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Recent Advancement of Endoscopic Diagnosis for m3/sm Cancer in the Esophagus Haruhiro Inoue 1 , Toshihisa Hosoya 1 , Makoto Kaga 1 , Satoshi Sugaya 1 , Yoshitaka Sato 1 , Hitoshi Satodate 1 , Hiroyuki Nagayama 1 , Shigeharu Hamatani 2 , Shin-ei Kudo 1 1Digestive Disease Center, Showa University Northern Yokohama Hospital, Yokohama, Japan 2Department of Pathology, Showa University Northern Yokohama Hospital, Yokohama, Japan Keyword: 食道癌 , m3・sm1 , IPCLパターン分類 , 拡大内視鏡 , EMR/ESD pp.1374-1384
Published Date 2006/9/25
DOI https://doi.org/10.11477/mf.1403100652
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 Endoscopic diagnosis of a m3/sm1 lesion has become extremely important because such a lesion can be treated by EMR/ESD.

 Magnifying endoscopic findings provide crucial information for the diagnosis of m3/sm1 lesions. IPCL pattern classification was advocated to describe the findings of magnification endoscopy.

 IPCL type V-3 is characteristic of the m3/sm1 lesion, and is divided into three categories. IPCL type V-3a is an image in which IPCL lengthened into a deeper layer as if trying to join hands with the neighboring pattern. IPCL type V-3b is an image in which the original IPCL image has been totally destroyed and horizontally running small tumor vessels are observed. IPCL type V-3ab includes both findings together. These findings are not observed in m1 and m2 carcinomas, but are peculiar to m3/sm1.

 Carcinoma of sm2 or deeper shows findings of IPCL type VN, and in recommended for surgical treatment by thoraco-& laparoscopic surgery using HALS technique.


Copyright © 2006, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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