Kim Shin Hee, Hong Su Jin
Digestive Disease Center and Research Institute, Department of Internal Medicine, Department of Biostatistics, Soonchunghyang University School of Medicine, Bucheon, Korea.
Clin Endosc. 2021 Jul;54(4):464-476. doi: 10.5946/ce.2021.186. Epub 2021 Jul 26.
Advanced esophageal cancer is known to have a poor prognosis. The early detection of esophageal neoplasms, including esophageal dysplasia and early esophageal cancer, is highly important for the accurate treatment of the disease. However, esophageal dysplasia and early esophageal cancer are usually subtle and can be easily missed. In addition to the early detection, proper pretreatment evaluation of the depth of invasion of esophageal cancer is very important for curative treatment. The progression of non-invasive diagnosis via image-enhanced endoscopy techniques has been shown to aid the early detection and estimate the depth of invasion of early esophageal cancer and, as a result, may provide additional opportunities for curative treatment. Here, we review the advancement of image-enhanced endoscopy-related technologies and their role in the early identification of esophageal neoplasms.
众所周知,晚期食管癌预后较差。食管肿瘤(包括食管发育异常和早期食管癌)的早期检测对于该疾病的准确治疗至关重要。然而,食管发育异常和早期食管癌通常较为隐匿,容易被漏诊。除了早期检测外,对食管癌浸润深度进行适当的术前评估对于根治性治疗也非常重要。通过图像增强内镜技术进行的无创诊断进展已被证明有助于早期检测并估计早期食管癌的浸润深度,因此可能为根治性治疗提供更多机会。在此,我们综述图像增强内镜相关技术的进展及其在食管肿瘤早期识别中的作用。