Endoscopic ultrasonography in the treatment of early esophageal cancer and precancerous lesions in the value of.docVIP

 PAGE \* MERGEFORMAT 9 Endoscopic ultrasonography in the treatment of early esophageal cancer and precancerous lesions in the value of Of: Liang Wei, Deng million silver, LC Wong, Linde Qin, He Liping [Keywords:] Precancerous conditions; Endoscopy; gastrointestinal tract; esophageal cancer High mortality rate of esophageal cancer, early diagnosis and treatment are key to reducing mortality. Endoscopic mucosal resection (endoscopicmucosal resection, EMR) to make the high removal rate of esophageal cancer and precancerous lesions of early treatment of choice; and ultrasound endoscopy (endoscopic ultrasonography, EUS) is able to clearly show the hierarchy of the digestive tract wall, lesions and around the relationship between the adjacent organs, the key is to assess the EMR indications [1-2]. The author of 36 cases of early esophageal cancer and precancerous lesions in patients with preoperative TNM stage, guiding endoscopic therapy, and with the postoperative pathologic analysis of EUS in the treatment of early esophageal cancer and precancerous lesions in value. 1 Clinical data 1.1 General Information January 2007 -2009 in June with a total of EUS and EMR treatment of early esophageal cancer and precancerous lesions in 36 cases, 25 males and 11 females, age (58.9 + -10.3) years (42 to 78 years) ; in which the upper 12 cases, middle in 16 cases, lower in 8 cases. inclusion criteria: (1) mucosal cancer (m cancer), that is, mucosa and muscularis mucosa thickening, due to the rules, submucosa complete continuity. including severe dysplasia and carcinoma in situ (m1), invasion to the lamina propria of the squamous cell carcinoma (m2), muscularis mucosa invasion and squamous cell carcinoma (m3). (2) submucosal cancer (sm cancer), the submucosa narrow, irregular, uneven echo, without interruption, without muscle compression inherent narrow change. (3) breaking the submucosa, but there are other underlying diseases can not be operative or unwilling to a