Korean J Helicobacter Up Gastrointest Res.  2012 Sep;12(3):145-150. 10.7704/kjhugr.2012.12.3.145.

Diagnosis of Adenocarcinoima of the Esophageal Junction

• Ko SY
• Kim JH

• KMID: 1716074
• DOI: http://doi.org/10.7704/kjhugr.2012.12.3.145

Abstract

The two most common types of esophageal cancer are squamous cell cancer and adenocarcinoma. Although squamous cell cancer has been the commonest type of esophageal cancer worldwide, there has been an upward trend in the incidence of esophageal and esophagogastric junction adenocarcinoma. Numerous endoscopic techniques have evolved over the past decade for endoscopic detection of early esophageal cancer. For the diagnosis of esophageal cancer, the usage of endoscopic imaging method has increased in conjunction with chromoscopy, narrow band imaging, and/or magnifying imaging. These newer endoscopic modalities enable the endoscopist to differentiate subtle mucosal patterns in the cancerous lesions. The prognosis of esophageal cancer depends on the depth of tumor invasion and lymph node metastasis. EUS, CT and/or PET are currently used for staging esophageal cancer. We will review diagnostic and staging modalities for esophageal and esophagogastric junction adenocarcinoma.

Keyword

Esophageal neoplasms; Adenocarcinoma; Diagnosis

MeSH Terms

Adenocarcinoma
Esophageal Neoplasms
Esophagogastric Junction
Incidence
Lymph Nodes
Narrow Band Imaging
Neoplasm Metastasis
Neoplasms, Squamous Cell
Prognosis