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Endoscopic screening for upper gastrointestinal second primary malignancies in patients with hypopharyngeal squamous cell carcinoma.

Abstract Esophagoscopy is a feasible and justified procedure in HSCC cases as it enhances the detection of premalignant lesion or second primary cancer. Routine esophagoscopy for detecting synchronous second primary tumor should be recommended for patients with HSCC. The treatment strategy for primary HSCC is modified according to the presence of synchronous second primary tumor.
PMID
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Authors

Mayor MeshTerms
Keywords

Esophageal neoplasms

Gastroscopy

Hypopharyngeal neoplasms

Journal Title zhonghua er bi yan hou tou jing wai ke za zhi = chinese journal of otorhinolaryngology head and neck surgery
Publication Year Start




PMID- 29747255
OWN - NLM
STAT- MEDLINE
DCOM- 20180612
LR  - 20180612
IS  - 1673-0860 (Print)
IS  - 1673-0860 (Linking)
VI  - 53
IP  - 4
DP  - 2018 Apr 7
TI  - [Endoscopic screening for upper gastrointestinal second primary malignancies in
      patients with hypopharyngeal squamous cell carcinoma].
PG  - 292-295
LID - 10.3760/cma.j.issn.1673-0860.2018.04.010 [doi]
AB  - Objective: To evaluate the usefullness of flexible esophagoscopy and
      chromoendoscopy with Lugol's solution in the detection of synchronous esophageal 
      neoplasm in patients with hypopharyngeal squamous cell carcinoma (HSCC). Methods:
      A retrospective review of 96 cases with HSCC that received surgical treatment
      from March 2016 to March 2017 was accomplished. In these patients, the site of
      origin were pyriform sinus (n=75), posterior pharyngeal wall (n=11) and
      postcricoid (n=10). Esophagoscopy was prospectively performed on all patients
      before treatment for HSCC. All patients underwent conventional white-light
      endoscopic examination with Lugol chromoendoscopy and narrow band image.
      Suspicious areas of narrow band image or Lugol-voiding lesions were observed and 
      biopsied. The treatment strategy of primary HSCC was modified according to the
      presence of synchronous esophageal squamous cell neoplasms by a multidisciplinary
      approach. Results: Ninety-six patients were enrolled (age ranging from 37-80
      years). All patients did not have previous treatment.Histopathological analysis
      revealed middle to high-grade dysplasia in 5 cases, Tis cancer in 5 cases, cancer
      in 16 cases and inflammation or normal findings in the others. Four cases were
      treated with endoscopic submucosal dissection before hypopharygeal surgery, 3
      cases with lower esophageal cancers were treated with gastric pull-up combined
      with free jejunal flap after total circumferential pharyngolaryngectomy (TCPL)
      and certical esophagectomy, and 14 cases were treated with TCPL, total
      esophagectomy and gastric pull-up. Conclusions: Esophagoscopy is a feasible and
      justified procedure in HSCC cases as it enhances the detection of premalignant
      lesion or second primary cancer. Routine esophagoscopy for detecting synchronous 
      second primary tumor should be recommended for patients with HSCC. The treatment 
      strategy for primary HSCC is modified according to the presence of synchronous
      second primary tumor.
FAU - Tian, J J
AU  - Tian JJ
AD  - Department of Otorhinolaryngology Head and Neck Surgery, Shandong Provincial
      Hospital Affiliated to Shandong University, Jinan 250021, China.
FAU - Xu, W
AU  - Xu W
AD  - Department of Otorhinolaryngology Head and Neck Surgery, Shandong Provincial
      Hospital Affiliated to Shandong University, Jinan 250021, China.
FAU - Lyu, Z H
AU  - Lyu ZH
AD  - Department of Otorhinolaryngology Head and Neck Surgery, Shandong Provincial
      Hospital Affiliated to Shandong University, Jinan 250021, China.
FAU - Ma, J K
AU  - Ma JK
AD  - Department of Otorhinolaryngology Head and Neck Surgery, Shandong Provincial
      Hospital Affiliated to Shandong University, Jinan 250021, China.
FAU - Cui, P
AU  - Cui P
AD  - Department of Otorhinolaryngology Head and Neck Surgery, Shandong Provincial
      Hospital Affiliated to Shandong University, Jinan 250021, China.
FAU - Sa, N
AU  - Sa N
AD  - Department of Otorhinolaryngology Head and Neck Surgery, Shandong Provincial
      Hospital Affiliated to Shandong University, Jinan 250021, China.
FAU - Cao, H Y
AU  - Cao HY
AD  - Department of Otorhinolaryngology Head and Neck Surgery, Shandong Provincial
      Hospital Affiliated to Shandong University, Jinan 250021, China.
LA  - chi
PT  - Journal Article
PL  - China
TA  - Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi
JT  - Zhonghua er bi yan hou tou jing wai ke za zhi = Chinese journal of
      otorhinolaryngology head and neck surgery
JID - 101247574
RN  - 0 (Coloring Agents)
RN  - 0 (Iodides)
RN  - T66M6Y3KSA (Lugol's solution)
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Carcinoma, Squamous Cell/*diagnostic imaging
MH  - Coloring Agents
MH  - Esophageal Neoplasms/*diagnostic imaging
MH  - Esophagectomy
MH  - Esophagoscopy/*methods
MH  - Humans
MH  - Hypopharyngeal Neoplasms/*diagnostic imaging
MH  - Iodides
MH  - Middle Aged
MH  - Neoplasms, Multiple Primary
MH  - Neoplasms, Second Primary/*diagnostic imaging
MH  - Retrospective Studies
OTO - NOTNLM
OT  - Esophageal neoplasms
OT  - Gastroscopy
OT  - Hypopharyngeal neoplasms
EDAT- 2018/05/12 06:00
MHDA- 2018/06/13 06:00
CRDT- 2018/05/11 06:00
PHST- 2018/05/11 06:00 [entrez]
PHST- 2018/05/12 06:00 [pubmed]
PHST- 2018/06/13 06:00 [medline]
PST - ppublish
SO  - Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2018 Apr 7;53(4):292-295.