ot= ilde;es em bloco. </span></span></div> <div style=3D'mso-line-spacing:"80 20 0";position:absolute;top:82.5%;left:= 5.99%; width:88.2%;height:5.25%'><span style=3D'mso-special-format:nobullet;displ= ay: none;color:#FFCC00;mso-color-index:6;font-family:Wingdings;font-size:70%'>= n</span><span style=3D'font-size:75%;display:none'> </span></div> <div style=3D'mso-line-spacing:"80 20 0"'><span style=3D'position:absolute; top:87.75%;left:5.99%;width:104.49%;height:5.25%'><span style=3D'mso-speci= al-format: nobullet;display:none;color:#FFCC00;mso-color-index:6;font-family:Wingding= s; font-size:70%'>n</span><span style=3D'font-size:75%'><span style=3D'mso-ta= b-count: 1;width:3.58%'> </span>Novos avanços são necessários = no campo da DSE para diminuir </span></span><span style=3D'position:absolute; top:92.0%;left:9.73%;width:84.45%;height:5.25%'><span style=3D'font-size:7= 5%'>complicações e facilitar o procedimento.</span></span></div> </div> </p:slide></div> </body> </html> ------=_NextPart_01C6E70B.AB4AF270 Content-Location: file:///C:/3069588C/EndoscopicSubmucosal_arquivos/slide0025.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" <html xmlns:v=3D"urn:schemas-microsoft-com:vml" xmlns:o=3D"urn:schemas-microsoft-com:office:office" xmlns:p=3D"urn:schemas-microsoft-com:office:powerpoint" xmlns:oa=3D"urn:schemas-microsoft-com:office:activation" xmlns=3D"http://www.w3.org/TR/REC-html40"> <head> <meta http-equiv=3DContent-Type content=3D"text/html; charset=3Dus-ascii"> <meta name=3DProgId content=3DPowerPoint.Slide> <meta name=3DGenerator content=3D"Microsoft PowerPoint 11"> <link id=3DMain-File rel=3DMain-File href=3D"../EndoscopicSubmucosal.htm"> <link rel=3DPreview href=3Dpreview.wmf>  <title>Serviço de Endoscopia Gastrointestinal Hospital das Clínicas Faculdade de Medicina da Univrsidade de São Paulo</t= itle> <![if IE]> <base href=3D"file:///C:\3069588C\EndoscopicSubmucosal_arquivos\slide0025.h= tm" id=3D"webarch_temp_base_tag"> <![endif]> <meta name=3DDescription content=3D"3/10/2006: Endoscopic submucosal dissection allows curative rese= ction of locally recurrent early gastric cancer after prior endoscopic muco= sal resection"> <link rel=3DStylesheet href=3D"master04_stylesheet.css"> <![if !ppt]> <style media=3Dprint>  </style> <script src=3Dscript.js></script><script></script><![endif]><o:shapelayout v:ext=3D"edit"> <o:idmap v:ext=3D"edit" data=3D"42"/> </o:shapelayout> </head> <body lang=3DPT-BR style=3D'margin:0px;background-color:black' onclick=3D"DocumentOnClick()" onresize=3D"_RSW()" onload=3D"LoadSld()" onkeypress=3D"_KPH()"> <div id=3DSlideObj class=3Dsld style=3D'position:absolute;top:0px;left:0px; width:534px;height:400px;font-size:16px;background-color:#003399;clip:rect(= 0%, 101%, 101%, 0%); visibility:hidden'><p:slide coordsize=3D"720,540" colors=3D"#003399,#ffffff,#000514,#e5e5ff,#0099cc,#a886e0,#ffcc00,#ffffcc" masterhref=3D"master04.xml"> <p:shaperange href=3D"master04.xml#_x0000_s4097"/><![if !ppt]><p:shaperange href=3D"master04.xml#_x0000_s4098"/><p:shaperange href=3D"master04.xml#_x0000_s4100"/><![if !vml]><img border=3D0 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<p:placeholder type=3D"body" position=3D"1"/></v:shape><![if !vml]><img b= order=3D0 v:shapes=3D"_x0000_s43011" src=3D"slide0025_image011.gif" style=3D'positio= n:absolute; top:23.25%;left:4.86%;width:90.44%;height:66.5%'><![endif]> <div v:shape=3D"_x0000_s43010" class=3DT style=3D'text-align:left'><span style=3D'position:absolute;top:8.0%;left:5.99%;width:98.5%;height:4.5%'><s= pan style=3D'font-size:45%'>Endoscopic submucosal dissection allows curative resection of locally </span></span><span style=3D'position:absolute;top:12= .5%; left:5.99%;width:98.87%;height:4.5%'><span style=3D'font-size:45%'>recurre= nt early gastric cancer after prior endoscopic mucosal resection</span></span= ></div> <div v:shape=3D"_x0000_s43011" class=3DB> <div style=3D'mso-line-spacing:"80 20 0";position:absolute;top:23.75%; left:5.99%;width:88.01%;height:2.0%'><span style=3D'mso-special-format:nob= ullet; display:none;color:#FFCC00;mso-color-index:6;font-family:Wingdings;font-si= ze: 70%'>n</span><span style=3D'font-family:"Franklin Gothic Medium";font-size= :25%'> </span></div> <div style=3D'mso-line-spacing:"80 20 0";position:absolute;top:26.0%;left:= 5.99%; width:88.01%;height:5.25%'><span style=3D'mso-special-format:nobullet; display:none;color:#FFCC00;mso-color-index:6;font-family:Wingdings;font-si= ze: 70%'>n</span><span style=3D'font-size:75%'><b>Conclusão </b></s= pan></div> <div style=3D'mso-line-spacing:"80 20 0";position:absolute;top:31.25%; left:5.99%;width:88.01%;height:5.25%'><span style=3D'mso-special-format:no= bullet; display:none;color:#FFCC00;mso-color-index:6;font-family:Wingdings;font-si= ze: 70%'>n</span><span style=3D'font-size:75%;display:none'> </span></div> <div style=3D'mso-line-spacing:"80 20 0"'><span style=3D'position:absolute; top:36.75%;left:5.99%;width:100.93%;height:5.25%'><span style=3D'mso-speci= al-format: nobullet;display:none;color:#FFCC00;mso-color-index:6;font-family:Wingding= s; font-size:70%'>n</span><span style=3D'font-size:75%'>A DSE oferece uma opção alternativa a cirurgia, para recorrência </span>= </span><span style=3D'position:absolute;top:41.0%;left:9.73%;width:96.25%;height:5.25%'= ><span style=3D'font-size:75%'>local de<span style=3D'mso-spacerun:yes'> </span>tumores bom ou moderadamente diferenciados, com </span></span><span style=3D'position:absolute;top:45.25%;left:9.73%;width:93.07%;height:5.25%= '><span style=3D'font-size:75%'>menor mortalidade e morbidade, permitindo a ressecção em </span></span><span style=3D'position:absolute; top:49.5%;left:9.73%;width:86.89%;height:5.25%'><span style=3D'font-size:7= 5%'>bloco para melhor avaliação histológica e menor taxa de </s= pan></span><span style=3D'position:absolute;top:53.75%;left:9.73%;width:84.26%;height:5.25%= '><span style=3D'font-size:75%'>recorrência. </span></span></div> <div style=3D'mso-line-spacing:"80 20 0";position:absolute;top:59.0%;left:= 5.99%; width:88.01%;height:5.25%'><span style=3D'mso-special-format:nobullet; 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if( MakeNotesVis() ) return runAnimations =3D _InitAnimations(); =09 if( IsWin("PPTSld") ) parent.SldUpdated(GetSldId()) g_origSz=3DparseInt(SlideObj.style.fontSize) g_origH=3Dsld.style.posHeight g_origW=3Dsld.style.posWidth g_scaleHyperlinks=3D(document.all.tags("AREA").length>0) if( g_scaleHyperlinks ) InitHLinkArray() if( g_scaleInFrame||(IsWin("PPTSld") && parent.IsFullScrMode() ) ) document.body.scroll=3D"no" _RSW() if( IsWin("PPTSld") && parent.IsFullScrMode() ) FullScrInit(); =09 MakeSldVis(); ChkAutoAdv() if( runAnimations ) { if( document.all("NSPlay") ) document.all("NSPlay").autoStart =3D false; if( sld.filters && sld.filters.revealtrans ) setTimeout( "document.body.start()", sld.filters.revealtrans.duration * = 1000 ); else document.body.start(); } } function MakeSldVis()=20 { var fTrans=3Dg_showAnimation && SldHasTrans() if( fTrans )=09 { if( g_bgSound ) { idx=3Dg_bgSound.indexOf(","); pptSound.src=3Dg_bgSound.substr( 0, idx ); pptSound.loop=3D 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isFullScreen =3D (window.name =3D=3D "PPTSld") && !parent.IsFramesMode(); g_animUseRuntime =3D g_showAnimation && animRuntimeInstalled && !(isFullSc= reen && parent.IsSldVisited()); if( g_animUseRuntime ) { collSeq =3D document.all.tags("seq"); if( collSeq !=3D null ) { for(ii=3D0;ii<collSeq.length;ii++) { if( collSeq[ii].getAttribute( "p:nodeType" ) =3D=3D "mainSeq" ) { g_animMainSequence =3D collSeq[ii]; break; } } } =09 if( g_animItemsToHide && document.body.playAnimations !=3D false ) { for(jj =3D 0; jj < g_animItemsToHide.length; jj++) { if( hideObj =3D GetObj(g_animItemsToHide[jj]) ) hideObj.runtimeStyle.visibility=3D"hidden"; } } if( g_animInteractiveItems ){ for(jj =3D 0; jj < g_animInteractiveItems.length; jj++) { if( triggerObj =3D GetObj(g_animInteractiveItems[jj]) ) triggerObj.runtimeStyle.cursor=3D"hand"; } } =09 if( gUseSldTimings && ''+g_animSlideTime !=3D 'undefined' ) { adjustedTime =3D document.body.calculateAutoAdvanceTimes( g_animSlideTim= e, g_animEffectTimings ); if( IsWin("PPTSld") && adjustedTime !=3D g_animSlideTime ) { var sld =3D GetCurSld(); sld.mAdvDelay =3D adjustedTime * 1000; } } } return g_animUseRuntime; } gSldJump =3D 0, gSldJumpTrack =3D 0, gSldJumpIdx =3D ""; function _KPH() {=20 if( IsNts() ) return; if( !parent.IsFramesMode() && event.keyCode =3D=3D 27 && !HideMenu() ) parent.window.close( self ); else if( event.keyCode =3D=3D 32 ) { if( window.name =3D=3D "PPTSld" ) parent.PPTSld.DocumentOnClick(); else parent.GoToNextSld(); } CatchNumKeys( parent, event ); } function CatchNumKeys( win, event ) { if( win.IsFullScrMode() && (48<=3Devent.keyCode) && (event.keyCode<=3D57) = ) { gSldJump =3D 1; gSldJumpIdx +=3D (event.keyCode-48).toString(); } if( win.IsFullScrMode() && gSldJump && event.keyCode =3D=3D 13 ) { var numSlds =3D parent.GetSldList().mList.length if ( gSldJumpIdx > numSlds ) gSldJumpIdx =3D numSlds; if ( gSldJumpIdx >=3D 0 ) { if ( gSldJumpIdx =3D=3D 0 ) gSldJumpIdx =3D 1; var jumpTo =3D parseInt(gSldJumpIdx); gSldJump =3D 0; gSldJumpIdx =3D ""; win.GoToSld( parent.GetSldList().mList[jumpTo-1].mSldHref ) } } } function _KDH() { if( event.keyCode =3D=3D 8 ) { event.returnValue =3D 0; parent.GoToPrevSld(); } } var g_HLinkArray =3D new Array(); =20 function IMapAreaObj( areaObj, coords ) { this.areaObj =3D areaObj; this.coords =3D coords; } function InitHLinkArray() { var appVer =3D navigator.appVersion; var msie =3D appVer.indexOf ( "MSIE " ) var ver =3D 0; if ( msie >=3D 0 ) ver =3D parseInt ( appVer.substring( msie+5 ) ); linkNum =3D 0; for (i=3D0; i<document.all.tags("AREA").length; i++) { areaObj =3D document.all.tags("AREA").item(i); if( ( areaObj.id !=3D "pptxscale" ) || ( ver > 4 ) ) g_HLinkArray[linkNum++] =3D new IMapAreaObj( areaObj, ParseCoords( ar= eaObj.coords ) ); } } function ScaleHyperlinks( factor ) { =20 for ( ii=3D0; ii< g_HLinkArray.length; ii++) { coordsStr=3D""; imaObj =3D g_HLinkArray[ii]; for ( jj=3D0; jj < imaObj.coords.length-1; jj++ ) coordsStr +=3D (imaObj.coords[jj]*factor) + ","; coordsStr +=3D (imaObj.coords[jj]*factor); imaObj.areaObj.coords =3D coordsStr; } } function ParseCoords( coordsStr ) { var numArray =3D new Array(); var i =3D curPos =3D commaPos =3D 0; while ( ( commaPos =3D coordsStr.indexOf(",", curPos) ) !=3D -1 ) {=20 numArray[i++] =3D parseInt( coordsStr.substr( curPos, commaPos ) ); curPos =3D commaPos + 1; } numArray[i] =3D parseInt( coordsStr.substr( curPos ) ); return numArray; } function DocumentOnClick() { if( IsNts() || parent.HideMenu() ) return; if( ( g_allowAdvOnClick && !parent.IsFramesMode() ) || (event && (event.keyCode=3D=3D32) ) ) parent.GoToNextSld(); } var g_supportsPPTHTML =3D SupportsPPTHTML(), g_scaleInFrame =3D 1, gId=3D""= , g_bgSound=3D"", g_scaleHyperlinks =3D false, g_allowAdvOnClick =3D 1, g_showInBrowser = =3D 0, gLoopCont =3D 0, gUseSldTimings =3D 1; var g_showAnimation =3D g_supportsPPTHTML && SupportsPPTAnimation() && ( (w= indow.name=3D=3D"PPTSld" && !parent.IsFramesMode()) || g_showInBrowser );va= r g_animManager =3D null; var g_animUseRuntime =3D false; var g_animItemsToHide, g_animInteractiveItems, g_animSlideTime; var g_animMainSequence =3D null; var ENDSHOW_MESG=3D"Fim da apresentação de slides. Clique par= a sair.", SCREEN_MODE=3D"Frames", gIsEndShow=3D0, NUM_VIS_SLDS=3D19, SCRIPT= _HREF=3D"script.js", FULLSCR_HREF=3D"fullscreen.htm"; var gCurSld =3D gPrevSld =3D 1, g_offset =3D 0, gNtsOpen =3D gHasNts =3D gO= tlTxtExp =3D 0, gHasNarration =3D 0, gOtlOpen =3D true window.gPPTHTML=3DSupportsPPTHTML() var g_fBaseHyperlink =3D false; var gMainDoc=3Dnew Array(new hrefList("slide0001.htm",1,-1,1),new hrefList(= "slide0003.htm",1,-1,1),new hrefList("slide0018.htm",1,-1,1),new hrefList("= slide0019.htm",1,-1,1),new hrefList("slide0005.htm",1,-1,1),new hrefList("s= lide0034.htm",1,-1,1),new hrefList("slide0036.htm",1,-1,1),new hrefList("sl= ide0037.htm",1,-1,1),new hrefList("slide0035.htm",1,-1,1),new hrefList("sli= de0007.htm",1,-1,1),new hrefList("slide0038.htm",1,-1,1),new hrefList("slid= e0039.htm",1,-1,1),new hrefList("slide0033.htm",1,-1,1),new hrefList("slide= 0008.htm",1,-1,1),new hrefList("slide0040.htm",1,-1,1),new hrefList("slide0= 009.htm",1,-1,1),new hrefList("slide0020.htm",1,-1,1),new hrefList("slide00= 21.htm",1,-1,1),new hrefList("slide0025.htm",1,-1,1)); /********************************************* Frameset functions These functions control slide navigation and state of the frameset. **********************************************/ function RemoveFilePrefixFromHref(href) { var regExp =3D /^file:\/\/\//i; return href.replace(regExp, "") } function FullScrInit() { g_allowAdvOnClick =3D GetCurSld().mAdvOnClk document.body.style.backgroundColor=3D"black" document.oncontextmenu=3Dparent._CM; document.onkeydown =3D _KDH; document.ondragstart=3DCancel document.onselectstart=3DCancel self.focus() } function Redirect( frmId ) {=09 var str=3Ddocument.location.hash,idx=3Dstr.indexOf('#'), sId=3DGetSldId() if(idx>=3D0) str=3Dstr.substr(1); if( window.name !=3D frmId && ( sId !=3D str) ) { obj =3D GetObj("Main-File") window.location.href=3Dobj.href+"#"+sId return 1 } return 0 } var MHTMLPrefix =3D CalculateMHTMLPrefix();=20 function CalculateMHTMLPrefix() { if ( document.location.protocol =3D=3D 'mhtml:') {=20 href=3Dnew String(document.location.href)=20 Start=3Dhref.indexOf('!')+1=20 End=3Dhref.lastIndexOf('/')+1=20 if (End < Start)=20 return href.substring(0, Start)=20 else=20 return href.substring(0, End)=20 } return ''; } function GetTags(base,tag) { if(g_supportsPPTHTML) return base.all.tags(tag); else return base.getElementsByTagName(tag); } function UpdNtsPane(){ if(frames["PPTNts"]) PPTNts.location.replace( MHTMLP= refix+GetHrefObj( gCurSld ).mNtsHref ) } function UpdNavPane( sldIndex ){ if(gNavLoaded) PPTNav.UpdNav() } function UpdOtNavPane(){ if(gOtlNavLoaded) PPTOtlNav.UpdOtlNav() } function UpdOtlPane(){ if(gOtlLoaded) PPTOtl.UpdOtl() } function SetHasNts( fVal ) { if( gHasNts !=3D fVal ) { gHasNts=3DfVal UpdNavPane() } } function ToggleOtlText() { gOtlTxtExp=3D!gOtlTxtExp UpdOtlPane() } function ClearMedia() { // Clear any sounds playing before launching another browser window. Other= wise, // in fullscreen mode, you'll continue to hear the sound in the frames mod= e. if (PPTSld.pptSound) PPTSld.pptSound.loop =3D 0; } function FullScreen() {=20 if ( PPTSld.g_animUseRuntime ) PPTSld.document.body.pause(); ClearMedia(); var href =3D ( document.location.protocol =3D=3D 'mhtml:') ? FULLSCR_HREF = : FULLSCR_HREF+"#"+GetHrefObj(gCurSld).mSldHref; if (MHTMLPrefix !=3D "") href =3D RemoveFilePrefixFromHref(href) if(PPTNav.event.ctrlKey) { var w =3D (window.screen.availWidth * 1.0) / 2.0 var h =3D w * (PPTSld.g_origH * 1.0) / PPTSld.g_origW win =3D window.open( MHTMLPrefix+href,null,"toolbar=3D0,resizable=3D1,top= =3D0,left=3D0," + "width=3D"+ w + ",height=3D" + h ); if( win.document.body && PPTSld.g_animUseRuntime ) win.document.body.PPTSldFrameset=3Dwindow; } else { win =3D window.open( MHTMLPrefix+href,null,"fullscreen=3Dyes" ); if( win.document.body && PPTSld.g_animUseRuntime ) win.document.body.PPTSldFrameset=3Dwindow; } } function ToggleVNarration() { rObj=3DPPTSld.document.all("NSPlay") if( rObj && !PPTSld.g_animUseRuntime ) { if( (rObj.playState =3D=3D 1)||(rObj.playState =3D=3D 0) ) rObj.Play() else if( rObj.playState =3D=3D 2 ) rObj.Pause() else return; } else if( PPTSld.g_animUseRuntime ) { narObj =3D PPTSld.document.all("narrationID") if( narObj ) narObj.togglePause() } } function GetCurSldNum() { =20 obj=3DGetHrefObj(gCurSld) if( obj.mOrigVis =3D=3D 1 ) return obj.mSldIdx else =20 return gCurSld } function GetNumSlds() { =20 if( GetHrefObj(gCurSld).mOrigVis =3D=3D 1 ) return GetSldList().mNumVisSlds; else return GetSldList().mList.length } function GetSldNum( href ) { for(ii=3D0; ii<GetSldList().mList.length; ii++) { if ( GetSldList().mList[ii].mSldHref =3D=3D href ) return ii+1 } return 1 } function GetHrefObj( sldIdx ){ return GetSldList().mList[sldIdx-1] } function IsFramesMode(){ return ( SCREEN_MODE =3D=3D "Frames" ) } function IsFullScrMode(){ return ( SCREEN_MODE =3D=3D "FullScreen" ) } function GoToNextSld() { ii=3DgCurSld + 1 if( GetHrefObj( ii-1 ).mOrigVis =3D=3D 0 ) { if( ii<=3DGetSldList().mList.length ) { obj=3DGetHrefObj(ii) obj.mVis=3D1 GoToSldNum(ii) return } } else { obj=3DGetHrefObj( ii ) while ( obj && ( obj.mOrigVis =3D=3D 0 ) ) obj=3DGetHrefObj(++ii) if( obj && obj.mOrigVis ) { GoToSldNum(ii) return } } if( gSldStack.length > 1 ) PopSldList(); else if( !IsFramesMode() ) { if( gLoopCont ) GoToFirst() else EndShow() } } function GoToPrevSld() { ii=3DgCurSld-1 if( ii > 0 ) { obj=3DGetHrefObj(ii) while ( obj && ( obj.mVis =3D=3D 0 ) && ( ii>0 ) ) obj=3DGetHrefObj(--ii) if( ii =3D=3D 0 ) ii=3D1 GoToSldNum(ii) } } function GoToFirst(){ GoToSld( GetHrefObj(1).mSldHref ) } function GoToLast() { ii=3DGetSldList().mList.length if( ii !=3D gCurSld ) GoToSld( GetHrefObj(ii).mSldHref ) } function GoToSldNum( num ) { if( PPTSld.event ) PPTSld.event.cancelBubble=3Dtrue obj =3D GetHrefObj( num ) obj.mVis=3D1 gPrevSld=3DgCurSld gCurSld =3D num; =09 if (MHTMLPrefix !=3D "") PPTSld.location.replace(MHTMLPrefix+RemoveFilePrefixFromHref(obj.mSldHref= )) else PPTSld.location.replace(obj.mSldHref) =09 if( IsFramesMode() ) { UpdNavPane(); UpdOtlPane(); UpdNtsPane() } } function GoToSld( href ) { if( PPTSld.event ) PPTSld.event.cancelBubble=3Dtrue GetHrefObj( GetSldNum(href) ).mVis=3D1 if (MHTMLPrefix !=3D "") PPTSld.location.replace(MHTMLPrefix+RemoveFilePrefixFromHref(href)) else PPTSld.location.replace(href) } function SldUpdated( id ) { if( id =3D=3D GetHrefObj(gCurSld).mSldHref ) return gPrevSld=3DgCurSld gCurSld=3DGetSldNum(id) if( IsFramesMode() ) { UpdNavPane(); UpdOtlPane(); UpdNtsPane() } } function PrevSldViewed(){ GoToSld( GetHrefObj(gPrevSld).mSldHref ) } function HasPrevSld() { return ( gIsEndShow || ( gCurSld !=3D 1 && GetHrefO= bj( gCurSld-1 ).mVis =3D=3D 1 )||( GetCurSldNum() > 1 ) ) } function HasNextSld() { return (GetCurSldNum() !=3D GetNumSlds()) } function CloseWindow() { if( HideMenu() ) return; =09 var event =3D PPTSld.event; if( !IsFramesMode() && event && (event.keyCode=3D=3D27 || event.keyCode=3D= =3D32 || event.type=3D=3D"click" ) ) window.close( self ); CatchNumKeys( self, event ); } function Unload() { gIsEndShow=3D0; } function SetupEndShow() { gIsEndShow=3D1; PPTSld.document.body.scroll=3D"no"; PPTSld.document.onkeypress=3DCloseWindow; PPTSld.document.onclick=3DCloseWindow; PPTSld.document.oncontextmenu=3D_CM; } function EndShow() { if( IsFramesMode() ) return if( PPTSld.event ) PPTSld.event.cancelBubble=3Dtrue doc=3DPPTSld.document var dir =3D doc.body.dir if( dir !=3D "rtl" ) dir =3D "ltr"; doc.open() doc.writeln('<html><body dir=3D' + dir + ' bgcolor=3Dblack onload=3Dparent= .SetupEndShow() onunload=3Dparent.Unload()><center><p><font face=3DTahoma c= olor=3Dwhite size=3D2><br><b>' + ENDSHOW_MESG + '</b></font></p></center></= body></html>') doc.close() } function SetSldVisited(){ GetSldList().mList[gCurSld-1].mVisited=3Dtrue } function IsSldVisited(){ return GetSldList().mList[gCurSld-1].mVisited } function hrefList( sldHref, visible, advDelay, advClk ) { this.mSldHref=3D this.mNtsHref =3D sldHref this.mOrigVis=3D this.mVis =3D visible this.mVisited=3D false this.mAdvDelay=3D advDelay this.mAdvOnClk=3D advClk } function SldList(arr,curSld,fEnd) { this.mCurSld =3D curSld; this.mList =3D new Array(); var idx =3D 1; for(ii=3D0;ii<arr.length;ii++) { this.mList[ii] =3D new hrefList( arr[ii].mSldHref, arr[ii].mOrigVis, arr[= ii].mAdvDelay, arr[ii].mAdvOnClk ); if( arr[ii].mOrigVis ) this.mList[ii].mSldIdx =3D idx++; } this.mNumVisSlds =3D idx-1; this.fEndShow =3D fEnd; } function GetSldList() { return gSldStack[gSldStack.length-1] } function GetCurSld() { return parent.GetSldList().mList[parent.gCurSld - 1]= } gSldStack =3D new Array(); gSldStack[0] =3D new SldList(gMainDoc,gCurSld,1) function ToggleOtlPane() { frmset=3Ddocument.all("PPTHorizAdjust") frm=3Ddocument.all("PPTOtl") if( gOtlOpen ) frmset.cols=3D"*,100%" else frmset.cols=3D"25%,*" gOtlOpen=3D!gOtlOpen frm.noResize=3D!frm.noResize UpdOtNavPane() } function ToggleNtsPane() { frmset=3Ddocument.all("PPTVertAdjust") frm=3Ddocument.all("PPTNts") if( gNtsOpen ) frmset.rows=3D"100%,*" else frmset.rows=3D"*,20%" gNtsOpen=3D!gNtsOpen UpdNtsPane() } /********************************************* Custom Shows implementation When ViewCustomShow() is called, we create a new array that is a subset of the slides in=20 the main doc. This list pushed on a stack so we can return after the end of the custom show. *********************************************/ function ViewCustomShow(idx,fEnd) { if( !IsFullScrMode() ) return; var sldList =3D new Array(); var custShow =3D custShowList[idx-1]; var jj =3D 0; for( ii=3D0;ii<custShow.length;ii++ ) { if( custShow[ii] <=3D gMainDoc.length ) sldList[jj++] =3D gMainDoc[custShow[ii]-1]; } if (sldList.length > 0) { PushSldList(sldList,fEnd); gCurSld =3D 1; } else if( PPTSld.event ) PPTSld.event.cancelBubble=3Dtrue } function PushSldList(arr,fEnd) { var ii =3D gSldStack.length; gSldStack[ii] =3D new SldList(arr,gCurSld,fEnd); GoToSld( gSldStack[ii].mList[0].mSldHref ); } function PopSldList() { if (gSldStack[gSldStack.length-1].fEndShow) EndShow() else { gCurSld =3D gSldStack[gSldStack.length-1].mCurSld; gSldStack[gSldStack.length-1] =3D null; gSldStack.length--; var sldList =3D gSldStack[gSldStack.length-1]; GoToSld( sldList.mList[gCurSld - 1].mSldHref ); } } var custShowList=3Dnew Array(); /********************************************* Navigation button implementation There are 2 types of buttons: ImgBtn, TxtBtn implemented as function objects. They share a similiar interface so the event handlers can call SetActive, for example, on a button=20 object without needing to know exactly=20 what type of button it is. **********************************************/ //---------------------------------- function ImgBtn( oId,bId,w,action ) //---------------------------------- { var t=3Dthis t.Perform =3D _IBP t.SetActive =3D _IBSetA t.SetInactive=3D _IBSetI t.SetPressed =3D _IBSetP t.SetDisabled=3D _IBSetD t.Enabled =3D _IBSetE t.ChangeIcon =3D null t.UserAction =3D action t.ChgState =3D _IBUI t.mObjId =3D oId t.mBorderId=3D bId t.mWidth =3D w t.mIsOn =3D t.mCurState =3D 0 } function _IBSetA() { if( this.mIsOn ) { obj=3Dthis.ChgState( gHiliteClr,gShadowClr,2 ) obj.style.posTop=3D0 } } function _IBSetI() { if( this.mIsOn ) { obj=3Dthis.ChgState( gFaceClr,gFaceClr,1 ) obj.style.posTop=3D0=20 } } function _IBSetP() { if( this.mIsOn ) { obj=3Dthis.ChgState( gShadowClr,gHiliteClr,2 ) obj.style.posLeft+=3D1; obj.style.posTop+=3D1 } } function _IBSetD() { =20 obj=3Dthis.ChgState( gFaceClr,gFaceClr,0 ) obj.style.posTop=3D0=20 } function _IBSetE( state ) { var t=3Dthis GetObj( t.mBorderId ).style.visibility=3D"visible" if( state !=3D t.mIsOn ) { t.mIsOn=3Dstate if( state ) t.SetInactive() else t.SetDisabled() } } function _IBP() { var t=3Dthis if( t.mIsOn ) { if( t.UserAction !=3D null ) t.UserAction() if( t.ChangeIcon ) { obj=3DGetObj(t.mObjId) if( t.ChangeIcon() ) obj.style.posLeft=3Dobj.style.posLeft+(t.mCurState-4)*t.mWidth else obj.style.posLeft=3Dobj.style.posLeft+(t.mCurState-0)*t.mWidth } t.SetActive() } =20 } function _IBUI( clr1,clr2,nextState ) { var t=3Dthis SetBorder( GetObj( t.mBorderId ),clr1,clr2 ) obj=3DGetObj( t.mObjId ) obj.style.posLeft=3Dobj.style.posLeft+(t.mCurState-nextState)*t.mWidth-obj= .style.posTop t.mCurState=3DnextState return obj } //----------------------------------------- function TxtBtn( oId,oeId,action,chkState ) //----------------------------------------- { var t=3Dthis t.Perform =3D _TBP t.SetActive =3D _TBSetA t.SetInactive=3D _TBSetI t.SetPressed =3D _TBSetP t.SetDisabled=3D _TBSetD t.SetEnabled =3D _TBSetE t.GetState =3D chkState t.UserAction =3D action t.ChgState =3D _TBUI t.mObjId =3D oId t.m_elementsId=3D oeId t.mIsOn =3D 1 } function _TBSetA() { var t=3Dthis if( t.mIsOn && !t.GetState() ) t.ChgState( gHiliteClr,gShadowClr,0,0 ) } function _TBSetI() { var t=3Dthis if( t.mIsOn && !t.GetState() ) t.ChgState( gFaceClr,gFaceClr,0,0 ) } function _TBSetP() { if( this.mIsOn ) this.ChgState( gShadowClr,gHiliteClr,1,1 ) } function _TBSetD() { =20 this.ChgState( gFaceClr,gFaceClr,0,0 ) this.mIsOn =3D 0 } function _TBSetE() { var t=3Dthis if( !t.GetState() ) t.ChgState( gFaceClr,gFaceClr,0,0 ) else t.ChgState( gShadowClr,gHiliteClr,1,1 ) t.mIsOn =3D 1 } function _TBP() { var t=3Dthis if( t.mIsOn ) {=20 if( t.UserAction !=3D null ) t.UserAction() if( !t.GetState ) return if( t.GetState() ) t.SetPressed() else t.SetActive() } =20 } function _TBUI( clr1,clr2,lOffset,tOffset ) { SetBorder( GetObj( this.mObjId ),clr1,clr2 ) Offset( GetObj( this.m_elementsId ),lOffset,tOffset ) } function Offset( obj, top, left ){ obj.style.top=3Dtop; obj.style.left=3Dle= ft } function SetBorder( obj, upperLeft, lowerRight ) { s=3Dobj.style; s.borderStyle =3D "solid" s.borderWidth =3D 1=20 s.borderLeftColor =3D s.borderTopColor =3D upperLeft s.borderBottomColor=3D s.borderRightColor =3D lowerRight } function GetBtnObj(){ return gBtnArr[window.event.srcElement.id] } function BtnOnOver(){ b=3DGetBtnObj(); if( b !=3D null ) b.SetActive() } function BtnOnDown(){ b=3DGetBtnObj(); if( b !=3D null ) b.SetPressed() } function BtnOnOut(){ b=3DGetBtnObj(); if( b !=3D null ) b.SetInactive() } function BtnOnUp() { b=3DGetBtnObj() if( b !=3D null ) b.Perform() else Upd() } function GetNtsState(){ return parent.gNtsOpen } function GetOtlState(){ return parent.gOtlOpen } function GetOtlTxtState(){ return parent.gOtlTxtExp } function NtsBtnSetFlag( fVal ) { s=3Ddocument.all.item( this.m_flagId ).style s.display=3D"none" if( fVal ) s.display=3D"" else s.display=3D"none" } function _BSetA_Border(){ b =3D gBtnArr[this.mObjId]; if( b !=3D null ) b.S= etActive() } function _BSetI_Border(){ b =3D gBtnArr[this.mObjId]; if( b !=3D null ) b.S= etInactive() } function _BSetP_Border(){ b =3D gBtnArr[this.mObjId]; if( b !=3D null ) b.S= etPressed() } function _BSetA_BorderImg() {=20 b =3D gBtnArr[this.mBorderId]=20 if( b !=3D null && this.mIsOn && !b.GetState() ) { obj=3Dthis.ChgState( gHiliteClr,gShadowClr,2 ) obj.style.posTop=3D0 } } function _BSetI_BorderImg() {=20 b =3D gBtnArr[this.mBorderId] if( b !=3D null && this.mIsOn && !b.GetState() ) { obj=3Dthis.ChgState( gFaceClr,gFaceClr,1 ) obj.style.posTop=3D0 } } var gHiliteClr=3D"THREEDHIGHLIGHT",gShadowClr=3D"THREEDSHADOW",gFaceClr=3D"= THREEDFACE" var gBtnArr =3D new Array() gBtnArr["nb_otl"] =3D new TxtBtn( "nb_otl","nb_otlElem",parent.ToggleOtlPan= e,GetOtlState ) gBtnArr["nb_otlElem"] =3D new TxtBtn( "nb_otl","nb_otlElem",parent.ToggleOt= lPane,GetOtlState ) gBtnArr["nb_nts"] =3D new ImgBtn( "nb_nts","nb_ntsBorder",10,parent.ToggleN= tsPane ) gBtnArr["nb_nts"].SetActive =3D _BSetA_BorderImg; gBtnArr["nb_nts"].SetInactive =3D _BSetI_BorderImg; gBtnArr["nb_ntsBorder"] =3D new TxtBtn( "nb_ntsBorder","nb_ntsElem",parent.= ToggleNtsPane,GetNtsState ) gBtnArr["nb_ntsElem"] =3D new TxtBtn( "nb_ntsBorder","nb_ntsElem",parent.To= ggleNtsPane,GetNtsState ) gBtnArr["nb_prevBorder"] =3D gBtnArr["nb_prev"]=3D new ImgBtn( "nb_prev","n= b_prevBorder",30,parent.GoToPrevSld ) gBtnArr["nb_nextBorder"] =3D gBtnArr["nb_next"]=3D new ImgBtn( "nb_next","n= b_nextBorder",30,parent.GoToNextSld ) gBtnArr["nb_sldshw"]=3D new ImgBtn( "nb_sldshw","nb_sldshwBorder",18,parent= .FullScreen ) gBtnArr["nb_sldshwBorder"] =3D new TxtBtn( "nb_sldshw","nb_sldshwBorder",pa= rent.FullScreen,null ) gBtnArr["nb_sldshwBorder"].SetActive =3D _BSetA_Border; gBtnArr["nb_sldshwBorder"].SetInactive =3D _BSetI_Border; gBtnArr["nb_sldshwText"] =3D new TxtBtn( "nb_sldshw","nb_sldshwText",parent= .FullScreen,null ) gBtnArr["nb_sldshwText"].SetActive =3D _BSetA_Border; gBtnArr["nb_sldshwText"].SetInactive =3D _BSetI_Border; gBtnArr["nb_voice"] =3D gBtnArr["nb_voiceBorder"] =3D new ImgBtn( "nb_voice= ","nb_voiceBorder",18,parent.ToggleVNarration ) gBtnArr["nb_otlTxtBorder"] =3D gBtnArr["nb_otlTxt"]=3D new ImgBtn( "nb_otlT= xt","nb_otlTxtBorder",23,parent.ToggleOtlText ) gBtnArr["nb_ntsBorder"].m_flagId=3D "nb_nts" gBtnArr["nb_ntsBorder"].SetFlag =3D NtsBtnSetFlag gBtnArr["nb_otlTxt"].ChangeIcon=3D GetOtlTxtState /********************************************* Context menu implementation _CM() is the function that's hooked up to the oncontextmenu event. Once we're asked to show the menu, we first build it by creating DIVs on-the-fly. Then we position it=20 within the screen area so it doesn't get clipped. Creating the DIVs using createElement() means we don't have to write out any extra HTML into the slide HTML files. **********************************************/ var sNext=3D"Avançar",sPrev=3D"Voltar",sEnd=3D"Finalizar apresenta&c= cedil;ão",sFont=3D"Arial",sArrow=3D"Seta",sFreeform=3D"Forma livre",= sRect=3D"Retângulo",sOval=3D"Elipse" function ShowMenu() { BuildMenu(); var doc=3DPPTSld.document.body,x=3DPPTSld.event.clientX+doc.scrollLeft,y= =3DPPTSld.event.clientY+doc.scrollTop m =3D PPTSld.document.all.item("ctxtmenu") m.style.pixelLeft=3Dx if( (x+m.scrollWidth > doc.clientWidth)&&(x-m.scrollWidth > 0) ) m.style.pixelLeft=3Dx-m.scrollWidth m.style.pixelTop=3Dy if( (y+m.scrollHeight > doc.clientHeight)&&(y-m.scrollHeight > 0) ) m.style.pixelTop=3Dy-m.scrollHeight m.style.display=3D"" } function _CM() { if( !parent.IsFullScrMode() ) return; if(!PPTSld.event.ctrlKey) { ShowMenu() return false } else HideMenu() } function BuildMenu() { if( PPTSld.document.all.item("ctxtmenu") ) return var mObj=3DCreateItem( PPTSld.document.body ) mObj.id=3D"ctxtmenu" mObj.style.visibility=3D"hidden" var s=3DmObj.style s.position=3D"absolute" s.cursor=3D"default" s.width=3D"120px" SetCMBorder(mObj,"menu","black") var iObj=3DCreateItem( mObj ) SetCMBorder( iObj, "threedhighlight","threedshadow" ) iObj.style.padding=3D2 CreateMenuItem( iObj,sNext,M_GoNextSld,M_True ) CreateMenuItem( iObj,sPrev,M_GoPrevSld,M_HasPrevSld ) =09 CreateSeparator( iObj ) CreateMenuItem( iObj,sEnd,M_End,M_True ) mObj.style.visibility=3D"visible" } function Cancel() { window.event.cancelBubble=3Dtrue; window.event.returnVa= lue=3Dfalse } function Highlight() { ChangeClr("activecaption","threedhighlight") } function Deselect() { ChangeClr("threedface","menutext") } function Perform() { e=3DPPTSld.event.srcElement if( e.type=3D=3D"menuitem" && e.IsActive() ) e.Action() else PPTSld.event.cancelBubble=3Dtrue } function ChangeClr( bg,clr ) { e=3DPPTSld.event.srcElement if( e.type=3D=3D"menuitem" && e.IsActive() ) { e.style.backgroundColor=3Dbg e.style.color=3Dclr } } function M_HasPrevSld() { return( parent.HasPrevSld() ) } function M_GoNextSld() { if( gIsEndShow ) M_End(); else GoToNextSld() } function M_GoPrevSld() { if( gIsEndShow ) { gIsEndShow=3D0; history.back();= PPTSld.event.cancelBubble=3Dtrue; } else GoToPrevSld() } function M_True() { return true } function M_End() { window.close( self ) } function CreateMenuItem( node,text,action,eval ) { var e=3DCreateItem( node ) e.type=3D"menuitem" e.Action=3Daction e.IsActive=3Deval e.innerHTML=3Dtext if( !e.IsActive() ) e.style.color=3D"threedshadow" e.onclick=3DPerform e.onmouseover=3DHighlight e.onmouseout=3DDeselect s=3De.style; 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charset="us-ascii" <html> <head> <meta http-equiv=3DContent-Type content=3D"text/html; charset=3Dus-ascii"> <meta name=3DProgId content=3DPowerPoint.Slide> <meta name=3DGenerator content=3D"Microsoft PowerPoint 11"> <link id=3DMain-File rel=3DMain-File href=3D"../EndoscopicSubmucosal.htm"> <link rel=3DPreview href=3Dpreview.wmf> <title>Serviço de Endoscopia Gastrointestinal Hospital das Clínicas Faculdade de Medicina da Univrsidade de São Paulo</t= itle> <![if IE]> <base href=3D"file:///C:\3069588C\EndoscopicSubmucosal_arquivos\frame.htm" id=3D"webarch_temp_base_tag"> <![endif]><![if !ppt]><script src=3Dscript.js></script><script>  </script><![endif]> </head> <frameset rows=3D"*,25" border=3D0> <frameset cols=3D"25%,*" onload=3D"Load()" id=3DPPTHorizAdjust framespacin= g=3D1 frameborder=3D1> <frame src=3Doutline.htm title=3D"Tópicos" name=3DPPTOtl> <frame src=3Dslide0001.htm title=3D"Slide" name=3DPPTSld> </frameset> <frameset cols=3D"25%,*" framespacing=3D1> <frame src=3Doutline.htm title=3D"Barra de navegação de tópicos" name=3DPPTOtlNav scrolling=3D= no noresize> <frame src=3Doutline.htm title=3D"Barra de navegação de slides" name=3DPPTNav scrolling=3Dno noresize> </frameset> </frameset> </html> ------=_NextPart_01C6E70B.AB4AF270 Content-Location: file:///C:/3069588C/EndoscopicSubmucosal_arquivos/outline.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" <html> <head> <meta http-equiv=3DContent-Type content=3D"text/html; charset=3Dus-ascii"> <meta name=3DProgId content=3DPowerPoint.Slide> <meta name=3DGenerator content=3D"Microsoft PowerPoint 11"> <link id=3DMain-File rel=3DMain-File href=3D"../EndoscopicSubmucosal.htm"> <link rel=3DPreview href=3Dpreview.wmf> <![if IE]> <base href=3D"file:///C:\3069588C\EndoscopicSubmucosal_arquivos\outline.htm" id=3D"webarch_temp_base_tag"> <![endif]> <meta name=3DRobots content=3DNoIndex> <script src=3Dscript.js></script><script></script> <style>  </style> </head> <body onload=3D"Load()" style=3D'margin:2px'> <div id=3DNavObj onload=3D"Load()" onmouseover=3D"BtnOnOver()" onmousedown=3D"BtnOnDown()" onmouseout=3D"BtnOnOut()" onmouseup=3D"BtnOnUp(= )" onkeypress=3D"ExecBtn()" style=3D'display:none;visibility:hidden'> <table id=3D"notesBtn" style=3D'display:none;position:relative;width:55px' = align=3Dleft cellpadding=3D0 cellspacing=3D0> <td nowrap> <div id=3D"nb_ntsElem" title=3D"Mostrar/ocultar anotações" align=3Dcenter style=3D'position:relative;margin-l= eft:5px;margin-right:5px;padding:3px; font-family:Arial;color:buttontext;font-size:9pt; cursor:default'> <img src=3D"notes_flag.gif" id=3D"nb_nts" style=3D'display:none'> An= otações</div> <div id=3D"nb_ntsBorder" title =3D"Mostrar/ocultar anotações" onfocus=3D"BtnOnOver()" onblur=3D"BtnOnOut()" TABI= NDEX=3D1 style=3D'position:absolute;top:0%;left:0%;width:100%;height:20px'> </div> </td> </table> <table style=3D'position:relative;width:70px' align=3Dright cellpadding=3D0= cellspacing=3D0> <td nowrap> <div id=3D"nb_sldshwText" title=3D"Apresentação de slides em= tela inteira" align=3Dcenter style=3D'position:relative;margin-left:20px;padding= :3px; font-family:Arial;color:buttontext;font-size:9pt;cursor:default'>Apresenta= ção de slides</div> <div id=3D"nb_sldshwBorder" title=3D"Apresentação de slides em tela inteira" onfocus=3D"BtnOnOver()" onblur=3D"BtnOnOut()" TA= BINDEX=3D5 style=3D'position:absolute;top:0%;left:0%;width:100%;height:20px= '> <div style=3D'position:absolute;clip:rect(0px, 18px, 18px, 0px)'><img src=3D"buttons.gif" id=3D"nb_sldshw" style=3D'position:relative;left:-254p= x'></div> </div> </td> <td> <div id=3D"nb_voiceBorder" style=3D'display:none;position:absolute;top:0;l= eft:-40px; width:20px;height:20px' onfocus=3D"BtnOnOver()" onblur=3D"BtnOnOut()" TABI= NDEX=3D4 class=3Dbutton> <div style=3D'position:absolute;clip:rect(0px, 18px, 18px, 0px)'><img src=3D"buttons.gif" id=3D"nb_voice" title=3D"Pausar/executar narraç= ão" style=3D'position: relative;left:-290px'></div> </div> </td> </table> <table style=3D'position:relative' align=3Dcenter cellpadding=3D0 cellspaci= ng=3D0> <td nowrap> <div id=3D"nb_prevBorder" onfocus=3D"BtnOnOver()" onblur=3D"BtnOnOut()" TA= BINDEX=3D2 class=3Dbutton style=3D'left:-30px'> <div style=3D'position:absolute;clip:rect(0px, 30px, 18px, 0px)'><img src=3D"buttons.gif" id=3D"nb_prev" title=3D"Slide anterior" style=3D'posit= ion:relative; left:0px'></div> </div> <span id=3D"nav_text" style=3D'position:relative;top:3px;width:100px;font-= family: Arial;color:buttontext;font-size:9pt'></span> <div id=3D"nb_nextBorder" onfocus=3D"BtnOnOver()" onblur=3D"BtnOnOut()" TA= BINDEX=3D3 class=3Dbutton> <div style=3D'position:absolute;clip:rect(0px, 30px, 18px, 0px)'><img src=3D"buttons.gif" id=3D"nb_next" title=3D"Próximo slide" style=3D= 'position:relative; left:-90px'></div> </div> </td> </table> </div> <div id=3DOtlNavObj onload=3D"Load()" onmouseover=3D"BtnOnOver()" onmousedown=3D"BtnOnDown()" onmouseout=3D"BtnOnOut()" onmouseup=3D"BtnOnUp(= )" onkeypress=3D"ExecBtn()" style=3D'display:none;visibility:hidden'> <table style=3D'position:relative;width:70px' align=3Dleft cellpadding=3D0 = cellspacing=3D0> <td nowrap><div title=3D"Mostrar/ocultar tópicos" id=3D"nb_otl" onfocus=3D"BtnOnOver()" onblur=3D"BtnOnOut()"= TABINDEX=3D11 style=3D'position:absolute;top:0%;left:0%;width:100%;height:100%;cursor:de= fault'> <div id=3D"nb_otlElem" align=3Dcenter style=3D'position:relative;padding:3= px;font-family:Arial; color:buttontext;font-size:9pt'>Estrutura de tópicos</div></div> </td> </table> <table style=3D'position:relative' align=3Dcenter cellpadding=3D0 cellspaci= ng=3D0> <td> <div style=3D'position:absolute;left:-18px;width:24px;height:20px;border-s= tyle: solid;border-width:1px;border-color:threedface' onfocus=3D"BtnOnOver()" on= blur=3D"BtnOnOut()" TABINDEX=3D12 id=3D"nb_otlTxtBorder"> <div style=3D'position:absolute;clip:rect(0px, 22px, 18px, 0px)'><img src=3Dbuttons.gif id=3D"nb_otlTxt" title=3D"Expandir/recolher tópic= os" style=3D'position:relative;left:-157px'></div> </div> </td> </table> </div> <div id=3DOtlObj style=3D'display:none;visibility:hidden;'> <table width=3D"100%" style=3D'font-family:Arial;font-size:9pt'> <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(= this)" style=3D'cursor:hand'> <td align=3Dright valign=3Dtop> <div class=3DsldNum><font size=3D2>1</font></div> </td> <td width=3D"100%"> <div id=3DPPTP1 class=3DPTxt><font size=3D2><a href=3D"javascript:GoToSld('slide0001.htm');" id=3DPPTL1>Serviço de Endoscopia Gastrointestinal<br> Hospital das Clínicas<br> Faculdade de Medicina da Universidade de São Paulo</a></font></d= iv> <div id=3DPPTC1 class=3DCTxt style=3D'display:none'><font size=3D2> <ul> <li>Endoscopic submucosal dissection allows curative resection of locally recurrent early gastric cancer after prior endoscopic mucosal resect= ion</li> <br> <br> <br> <li>Chizu Yokoi, MD, Takuji Gotoda, MD, Hisanao Hamanaka, MD, Ichiro Oda= , MD</li> <br> <br> <li>Gastrointestinal Endoscpy, Vol 64, No 2, Aug/2006</li> </ul> </font></div> </td> </tr> <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(= this)" style=3D'cursor:hand'> <td align=3Dright valign=3Dtop> <div class=3DsldNum><font size=3D2>2</font></div> </td> <td> <div id=3DPPTP2 class=3DPTxt><font size=3D2><a href=3D"javascript:GoToSld('slide0003.htm');" id=3DPPTL2>"Dissec&cce= dil;ão submucosa endoscópica permite ressecção..."</a>= </font></div> <div id=3DPPTC2 class=3DCTxt style=3D'display:none'><font size=3D2> <ul> <br> <li>Dissecção submucosa endoscópica permite ressecção curativa de recorrência local de câncer gástrico precoce após mucosectomia endoscópica prévia</li> <br> <br> </ul> </font></div> </td> </tr> <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(= this)" style=3D'cursor:hand'> <td align=3Dright valign=3Dtop> <div class=3DsldNum><font size=3D2>3</font></div> </td> <td> <div id=3DPPTP3 class=3DPTxt><font size=3D2><a href=3D"javascript:GoToSld('slide0018.htm');" id=3DPPTL3>Endoscopic submu= cosal dissection allows curative resection of locally recurrent early gastric cancer after prior endoscopic mucosal resection</a></font></div> <div id=3DPPTC3 class=3DCTxt style=3D'display:none'><font size=3D2> <ul> <li>Introdução</li> <li> A mucosectomia endoscópica (ME) é aceita mundialmente como um tratamento minimamente invasivo para câncer gástrico precoce (CGP). Técnicas de ME convencionais c= omo Stripy biopsy, ME com CAP, ME com ligadura, são normalmente utilizados. Infelizmente quando utilizados para ressecar grandes lesões ou remover em piecemeal, estão associados a alt= as taxas de recorrência. As taxas variam de 2 a 35%. Técni= cas de dissecção submucosa têm sido agora descritas.= O trabalho reporta a segurança e prognóstico com o uso d= a Dissecção Submucosa Endoscópica (DSE) para tratar a recorrência do CGP após ressecção prévia por técnicas convencionais de ME.</li> </ul> </font></div> </td> </tr> <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(= this)" style=3D'cursor:hand'> <td align=3Dright valign=3Dtop> <div class=3DsldNum><font size=3D2>4</font></div> </td> <td> <div id=3DPPTP4 class=3DPTxt><font size=3D2><a href=3D"javascript:GoToSld('slide0019.htm');" id=3DPPTL4>Endoscopic submu= cosal dissection allows curative resection of locally recurrent early gastric cancer after prior endoscopic mucosal resection</a></font></div> <div id=3DPPTC4 class=3DCTxt style=3D'display:none'><font size=3D2> <ul> <li>Métodos</li> <li> Retrospectivamente foram analizados dados de todos os pacientes que foram submetidos a ME no National Cancer Center Hospital (NCCH), Tok= yo. Foram identificados e incluidos todos os pacientes que tiveram recorrência local, com adenocarcinoma bem ou moderadamente diferenciado, de Novembro de 1993 a Dezembro de 2003, num total de 66 pacientes.</li> </ul> </font></div> </td> </tr> <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(= this)" style=3D'cursor:hand'> <td align=3Dright valign=3Dtop> <div class=3DsldNum><font size=3D2>5</font></div> </td> <td> <div id=3DPPTP5 class=3DPTxt><font size=3D2><a href=3D"javascript:GoToSld('slide0005.htm');" id=3DPPTL5>Endoscopic submu= cosal dissection allows curative resection of locally recurrent early gastric cancer after prior endoscopic mucosal resection</a></font></div> <div id=3DPPTC5 class=3DCTxt style=3D'display:none'><font size=3D2> <ul> <li>Técnicas de Ressecção Endoscópica</li> <li> 1. ME Convencional: 18 pacientes foram submetidos a Strip Biopsy.</= li> <br> <br> <li> 2. DSE com IT Knife: 46 pacientes. Resumidamente, foi marcado a muc= osa normal adjacente ao tumor por pelo menos 5mm distante usando Needle Knife. Após injeção de solução sa= lina com epinefrina (0.025mg/ml) na submucosa, foi feito um corte inicial (pre cut) ao longo das marcas com a needle knife. A IT knife é inserida na incisão previamente feita e é usado o bist= uri elétrico para completar a incisão ao redor da lesão. Após o corte circunferencial ser completado, solução salina é injetada na submucosa abaixo da lesão, sendo utilizada a IT knife para dissecar a submucosa. Quando não houver elevação da lesão a IT knife foi utilizada para dissecar cuidadosamente a lesão ao l= ongo da submucosa.</li> </ul> </font></div> </td> </tr> <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(= this)" style=3D'cursor:hand'> <td align=3Dright valign=3Dtop> <div class=3DsldNum><font size=3D2>6</font></div> </td> <td> <div id=3DPPTP6 class=3DPTxt><font size=3D2><a href=3D"javascript:GoToSld('slide0034.htm');" id=3DPPTL6>Endoscopic submu= cosal dissection allows curative resection of locally recurrent early gastric cancer after prior endoscopic mucosal resection</a></font></div> <div id=3DPPTC6 class=3DCTxt style=3D'display:none'><font size=3D2> <ul> <li>Avaliação Patológica</li> <li>Foi definida a ressecção em bloco (1 peça) ou piecemeal (múltiplos fragmentos). Seguindo a recomendação da Sociedade Japonesa de Câncer Gástrico foi seccionado as peças em intervalos de 2mm.= Foi classificado os achados patológicos em curativo (margens verticais e laterais livres, não há invasão submucosa maior que 500mc da musculares mucosae, sem invasão linfática ou vascular), não curativo (não obede= ce a estes critérios ou são pouco diferenciados ou com células em anel de sinete) e não avaliável . O = grau de diferenciação do tumor foi estudado em cada corte.<= /li> </ul> </font></div> </td> </tr> <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(= this)" style=3D'cursor:hand'> <td align=3Dright valign=3Dtop> <div class=3DsldNum><font size=3D2>7</font></div> </td> <td> <div id=3DPPTP7 class=3DPTxt><font size=3D2><a href=3D"javascript:GoToSld('slide0036.htm');" id=3DPPTL7>Endoscopic submu= cosal dissection allows curative resection of locally recurrent early gastric cancer after prior endoscopic mucosal resection</a></font></div> <div id=3DPPTC7 class=3DCTxt style=3D'display:none'><font size=3D2> <ul> <li>Seguimento</li> <li> Todos os pacientes receberam exame clínico e endoscóp= ico semestrais, com USG e TC de abdome quando necessários. Cirurg= ia foi recomendada quando a ressecção foi não cura= tiva ou não avaliável.</li> </ul> </font></div> </td> </tr> <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(= this)" style=3D'cursor:hand'> <td align=3Dright valign=3Dtop> <div class=3DsldNum><font size=3D2>8</font></div> </td> <td> <div id=3DPPTP8 class=3DPTxt><font size=3D2><a href=3D"javascript:GoToSld('slide0037.htm');" id=3DPPTL8>Endoscopic submu= cosal dissection allows curative resection of locally recurrent early gastric cancer after prior endoscopic mucosal resection</a></font></div> <div id=3DPPTC8 class=3DCTxt style=3D'display:none'><font size=3D2> <ul> <li>Resultados</li> <li> Análise estatística: Teste de Fischer</li> <br> <br> <li>As características dos pacientes e dos tumores estão resumidos na tabela 1.</li> </ul> </font></div> </td> </tr> <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(= this)" style=3D'cursor:hand'> <td align=3Dright valign=3Dtop> <div class=3DsldNum><font size=3D2>9</font></div> </td> <td> <div id=3DPPTP9 class=3DPTxt><font size=3D2><a href=3D"javascript:GoToSld('slide0035.htm');" id=3DPPTL9>Endoscopic submu= cosal dissection allows curative resection of locally recurrent early gastric cancer after prior endoscopic mucosal resection</a></font></div> </td> </tr> <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(= this)" style=3D'cursor:hand'> <td align=3Dright valign=3Dtop> <div class=3DsldNum><font size=3D2>10</font></div> </td> <td> <div id=3DPPTP10 class=3DPTxt><font size=3D2><a href=3D"javascript:GoToSld('slide0007.htm');" id=3DPPTL10>Endoscopic subm= ucosal dissection allows curative resection of locally recurrent early gastric cancer after prior endoscopic mucosal resection</a></font></div> <div id=3DPPTC10 class=3DCTxt style=3D'display:none'><font size=3D2> <ul> <li>Taxa de ressecção em bloco</li> <li> Os resultados dos espécimens ressecados estão resumid= os na figura 2 e tabela 2. A DSE alcançou ressecçã= o em bloco em 41 de 46 pacientes (89%) comparativamente maior que a ME (0= /18 pacientes).</li> </ul> </font></div> </td> </tr> <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(= this)" style=3D'cursor:hand'> <td align=3Dright valign=3Dtop> <div class=3DsldNum><font size=3D2>11</font></div> </td> <td> <div id=3DPPTP11 class=3DPTxt><font size=3D2><a href=3D"javascript:GoToSld('slide0038.htm');" id=3DPPTL11>Endoscopic subm= ucosal dissection allows curative resection of locally recurrent early gastric cancer after prior endoscopic mucosal resection</a></font></div> </td> </tr> <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(= this)" style=3D'cursor:hand'> <td align=3Dright valign=3Dtop> <div class=3DsldNum><font size=3D2>12</font></div> </td> <td> <div id=3DPPTP12 class=3DPTxt><font size=3D2><a href=3D"javascript:GoToSld('slide0039.htm');" id=3DPPTL12>Endoscopic subm= ucosal dissection allows curative resection of locally recurrent early gastric cancer after prior endoscopic mucosal resection</a></font></div> </td> </tr> <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(= this)" style=3D'cursor:hand'> <td align=3Dright valign=3Dtop> <div class=3DsldNum><font size=3D2>13</font></div> </td> <td> <div id=3DPPTP13 class=3DPTxt><font size=3D2><a href=3D"javascript:GoToSld('slide0033.htm');" id=3DPPTL13>Endoscopic subm= ucosal dissection allows curative resection of locally recurrent early gastric cancer after prior endoscopic mucosal resection</a></font></div> <div id=3DPPTC13 class=3DCTxt style=3D'display:none'><font size=3D2> <ul> <li>Critérios histológicos de cura</li> <li> No grupo da DSE os critérios foram satisfatórios em 4= 5/46 peças (97%) – curativo ou não curativo.</li> <br> <br> <li> No grupo da ME 10/18 peças (56%) foram não avaliáveis.</li> <br> <br> <li> No total 76% (35/46) foram classificados como curativo no grupo DSE contra 33% (6/18) no ME (p<0001).</li> </ul> </font></div> </td> </tr> <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(= this)" style=3D'cursor:hand'> <td align=3Dright valign=3Dtop> <div class=3DsldNum><font size=3D2>14</font></div> </td> <td> <div id=3DPPTP14 class=3DPTxt><font size=3D2><a href=3D"javascript:GoToSld('slide0008.htm');" id=3DPPTL14>Endoscopic subm= ucosal dissection allows curative resection of locally recurrent early gastric cancer after prior endoscopic mucosal resection</a></font></div> <div id=3DPPTC14 class=3DCTxt style=3D'display:none'><font size=3D2> <ul> <li>Acompanhamento clínico</li> <li> Os 41 pacientes que foram submetidos a ressecção cura= tiva (6ME/35DSE) não tiveram recorrência local ou metástase à distância durante um seguimento médio de 43 meses (15-63 meses).</li> <br> <br> <li> Ressecção não curativa: 3 pacientes do grupo da ressecção não curativa perderam o seguimento. 6 pacientes foram submetidos a cirugia (gastrectomia+linfadenectomia), sendo que a análise patológica<span style=3D'mso-spacerun:yes'> </span>revelou que 3 tinham tumor residual e 2 tinham linfonodo metastático. Não houve metástase à distância ou recorrência.</li> <li> 2 pacientes foram submetidos a nova DSE pois a margem lateral foi positiva.</li> <li> 3 pacientes recusaram cirurgia adicional e escolheram observação. Doença residual foi encontrada em 2 deles. 1 recebeu paliação endoscópica com laser= , e outro o tumor desenvolveu-se gradualmente sendo submetido a cirugia.= </li> <br> <br> <li> Não avaliável: 11 pacientes. Foram explicados os risc= os de doença residual. 9 escolheram observação sem cirurgia. 1 escolheu novo tratamento endoscópico e 1 escolheu cirurgia. 3 recorrências ocorreram (3/11:27%)- grupo ME - . As= sim a taxa de recorrência local após nova ME foi de 17% con= tra 0/46 na DSE. Destes 3, 1 morreu de metástase à distância.</li> </ul> </font></div> </td> </tr> <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(= this)" style=3D'cursor:hand'> <td align=3Dright valign=3Dtop> <div class=3DsldNum><font size=3D2>15</font></div> </td> <td> <div id=3DPPTP15 class=3DPTxt><font size=3D2><a href=3D"javascript:GoToSld('slide0040.htm');" id=3DPPTL15>Endoscopic subm= ucosal dissection allows curative resection of locally recurrent early gastric cancer after prior endoscopic mucosal resection</a></font></div> </td> </tr> <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(= this)" style=3D'cursor:hand'> <td align=3Dright valign=3Dtop> <div class=3DsldNum><font size=3D2>16</font></div> </td> <td> <div id=3DPPTP16 class=3DPTxt><font size=3D2><a href=3D"javascript:GoToSld('slide0009.htm');" id=3DPPTL16>Endoscopic subm= ucosal dissection allows curative resection of locally recurrent early gastric cancer after prior endoscopic mucosal resection</a></font></div> <div id=3DPPTC16 class=3DCTxt style=3D'display:none'><font size=3D2> <ul> <li>Complicações</li> <br> <br> <li>Hemorragia: em nenhum caso foi maciço. Os episódios menores foram tratados endoscopicamentes com clipes ou coagulação com hot biopsy.</li> <br> <br> <li>Perfuração: 4 casos (8.7%), após DSE, tratadas endoscopicamente com sucesso usando endoclips. Foram utilizados nest= es pacientes SNG por 6 horas e ATB por 2 dias, mantidos em jeum e internados por 7 dias.</li> </ul> </font></div> </td> </tr> <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(= this)" style=3D'cursor:hand'> <td align=3Dright valign=3Dtop> <div class=3DsldNum><font size=3D2>17</font></div> </td> <td> <div id=3DPPTP17 class=3DPTxt><font size=3D2><a href=3D"javascript:GoToSld('slide0020.htm');" id=3DPPTL17>Endoscopic subm= ucosal dissection allows curative resection of locally recurrent early gastric cancer after prior endoscopic mucosal resection</a></font></div> <div id=3DPPTC17 class=3DCTxt style=3D'display:none'><font size=3D2> <ul> <li>Discussão</li> <li> ME é o tratamento padrão para CGP no Japão. Qu= ando usa-se ME convencional, limita-se para lesões pequenas (< 1,5cm), pois lesões maiores requerem retirada em piecemeal.</= li> <br> <br> <li> Foram realizadas no NCCH 2000 ME (desde 1987), sendo que a taxa de recorrência para a ME foi de 8.5% (53/620). A ressecção endoscópica para recorrência lo= cal após ME é difícil, devido a fibrose que ocorre = na submucosa, que dificulta a elevação da lesão recorrente durante a injeção de solução salina na submucosa. Restringe-se o uso de ME convencional quando não há elevação da lesão ap&oacut= e;s a injeção devido ao alto risco de perfuraç&atil= de;o e recorrência. A terapia de ablação pode ser útil, mas não recomendado pois impede a avaliação patológica. Cirurgia tem sido recomendado, mas pode ser excessiva, visto que a recorrência p= ode atingir somente a mucosa.</li> <br> <br> </ul> </font></div> </td> </tr> <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(= this)" style=3D'cursor:hand'> <td align=3Dright valign=3Dtop> <div class=3DsldNum><font size=3D2>18</font></div> </td> <td> <div id=3DPPTP18 class=3DPTxt><font size=3D2><a href=3D"javascript:GoToSld('slide0021.htm');" id=3DPPTL18>Endoscopic subm= ucosal dissection allows curative resection of locally recurrent early gastric cancer after prior endoscopic mucosal resection</a></font></div> <div id=3DPPTC18 class=3DCTxt style=3D'display:none'><font size=3D2> <ul> <li></li> <li> O desenvolvimento de técnicas de DSE permitiu a ressecção de tumores antes não passíveis= de tratamento endoscópico.</li> <br> <br> <li> O uso da DSE permitiu ressecar lesões maiores, e em bloco, o= que melhorou a avaliação patológicas destas peças, diminuiu recorrência local por visualizar diretamente a submucosa, e permitiu, ainda, ressecar lesões após ME prévia, dando outra opção, que não cirurgica, para os pacientes que tiveram recorrênci= a.</li> <br> <br> <li> Este estudo mostrou que a DSE é segura, eficaz e permit ressecções em bloco.</li> <br> <br> <li> Novos avanços são necessários no campo da DSE = para diminuir complicações e facilitar o procedimento.</li> </ul> </font></div> </td> </tr> <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(= this)" style=3D'cursor:hand'> <td align=3Dright valign=3Dtop> <div class=3DsldNum><font size=3D2>19</font></div> </td> <td> <div id=3DPPTP19 class=3DPTxt><font size=3D2><a href=3D"javascript:GoToSld('slide0025.htm');" id=3DPPTL19>Endoscopic subm= ucosal dissection allows curative resection of locally recurrent early gastric cancer after prior endoscopic mucosal resection</a></font></div> <div id=3DPPTC19 class=3DCTxt style=3D'display:none'><font size=3D2> <ul> <li></li> <li>Conclusão</li> <br> <br> <li>A DSE oferece uma opção alternativa a cirurgia, para recorrência local de<span style=3D'mso-spacerun:yes'> </span>tumores bom ou moderadamente diferenciados, com menor mortali= dade e morbidade, permitindo a ressecção em bloco para melh= or avaliação histológica e menor taxa de recorrência.</li> <li></li> <br> <br> <br> <br> <br> </ul> </font></div> </td> </tr> </table> </div> <div style=3D'display:none'><a href=3D"../EndoscopicSubmucosal.htm"></a><a href=3Dmaster04.htm></a><a href=3Dmaster04.xml></a><a href=3Dpreview.wmf></= a><a href=3Dmaster05.htm></a><a href=3Dmaster05.xml></a><a href=3D"master05_imag= e001.png"></a><a href=3Dpres.xml></a><a href=3Dslide0001.htm></a><a href=3D"master05_image00= 2.gif"></a><a href=3D"master05_image003.gif"></a><a href=3Dslide0003.htm></a><a href=3D"master04_image004.gif"></a><a href=3Dslide0018.htm></a><a href=3Dslide0019.htm></a><a href=3Dslide0005.htm></a><a href=3Dslide0034.ht= m></a><a href=3Dslide0036.htm></a><a href=3Dslide0037.htm></a><a href=3Dslide0035.ht= m></a><a href=3Dslide0035.xml></a><a href=3D"slide0035_image005.gif"></a><a href=3Dslide0007.htm></a><a href=3Dslide0038.htm></a><a href=3D"slide0038_image006.png"></a><a href=3D"slide0038_image007.jpg"></a>= <a href=3Dslide0039.htm></a><a href=3D"slide0039_image008.gif"></a><a href=3Dslide0033.htm></a><a href=3Dslide0008.htm></a><a href=3Dslide0040.ht= m></a><a href=3D"slide0040_image009.gif"></a><a href=3D"slide0040_image010.gif"></a>= <a href=3Dslide0009.htm></a><a href=3Dslide0020.htm></a><a href=3Dslide0021.ht= m></a><a href=3Dslide0025.htm></a><a href=3D"slide0025_image011.gif"></a><a href=3D"master04_stylesheet.css"></a><a href=3Dscript.js></a><a href=3Dfullscreen.htm></a><a href=3Dbuttons.gif></a><a href=3Dframe.htm></a= ><a href=3Doutline.htm></a></div> </body> </html> ------=_NextPart_01C6E70B.AB4AF270 Content-Location: file:///C:/3069588C/EndoscopicSubmucosal_arquivos/filelist.xml Content-Transfer-Encoding: quoted-printable Content-Type: text/xml; 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