超声内镜相关技术在早期食管癌诊断中的应用

doi:10.3760/cma.j.cn371439-20200630-00035

摘要/Abstract

摘要：

食管癌是临床上常见的恶性肿瘤之一,其发病率和死亡率一直居高不下,分期是其综合治疗及预后评估的主要依据。准确的分期对于适当的诊断、个体化治疗和良好的预后至关重要。超声内镜相关技术可以明确肿瘤浸润深度和局部淋巴结转移,使食管癌的诊断更为精确,在早期食管癌的诊断、治疗中发挥越来越重要的作用。

关键词: 食管肿瘤, 超声内镜, 诊断, 治疗

Abstract:

Esophageal cancer is one of the most common malignant tumors in clinic, and its morbidity and mortality are always high. Staging is the main basis for comprehensive treatment and prognosis evaluation. Accurate staging is essential for proper diagnosis, individualized treatment and good prognosis. Related technologies of endoscopic ultrasonography can determine the depth of tumor invasion and local lymph node metastasis, which makes the diagnosis of esophageal cancer more accurate, and plays an increasingly important role in the diagnosis and treatment of early esophageal cancer.

Key words: Esophageal neoplasms, Endoscopic ultrasonography, Diagnosis, Treatment

郑臻, 朱兆峰. 超声内镜相关技术在早期食管癌诊断中的应用[J]. 国际肿瘤学杂志, 2021, 48(3): 176-179.

Zheng Zhen, Zhu Zhaofeng. Application of endoscopic ultrasonography in the diagnosis of early esophageal cancer[J]. Journal of International Oncology, 2021, 48(3): 176-179.

参考文献 36

[1]	Ripley RT, Sarkaria IS, Grosser R, et al. Pretreatment dysphagia in esophageal cancer patients may eliminate the need for staging by endoscopic ultrasonography[J]. Ann Thorac Surg, 2016,101(1):226-230. DOI: 10.1016/j.athoracsur.2015.06.062. doi: 10.1016/j.athoracsur.2015.06.062 pmid: 26603024
[2]	Jung HK, Tae CH, Lee HA, et al. Treatment pattern and overall survival in esophageal cancer during a 13-year period: a nationwide cohort study of 6 354 Korean patients[J]. PLoS One, 2020,15(4):e0231456. DOI: 10.1371/journal.pone.0231456. doi: 10.1371/journal.pone.0231456 pmid: 32275699
[3]	Chen W, Zheng R, Baade PD, et al. Cancer statistics in China, 2015[J]. CA Cancer J Clin, 2016,66(2):115-132. DOI: 10.3322/caac.21338. doi: 10.3322/caac.21338 pmid: 26808342
[4]	Lin Y, Totsuka Y, Shan B, et al. Esophageal cancer in high-risk areas of China: research progress and challenges[J]. Ann Epidemiol, 2017,27(3):215-221. DOI: 10.1016/j.annepidem.2016.11.004. doi: 10.1016/j.annepidem.2016.11.004 pmid: 28007352
[5]	Abnet CC, Arnold M, Wei WQ. Epidemiology of esophageal squamous cell carcinoma[J]. Gastroenterology, 2018,154(2):360-373. DOI: 10.1053/j.gastro.2017.08.023. doi: 10.1053/j.gastro.2017.08.023 pmid: 28823862
[6]	Zhu ZJ, Qi Z, Zhang J, et al. Untargeted metabolomics analysis of esophageal squamous cell carcinoma discovers dysregulated metabolic pathways and potential diagnostic biomarkers[J]. J Cancer, 2020,11(13):3944-3954. DOI: 10.7150/jca.41733. doi: 10.7150/jca.41733 pmid: 32328198
[7]	许宗渠, 刘锦源, 周悦, 等. 超声内镜对食管癌术前TN分期诊断的准确性及其影响因素[J]. 中国临床研究, 2018,31(4):455-458. DOI: 10.13429/j.cnki.cjcr.2018.04.006.
[8]	Yang J, Luo GY, Liang RB, et al. Efficacy of endoscopic ultrasono-graphy for determining clinical T category for esophageal squamous cell carcinoma: data from 1 434 surgical cases[J]. Ann Surg Oncol, 2018,25(7):2075-2082. DOI: 10.1245/s10434-018-6406-9. doi: 10.1245/s10434-018-6406-9 pmid: 29667114
[9]	刘春丽, 卞晓林, 王焱, 等. 内镜超声对食管癌术前分期的诊断价值分析[J]. 中国实用医药, 2016,11(26):65-66. DOI: 10.14163/j.cnki.11-5547/r.2016.26.036.
[10]	Hagens ERC, van Berge Henegouwen MI, van Sandick JW, et al. Distribution of lymph node metastases in esophageal carcinoma [TIGER study]: study protocol of a multinational observational study[J]. BMC Cancer, 2019,19(1):662. DOI: 10.1186/s12885-019-5761-7. doi: 10.1186/s12885-019-5761-7 pmid: 31272485
[11]	刘剑芳, 邵华飞, 屈东, 等. 食管癌转移淋巴结多层螺旋CT诊断标准探讨[J]. 癌症进展, 2016,14(1):56-58. DOI: 10.11877/j.issn.1672-1535.2016.14.01.16.
[12]	Ajani JA, D'Amico TA, Almhanna K, et al. Esophageal and esophagogastric junction cancers, version1. 2015[J]. J Natl Compr Canc Netw, 2015,13(2):194-227. DOI: 10.6004/jnccn.2015.0028.
[13]	刘晓妮, 贺利霞, 蒋洁. EUS联合PET-CT检查对食管癌术前T、N分期诊断的临床价值[J]. 中国CT与MRI杂志, 2018,16(12):78-80. DOI: 10.3969/j.issn.1672-5131.2018.12.025.
[14]	马跃峰, 邢鑫, 孔冉冉, 等. 食管癌术前超声内镜T、N分期与术后病理T、N分期的比较[J]. 现代肿瘤医学, 2018,26(21):3404-3407. DOI: 10.3969/j.issn.1672-4992.2018.21.013.
[15]	Ebi M, Shimura T, Yamada T, et al. Multicenter, prospective trial of white-light imaging alone versus white-light imaging followed by magnifying endoscopy with narrow-band imaging for the real-time imaging and diagnosis of invasion depth in superficial esophageal squamous cell carcinoma[J]. Gastrointest Endosc, 2015,81(6):1355-1361. DOI: 10.1016/j.gie.2014.11.015. doi: 10.1016/j.gie.2014.11.015 pmid: 25683023
[16]	高亚东, 屈亚威, 刘海峰. 放大内镜与超声内镜对早期食管癌浸润深度诊断价值的Meta分析[J]. 重庆医学, 2019,48(1):98-101, 105. DOI: 10.3969/j.issn.1671-8348.2019.01.025.
[17]	杨惠珍, 张正行. 放大内镜与超声内镜对早期食管癌浸润深度的诊断价值[J]. 临床医学, 2020,40(5):34-36. DOI: 10.19528/j.issn.1003-3548.2020.05.013.
[18]	Shibahara T, Yamamoto N, Yakushiji T, et al, Narrow-band imaging system with magnifying endoscopy for early oral cancer[J]. Bull Tokyo Dent Coll, 2014,55(2):87-94. DOI: 10.2209/tdcpublication.55.87. pmid: 24965953
[19]	East JE, Vleugels JL, Roelandt P, et al. Advanced endoscopic imaging: European Society of Gastrointestinal Endoscopy (ESGE) technology review[J]. Endoscopy, 2016,48(11):1029-1045. DOI: 10.1055/s-0042-118087. pmid: 27711949
[20]	Oyama T, Inoue H, Arima M, et al. Prediction of the invasion depth of superficial squamous cell carcinoma based on microvessel morphology: magnifying endoscopic classification of the Japan Esophageal Society[J]. Esophagus, 2017,14(2):105-112. DOI: 10.1007/s10388-016-0527-7. doi: 10.1007/s10388-016-0527-7 pmid: 28386209
[21]	Mizumoto T, Hiyama T, Quach DT, et al. Magnifying endoscopy with narrow band imaging in estimating the invasion depth of superficial esophageal squamous cell carcinomas[J]. Digestion, 2018,98(4):249-256. DOI: 10.1159/000489490.
[22]	Su Z, Wang L, Wei S, et al. Clinical diagnostic value of digestive endoscopic narrow-band imaging in early esophageal cancer[J]. Oncol Lett, 2019,17(6):5481-5486. DOI: 10.3892/ol.2019.10278. pmid: 31186767
[23]	Ide E, Carneiro FO, Frazão MS. Endoscopic detection of early esophageal squamous cell carcinoma in patients with achalasia: narrow-band imaging versus Lugol's staining [J]. J Oncol, 2013,2013:736756. DOI: 10.1155/2013/736756. pmid: 23935622
[24]	Wang P, Xiao X, Glissen Brown JR, et al. Development and validation of a deep-learning algorithm for the detection of polyps during colonoscopy[J]. Nat Biomed Eng, 2018,2(10):741-748. DOI: 10.1038/s41551-018-0301-3. pmid: 31015647
[25]	Hirasawa T, Aoyama K, Tanimoto T, et al. Application of artificial intelligence using a convolutional neural network for detecting gastric cancer in endoscopic images[J]. Gastric cancer, 2018,21(4):653-660. DOI: 10.1007/s10120-018-0793-2. doi: 10.1007/s10120-018-0793-2 pmid: 29335825
[26]	Nakashima H, Kawahira H, Kawachi H, et al. Artificial intelligence diagnosis of Helicobacter pylori infection using blue laser imaging-bright and linked color imaging: a single-center prospective study[J]. Ann Gastroenterol, 2018,31(4):462-468. DOI: 10.20524/aog.2018.0269. pmid: 29991891
[27]	Horie Y, Yoshio T, Aoyama K, et al. Diagnostic outcomes of eso-phageal cancer by artificial intelligence using convolutional neural networks[J]. Gastrointest Endosc, 2019,89(1):25-32. DOI: 10.1016/j.gie.2018.07.037. doi: 10.1016/j.gie.2018.07.037 pmid: 30120958
[28]	Zhao YY, Xue DX, Wang YL, et al. Computer-assisted diagnosis of early esophageal squamous cell carcinoma using narrow-band imaging magnifying endoscopy[J]. Endoscopy, 2019,51(4):333-341. DOI: 10.1055/a-0756-8754. pmid: 30469155
[29]	Guo L, Xiao X, Wu C, et al. Real-time automated diagnosis of precancerous lesions and early esophageal squamous cell carcinoma using a deep learning model (with videos)[J]. Gastrointest Endosc, 2020,91(1):41-51. DOI: 10.1016/j.gie.2019.08.018. pmid: 31445040
[30]	He LJ, Xie C, Wang ZX, et al. Submucosal saline injection followed by endoscopic ultrasound versus endoscopic ultrasound only for distinguishing between T_1a and T_1b esophageal cancer[J]. Clin Cancer Res, 2020,26(2):384-390. DOI: 10.1158/1078-0432.CCR-19-1722. doi: 10.1158/1078-0432.CCR-19-1722 pmid: 31615934
[31]	Li JJ, Shan HB, Xu GL, et al. Submucosal saline solution injection combined with endosonography for distinguishing between stages T_1a and T_1b of early esophageal cancer[J]. Gastrointest Endosc, 2013,77(1):159-160. DOI: 10.1016/j.gie.2012.08.028. doi: 10.1016/j.gie.2012.08.028 pmid: 23261111
[32]	Li JJ, Shan HB, Gu MF, et al. Endoscopic ultrasound combined with submucosal saline injection for differentiation of T_1a and T_1b esophageal squamous cell carcinoma: a novel technique[J]. Endoscopy, 2013,45(8):667-670. DOI: 10.1055/s-0033-1344024. pmid: 23807801
[33]	蔺军平, 李政, 尹泚, 等. 超声内镜在食管癌临床TN分期诊断中的应用价值[J]. 中华实用诊断与治疗杂志, 2019,33(10):1008-1010. DOI: 10.13507/j.issn.1674-3474.2019.10.020.
[34]	Zhang Y, He S, Dou L, et al. Esophageal cancer N staging study with endoscopic ultrasonography[J]. Oncol Lett, 2019,17(1):863-870. DOI: 10.3892/ol.2018.9716. doi: 10.3892/ol.2018.9716 pmid: 30655840
[35]	Hulshoff JB, Mul VEM, de Boer HEM, et al. Impact of endoscopic ultrasonography on¹⁸F-FDG-PET/CT upfront towards patient specific esophageal cancer treatment [J]. Ann Surg Oncol, 2017,24(7):1828-1834. DOI: 10.1245/s10434-017-5835-1. doi: 10.1245/s10434-017-5835-1 pmid: 28303427
[36]	Lee G, I H, Kim SJ, et al. Clinical implication of PET/MR imaging in preoperative esophageal cancer staging: comparison with PET/CT, endoscopic ultrasonography, and CT[J]. J Nucl Med, 2014,55(8):1242-1247. DOI: 10.2967/jnumed.114.138974. doi: 10.2967/jnumed.114.138974 pmid: 24868109