Analysis of risk factors for depth of invasion and angiolymphatic invasion for circumferential superficial esophageal squamous cell carcinoma and precancerous lesion.
10.3760/cma.j.cn112152-20220418-00269
- Author:
Yi LIU
1
;
Li Zhou DOU
1
;
Xue Min XUE
2
;
Yong LIU
1
;
Shun HE
1
;
Yue Ming ZHANG
1
;
Yan KE
1
;
Xu Dong LIU
1
;
Chang Yuan GUO
2
;
Li Yan XUE
2
;
Gui Qi WANG
1
Author Information
1. Department of Endoscopy, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China.
2. Department of Pathology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China.
- Publication Type:Journal Article
- Keywords:
Angiolymphatic invasion;
Circumferential lesions;
Deep submucosal invasion;
Esophageal squamous cell carcinoma;
Esophageal squamous epithelial high-grade intraepithelial neoplasia;
Gastroscopy
- MeSH:
Humans;
Esophageal Squamous Cell Carcinoma/pathology*;
Esophageal Neoplasms/pathology*;
Retrospective Studies;
Esophagoscopy;
Carcinoma, Squamous Cell/pathology*;
Precancerous Conditions/surgery*;
Margins of Excision;
Risk Factors
- From:
Chinese Journal of Oncology
2023;45(2):153-159
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To analyze clinicopathological features of circumferential superficial esophageal squamous cell carcinoma and precancerous lesions and investigate the risk factors for deep submucosal invasion and angiolymphatic invasion retrospectively. Methods: A total of 116 cases of esophageal squamous epithelial high-grade intraepithelial neoplasia or squamous cell carcinoma diagnosed by gastroscopy, biopsy pathology and endoscopic resection pathology during November 2013 to October 2021 were collected, and their clinicopathological features were analyzed. The independent risk factors of deep submucosal invasion and angiolymphatic invasion were analyzed by logistic regression model. Results: The multivariate logistic regression analysis showed that drinking history (OR=3.090, 95% CI: 1.165-8.200; P<0.05), The AB type of intrapapillary capillary loop (IPCL) (OR=11.215, 95% CI: 3.955-31.797; P<0.05) were the independent risk factors for the depth of invasion. The smoking history (OR=5.824, 95% CI: 1.704-19.899; P<0.05), the presence of avascular area (AVA) (OR=3.393, 95% CI: 1.285-12.072; P<0.05) were the independent factors for the angiolymphatic invasion. Conclusions: The risk of deep submucosal infiltration is greater for circumferential superficial esophageal squamous cell carcinoma patients with drinking history and IPCL type B2-B3 observed by magnifying endoscopy, while the risk of angiolymphatic invasion should be vigilant for circumferential superficial esophageal squamous cell carcinoma patients with smoking history and the presence of AVA observed by magnifying endoscopy. Ultrasound endoscopy combined with narrowband imagingand magnification endoscopy can improve the accuracy of preoperative assessment of the depth of infiltration of superficial squamous cell carcinoma and precancerous lesions and angiolymphaticinvasion in the whole perimeter of the esophagus, and help endoscopists to reasonably grasp the indications for endoscopic treatment.
