Multiband mucosectomy in the treatment of early spinocellular carcinoma of the esophagus

Česká verzia

Authors: R. Husťak ¹; P. Fojtík ²; M. Kliment ²; Přemysl Falt ² ; M. Hanousek ²; V. Zoundjiekpon ²; E. Kundratová ²; I. Ferák ³
Authors place of work: Interná klinika Nemocnica Košice-Šaca a. s., 1. súkromná nemocnica ¹; Vzdělávací a výzkumný institut AGEL, o. p. s. – pobočka Ostrava-Vítkovice, Vítkovická nemocnice a. s., Centrum péče o zažívací trakt ²; Oddělení patologie, Nemocnice Nový Jičín ³
Published in the journal: Gastroent Hepatol 2013; 67(3): 188-193
Category: Digestive Endoscopy: Case Report

Summary

Even though the quality of esophageal squamous cell carcinoma (ESCC) treatment in our region is relatively good, detection of early asymptomatic stages of ESCC is inadequate. In most of the cases, at the time of esophagoscopy, the disease is already in an advanced stage. Endoscopic treatment is preferred in situations where the risk of surgical treatment is higher than the possible risk of disease dissemination. In the case of superficial ESCC, the main route of dissemination is lymphatic spreading. Active screening is the method of choice in identification of risk population. We present a case report of a patient with early diagnosis of ESCC treated with multiband mucosectomy, which appears as easy to use compared to classical cap endoscopic mucosal resection.

Key words:
multiband mucosectomy – high-grade intraepithelial neoplasia – esophageal squamous cell carcinoma

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