Strategies for the Endoscopic Management and Post-Resection Treatment of Superficial Esophageal Squamous Cell Carcinoma
Endoscopic resection (ER) is preferred for treating superficial esophageal squamous cell carcinoma (SESCC) that has a low risk of lymph node metastasis; the preference is due to the technique’s minimal invasiveness and having outcomes comparable to those of surgical resection, in suitable cases. Det...
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| Format: | Article |
| Language: | English |
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Korean College of Helicobacter and Upper Gastrointestinal Research
2024-03-01
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| Series: | The Korean Journal of Helicobacter and Upper Gastrointestinal Research |
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| Online Access: | http://helicojournal.org/upload/pdf/kjhugr-2024-0009.pdf |
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| author | Hyun Ho Choi |
| author_facet | Hyun Ho Choi |
| author_sort | Hyun Ho Choi |
| collection | DOAJ |
| description | Endoscopic resection (ER) is preferred for treating superficial esophageal squamous cell carcinoma (SESCC) that has a low risk of lymph node metastasis; the preference is due to the technique’s minimal invasiveness and having outcomes comparable to those of surgical resection, in suitable cases. Determining the appropriateness of ER requires a multidisciplinary review involving a pathological examination of the tumor’s depth, size, and lymphovascular invasion following resection of a specimen. According to the Korean guidelines, no additional treatment is necessary after a complete en bloc resection of SESCC that lacks submucosal invasion and lymphovascular invasion. In cases of non-curative resection for tumors that exhibit submucosal invasion, lymphovascular invasion, or positive margins, additional treatment (e.g., esophagectomy or chemoradiotherapy) is recommended. Due to the uncertainty regarding which treatment is more effective, tailored therapy that is based on patient factors and tumor characteristics is needed to maximize patient long-term survival and improve quality of life. |
| format | Article |
| id | doaj-art-59d3fc6cb59c45f09dfe8320de07d9af |
| institution | Kabale University |
| issn | 1738-3331 |
| language | English |
| publishDate | 2024-03-01 |
| publisher | Korean College of Helicobacter and Upper Gastrointestinal Research |
| record_format | Article |
| series | The Korean Journal of Helicobacter and Upper Gastrointestinal Research |
| spelling | doaj-art-59d3fc6cb59c45f09dfe8320de07d9af2025-08-20T03:33:21ZengKorean College of Helicobacter and Upper Gastrointestinal ResearchThe Korean Journal of Helicobacter and Upper Gastrointestinal Research1738-33312024-03-01241404410.7704/kjhugr.2024.0009820Strategies for the Endoscopic Management and Post-Resection Treatment of Superficial Esophageal Squamous Cell CarcinomaHyun Ho ChoiEndoscopic resection (ER) is preferred for treating superficial esophageal squamous cell carcinoma (SESCC) that has a low risk of lymph node metastasis; the preference is due to the technique’s minimal invasiveness and having outcomes comparable to those of surgical resection, in suitable cases. Determining the appropriateness of ER requires a multidisciplinary review involving a pathological examination of the tumor’s depth, size, and lymphovascular invasion following resection of a specimen. According to the Korean guidelines, no additional treatment is necessary after a complete en bloc resection of SESCC that lacks submucosal invasion and lymphovascular invasion. In cases of non-curative resection for tumors that exhibit submucosal invasion, lymphovascular invasion, or positive margins, additional treatment (e.g., esophagectomy or chemoradiotherapy) is recommended. Due to the uncertainty regarding which treatment is more effective, tailored therapy that is based on patient factors and tumor characteristics is needed to maximize patient long-term survival and improve quality of life.http://helicojournal.org/upload/pdf/kjhugr-2024-0009.pdfesophageal squamous cell carcinomaendoscopic mucosal resectionendoscopic submucosal dissectionlymph node metastasis |
| spellingShingle | Hyun Ho Choi Strategies for the Endoscopic Management and Post-Resection Treatment of Superficial Esophageal Squamous Cell Carcinoma The Korean Journal of Helicobacter and Upper Gastrointestinal Research esophageal squamous cell carcinoma endoscopic mucosal resection endoscopic submucosal dissection lymph node metastasis |
| title | Strategies for the Endoscopic Management and Post-Resection Treatment of Superficial Esophageal Squamous Cell Carcinoma |
| title_full | Strategies for the Endoscopic Management and Post-Resection Treatment of Superficial Esophageal Squamous Cell Carcinoma |
| title_fullStr | Strategies for the Endoscopic Management and Post-Resection Treatment of Superficial Esophageal Squamous Cell Carcinoma |
| title_full_unstemmed | Strategies for the Endoscopic Management and Post-Resection Treatment of Superficial Esophageal Squamous Cell Carcinoma |
| title_short | Strategies for the Endoscopic Management and Post-Resection Treatment of Superficial Esophageal Squamous Cell Carcinoma |
| title_sort | strategies for the endoscopic management and post resection treatment of superficial esophageal squamous cell carcinoma |
| topic | esophageal squamous cell carcinoma endoscopic mucosal resection endoscopic submucosal dissection lymph node metastasis |
| url | http://helicojournal.org/upload/pdf/kjhugr-2024-0009.pdf |
| work_keys_str_mv | AT hyunhochoi strategiesfortheendoscopicmanagementandpostresectiontreatmentofsuperficialesophagealsquamouscellcarcinoma |