Endoscopic Mucosal Resection for Early Esophageal Cancer. A Case Report

Liliana Dina, Marcel Tantau, Daniela Dumitra,Teodor Zaharia, Oliviu Pascu, Mircea Grigorescu, Monica Acalovschi

3rd Medical Clinic, University of Medicine and Pharmacy, Cluj-Napoca

Abstract

With the rapid progress of the diagnostic techniques, especially endoscopy, the discovery rate of early superficial cancer of the esophagus has increased markedly. Relatively recently introduced, endoscopic mucosal resection (EMR) is now widely used in the treatment of early stage cancer of the esophagus.

We used EMR in the case of a patient who was incidentally diagnosed with a type IIa early esophageal cancer using a band-ligating device. We had no serious complications. At the histophatological examination we noticed that the carcinoma involved the upper third of the submucosal layer. For this reason the patient was given additional therapy (radiotherapy), too. A month after the EMR, at the histological examination we found no local signs of recurrent disease.

Key words: Endoscopic mucosal resection - early esophageal cancer - esophagectomy