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Endoscopic Diagnosis of Squamous Cell Carcinoma of the Esophagus

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Abstract

Recent advance in endoscopic imaging technology enables the endoscopists to detect esophageal squamous cell carcinoma (ESCC) more accurately than conventional white light image (WLI) and Lugol chromoendoscopy. Especially, magnifying endoscopy and equipment-based image-enhanced endoscopy (IEE) [1] including narrow-band imaging (NBI) opened a brand new door of the endoscopic diagnostic field. Magnifying endoscopy combined with IEE can visualize the microstructure of the epithelial surface and microvasculature. Based on the morphological changes in these structures, we can make diagnosis more correctly and objectively. Therefore, in addition to the previous conventional strategy of endoscopic diagnosis, new diagnostic strategies based on morphological changes in the microvasculature and epithelial surface are now required and needed for the endoscopists.

In this chapter, we explained diagnostic strategies by practical endoscopy including detection, differential diagnosis, evaluation of depth of invasion, and histological confirmation of squamous cell carcinoma of the esophagus.

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Correspondence to Manabu Muto MD, PhD .

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Muto, M. (2015). Endoscopic Diagnosis of Squamous Cell Carcinoma of the Esophagus. In: Ando, N. (eds) Esophageal Squamous Cell Carcinoma. Springer, Tokyo. https://doi.org/10.1007/978-4-431-54977-2_4

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  • DOI: https://doi.org/10.1007/978-4-431-54977-2_4

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  • Publisher Name: Springer, Tokyo

  • Print ISBN: 978-4-431-54976-5

  • Online ISBN: 978-4-431-54977-2

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