Progress of endoscopic treatment for early and superficial esophageal squamous cell carcinoma

doi:10.3877/cma.j.issn.2095-8773.2017.04.09

Abstract

Abstract:

Early esophageal cancer confined to the esophageal mucosa and submucosa without lymph node metastasis, including intra-mucosal and submucosal cancers. With the development of endoscopic techniques, the early diagnosis rate is going on increase. The application of endoscopic minimally invasive techniques in the treatment of early esophageal lesions not only achieves the same therapeutic effect as traditional surgical procedures, but also has the advantages of simply, safety and low risk; obviously improves the postoperative quality of life, which represents the future direction.

Key words: Esophageal early lesions, Esophageal squamous cell carcinoma, Endoscopic treatment, Early diagnosis, Indication, Complications

Yifeng Sun, Dongfang Tang, Wen Gao, Zhigang Li. Progress of endoscopic treatment for early and superficial esophageal squamous cell carcinoma[J]. Chinese Journal of Thoracic Surgery(Electronic Edition), 2017, 04(04): 239-243.

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References 29

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诊断	临床处理
瘤变阴性	随访
瘤变不明确	随访
低级别非浸润性瘤变(低级别　瘤变或异型增生)	内镜下切除或随访
黏膜高级别瘤变	内镜切除或外科局部切除
高级别腺瘤或异型增生	内镜切除或外科局部切除
非浸润癌(原位癌)	内镜切除或外科局部切除
可疑浸润癌	内镜切除或外科局部切除
黏膜内癌	内镜切除或外科局部切除
黏膜下浸润癌	外科手术切除

诊断	临床处理
瘤变阴性	随访
瘤变不明确	随访
低级别非浸润性瘤变(低级别　瘤变或异型增生)	内镜下切除或随访
黏膜高级别瘤变	内镜切除或外科局部切除
高级别腺瘤或异型增生	内镜切除或外科局部切除
非浸润癌(原位癌)	内镜切除或外科局部切除
可疑浸润癌	内镜切除或外科局部切除
黏膜内癌	内镜切除或外科局部切除
黏膜下浸润癌	外科手术切除

分型	亚型
隆起型(0～Ⅰ型)	带蒂(0～Ⅰp)
?	无蒂(0～Ⅰs)
平坦型(0～Ⅱ型)	表浅隆起型(0～Ⅱa)
?	表浅平坦型(0～Ⅱb)
?	表浅凹陷型(0～Ⅱc)
凹陷型(0～Ⅱ型)	?
混合型	0～(Ⅰa＋Ⅱc)型
?	0～Ⅱc＋Ⅱa型
?	0～Ⅱc型＋Ⅲ型
?	0～Ⅱ＋Ⅱc型

分型	亚型
隆起型(0～Ⅰ型)	带蒂(0～Ⅰp)
?	无蒂(0～Ⅰs)
平坦型(0～Ⅱ型)	表浅隆起型(0～Ⅱa)
?	表浅平坦型(0～Ⅱb)
?	表浅凹陷型(0～Ⅱc)
凹陷型(0～Ⅱ型)	?
混合型	0～(Ⅰa＋Ⅱc)型
?	0～Ⅱc＋Ⅱa型
?	0～Ⅱc型＋Ⅲ型
?	0～Ⅱ＋Ⅱc型

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