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

Czech version

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‘ workplace: 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: Gastroent Hepatol 2013; 67(3): 188-193
Category: Digestive Endoscopy: Case Report

Overview

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

Sources

1. Siegel R, Naishadham D, Jemal A. Cancer statistics, 2013. CA Cancer J Clin 2013; 63(1): 11–30.

2. Kajzrlíková IM, Vitek P, Falt P et al. Recurrent oesophageal intramucosal squamous carcinoma treated by endoscopic mucosal resection and subsequent radiofrequency ablation using HALO system; BMJ Case Reports 2010.

3. Vítek P, Komínek P, Kajzrlíková IM et al. Endoskopická diagnostika a léčba časného spinocelulárního karcinomu jícnu je možná i v populaci s nízkou incidencí tohoto onemocnění. Endoskopie 2009; 18(4): 161–166.

4. Uedo N, Fujishiro M, Goda K et al. Role of narrow band imaging for diagnosis of early-stage esophagogastric cancer: current consensus of experienced endoscopists in Asia-Pacific region. Dig Endosc 2011; 23 (Suppl 1): 58–71.

5. Roth MJ, Liu SF, Dawsey SM et al. Cytologic detection of esophageal squamous cell carcinoma and precursor lesions using balloon and sponge samplers in asymptomatic adults in Linxian, China. Cancer 1997; 80(11): 2047–2059.

6. Bollschweiler E, Baldus SE, Schröder W et al. High rate of lymph-node metastasis in submucosal esophageal squamous-cell carcinomas and adenocarcinomas. Endoscopy 2006; 38(2): 149–156.

7. Katada C, Muto M, Momma K et al. Clinical outcome after endoscopic mucosal resection for esophageal squamous cell carcinoma invading the muscularis mucosae – a multicenter retrospective cohort study. Endoscopy 2007; 39(9): 779–783.

8. Soehendra N, Seewald S, Groth S et al. Use of modified multiband ligator facilitates circumferential EMR in Barett‘s esophagus. Gastrointest Endosc 2006; 63(6): 847–852.

9. Zhang YM, Boerwinkel DF, He S et al. Prospective feasibility study on the use of multiband mucosectomy for endoscopic resection of early squamous neoplasia in the esophagus. Endoscopy 2013; 45(3): 167–173.

10. Ishihara R, Iishi H, Takeuchi Y et al. Local recurrence of large squamous-cell carcinoma of the esophagus after endoscopic resection. Gastrointest Endosc 2008; 67(6): 799–804.

11. van Vliet EP, Heijenbrok-Kal MH, Hunink MG et al. Staging investigations for oesophageal cancer: a meta-analysis. Br J Cancer 2008; 98(3): 547–557.

12. Falt P, Kajzrlíková IM, Urban O et al. Radiofrekvenční ablace v terapii časného spinocelulárního karcinomu jícnu. Endoskopie 2010; 19(2): 71–74.

13. Wang GQ, Abnet CC, Shen Q et al. Histological precursors of oesophageal squamous cell carcinoma: results from a 13 year prospective folow up study in a high risk population. GUT 2005; 54(2): 187–192.

14. Urban O, Vítek P, Fojtík P et al. Endoscopic submucosal dissection: initial experience in the Czech Republic. Folia Gastroenterol Hepatol 2006; 4(1): 4–10.

15. Komínek P, Vítek P, Urban O et al. Chromoendoscopy to detect early synchronous second primary esophageal carcinoma in patients with squamous cell carcinomas of the head and neck? Gastroenterol Res Pract 2013; doi: 10.1155/2013/236264.

16. Ell C. Endoscopic treatment of early esoph cancer. UEGW, Prague GUT 2004; (A 58).

17. Yoshii T, Ohkawa S, Tamai S et al. Clinical outcome of endoscopic mucosal resection for esophageal squamous cell cancer invading muscularis mucosa and submucosal layer. Dis Esophagus 2012; doi: 10.1111/j.1442-2050.2012.01370.x.

18. Thosani N, Singh H, Kapadia A et al. A Diagnostic accuracy of EUS in differentiating mucosal versus submucosal invasion of superficial esophageal cancers: a systematic review and meta-analysis. Gastrointest Endosc 2012; 75(2): 242–253.

19. Pech O, May A, Gossner L et al. Curative endoscopic therapy in patients with early esophageal squamous-cell carcinoma or high-grade intraepithelial neoplasia. Endoscopy 2007; 39(1): 30–35.