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Endoscopic Mucosectomy of Superficial Esophageal Carcinoma Evaluated by Surgical Results Hiroko Ide 1 1Department of Gastroenterological Surgery, Tokyo Women's Medical College Keyword: 食道表在癌 , 粘膜切除 , 深達度診断 pp.133-139
Published Date 1993/2/25
DOI https://doi.org/10.11477/mf.1403106044
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 To evaluate resectability of superficial esophageal carcinoma by endoscopic mucosectomy, we analyzed the late results and the pathological findings of 190 patients with superficial esophageal carcinoma who underwent esophagectomy and showed the results of 13 patients who underwent endoscopic mucosectomy. The gross cumulative survival rate (A) was about 10% lower than the corrected one (B) excluding non-cancerous deaths. The decrease in the gross cumulative survival rate was prominent in the group of mm carcinoma and the elderly who was older than 76 years old.

 Intra-epithelial carcinoma, especially a type 0-Ⅱb or a flat type 0-Ⅱc lesion was regarded as an absolute indication for endoscopic mucosectomy. A type 0-Ⅱ carcinoma within the lamina propria mucosae invasion and a lesion less than 2 cm in size were relative indications. Because sm carcinomas less than 1 cm in size had low possibility of vessel invasion and high resectability by single mucosectomy, we would like to extend indications for mucosectomy to the elderly and the high risk patients and evaluate the necessity of additional treatments by histopathological findings.


Copyright © 1993, 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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