Monnier P, Savary M, Pasche R, Anani P
Endoscopy. 1981 Sep;13(5):185-91. doi: 10.1055/s-2007-1021680.
The endoscopic detection of 18 "early" hypopharyngo-oesophageal carcinomas, has allowed us to perform a detailed study of the morphological correlation between endoscopy and histology (in 10 cases). We have thus defined 4 different endoscopic types of intraepithelial carcinomas; their morphology, mapping and evolution are greatly variable. In high risk groups (heavy smoking and alcohol consumption, ENt-cancer) the multicentricity of intraepithelial carcinomas (80%) entails a thorough endoscopic screening of the upper digestive tract (mouth, pharynx, oesophagus) and of the lower respiratory tract (larynx, trachea and bronchi).
对18例“早期”下咽-食管癌进行内镜检查，使我们能够对10例患者的内镜检查与组织学之间的形态学相关性进行详细研究。我们据此定义了4种不同类型的上皮内癌的内镜表现；它们的形态、分布和演变差异很大。在高危人群（大量吸烟和饮酒、耳鼻喉癌）中，上皮内癌的多中心性（80%）需要对上消化道（口腔、咽、食管）和下呼吸道（喉、气管和支气管）进行全面的内镜筛查。
