1. Study of preoperative diagnostic modalities in Chinese patients with superficial esophageal squamous cell carcinoma
- Author
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Ya-Ting, Zeng, Yu-Ying, Sun, Wen-Cheng, Tan, Shu-Ai, Luo, Bi-Hui, Zou, Guang-Yu, Luo, and Chun-Yu, Huang
- Subjects
General Earth and Planetary Sciences ,General Environmental Science - Abstract
Endoscopic ultrasonography (EUS) and magnifying endoscopy (ME) reliably determine indications for endoscopic resection in patients with superficial esophageal squamous cell carcinoma (SESCC). ME is widely accepted for predicting the invasion depth of superficial esophageal cancer with satisfying accuracy. However, the addition of EUS is controversial.To evaluate the diagnostic efficiency of MEWe retrospectively analyzed patients with suspected SESCC who completed both ME and EUS and then underwent endoscopic or surgical resection at Sun Yat-Sen University Cancer Center between January 2018 and December 2021. We evaluated and compared the diagnostic efficiency of EUS and ME according to histological results, and investigated the influencing factors.We included 152 lesions from 144 patients in this study. The diagnostic accuracies of ME and EUS in differentiating invasion depth were not significantly different (73.0% and 66.4%,Preoperative diagnosis of SESCC should be conducted endoscopically using white light and magnification. In China, EUS can be added after obtaining patient consent. Use of a high-frequency miniature probe or miniature probe combined with conventional EUS is preferable.
- Published
- 2022