“…A total of 17 out of the 31 studies included tumor depth invasion data, resulting in an invasion that included the submucosa in most cases [ 15 , 16 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 28 , 30 , 32 , 34 , 35 , 36 , 37 , 38 ]. A total of 26 out of the 31 papers reported dimensional data, and the median size was 16.5 mm (8–62.5 mm) [ 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 23 , 24 , 26 , 28 , 31 , 32 , 34 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 ]. Six out of thirty-one authors reported a cut-off size of >10 mm for low tumor-related death [ 16 , 17 , 18 , 19 , 21 , 39 ], while 7 out of the 31 papers reported a larger cut-off size of >20 mm for an increased risk of gastric wall infiltration, metastasis at diagnosis, and relapse ( p < 0.001) [ 14 , 22 , ...…”