早期食管鳞癌的内镜诊断进展

Progresses in Studies on Endoscopic Diagnosis of Early Esophageal Squamous Cell Carcinoma

食管鳞状细胞癌(esophageal squamous cell carcinoma,ESCC)(以下简称食管鳞癌)是我国最常见的恶性肿瘤之一。目前我国经内镜诊断的食管鳞癌大多处于进展期,预后不良,故提高食管鳞癌的早诊率成为非常迫切的任务。近年来,内镜技术有了很大发展,涌现了内镜窄带成像技术(narrow band imaging,NBI)、光学相干层析技术(optical coherence tomography,OCT)和共聚焦显微内镜等多种诊断方法。为了帮助内镜医师更好地认识早期食管鳞癌的内镜下诊断方法 ,本文对近年来的相关文献作一综述。

Esophageal squamous cell carcinoma（ESCC） is one of the most common malignancies in China. In China,most ESCC patients diagnosed by endoscopy were at advanced stages,which lead to poor prognosis. It is urgent to diagnose ESCC at its early stage. In recent years,many endoscopic methods were developed,such as narrow band imaging（NBI）,optical coherence tomography（OCT） and confocal endoscopy. To help endoscopists recognize early ESCC better,we provide a review on the progress of endoscopic diagnosis of early ESCC.