Clinical value of endoscopic submucosal dissection for superficial hypopharyngeal neoplasm (with video)

中华消化内镜杂志 Pub Date : 2019-03-20 DOI:10.3760/CMA.J.ISSN.1007-5232.2019.03.008

Meng-jiang He, Wei-feng Chen, Yi-Qun Zhang, Quan-Lin Li, Y. Zhong, Lili Ma, P. Zhou

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Abstract

Objective To evaluate the safety and efficacy of endoscopic submucosal dissection(ESD)for superficial hypopharyngeal neoplasm. Methods Clinicopathological data of 9 patients, who received ESD for superficial hypopharyngeal neoplasm in Zhongshan Hospital affiliated to Fudan University from September 2015 to March 2018, were retrospectively analyzed. Results Nine patients including 7 males and 2 females with mean age of 61.2 years (48-80 years)were included. The mean diameter of lesions was 16.3 mm (5-27 mm), and the mean operation time was 52.2 min(30-90 min). No bleeding, perforation, emphysema or dyspnea during or after ESD occurred. The mean length of hospitalization was 4.6 days (3-7 days). Pathology indicated 1 high grade intraepithelial neoplasia and 8 squamous cell cancer, and all cases of squamous cell cancer were constrained within lamina propria. One patient had positive horizontal margin and received radiotherapy. No recurrence, metastasis or stenosis was found during 10.2 months (3-29 months)of follow-up. Conclusion ESD is a safe and effective option for superficial hypopharyngeal neoplasm. Key words: Endoscopy; Hypopharyngeal neoplasms; Endoscopic submucosal dissection

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内镜下粘膜下剥离术治疗浅表性下咽肿瘤的临床价值(附视频)

目的评价内镜下粘膜下剥离术(ESD)治疗浅表性下咽肿瘤的安全性和有效性。方法回顾性分析2015年9月至2018年3月复旦大学附属中山医院接受ESD治疗的9例浅表下咽肿瘤患者的临床病理资料。结果9例患者，男7例，女2例，平均年龄61.2岁(48 ~ 80岁)。平均病灶直径16.3 mm (5 ~ 27 mm)，平均手术时间52.2 min(30 ~ 90 min)。无出血、穿孔、肺气肿、呼吸困难。平均住院时间4.6天(3 ~ 7天)。病理显示1例高级别上皮内瘤变，8例鳞状细胞癌，鳞状细胞癌均局限于固有层。1例水平缘阳性，行放射治疗。随访10.3个月(3 ~ 29个月)，无复发、转移、狭窄。结论ESD是治疗浅表性下咽肿瘤安全有效的方法。关键词:内窥镜检查;咽下的肿瘤;内镜下粘膜夹层

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来源期刊

中华消化内镜杂志

CiteScore

0.10

自引率

0.00%

发文量

7555

期刊介绍： Chinese Journal of Digestive Endoscopy is a high-level medical academic journal specializing in digestive endoscopy, which was renamed Chinese Journal of Digestive Endoscopy in August 1996 from Endoscopy. Chinese Journal of Digestive Endoscopy mainly reports the leading scientific research results of esophagoscopy, gastroscopy, duodenoscopy, choledochoscopy, laparoscopy, colorectoscopy, small enteroscopy, sigmoidoscopy, etc. and the progress of their equipments and technologies at home and abroad, as well as the clinical diagnosis and treatment experience. The main columns are: treatises, abstracts of treatises, clinical reports, technical exchanges, special case reports and endoscopic complications. The target readers are digestive system diseases and digestive endoscopy workers who are engaged in medical treatment, teaching and scientific research. Chinese Journal of Digestive Endoscopy has been indexed by ISTIC, PKU, CSAD, WPRIM.