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DOI: 10.1055/s-0042-1744606
TOGETHER WE STAND FOR TOUGH LOCALIZATION; ENDOSCOPIC SUBMUCOSAL DISSECTION TREATMENT OF EARLY STAGE ESOPHAGEAL CARCINOMA
A 40-year-old female patient evaluated with endoscopy for reflux symptoms that are refractory to PPI treatment.On endoscopy there was a 5cm in diameter flat undyed area at upper-esophagus starting from hypopharynx and involving bilateral pyriform-sinuses.On CT and endoscopic-ultrasonography, there was no pathological lymph node and invasion the muscularis propria observed.Patient was treated with ESD on a joint operation with head-neck-surgeon.During procedure, the submucosal tunnels was made starting from both pyriform-sinuses and the rest of the submucosal dissection was completed with traction provided with laryngoscope.The lesion was externalized upon en-bloc removal. The lesion was reported as intramucosal carcinoma with clear all-margins.
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Publication History
Article published online:
14 April 2022
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