ASGE DDW Videos from Around the World | 2022-ENDOSCOPIC SUBMUCOSAL DISSECTION OF A TUMOR IN THE UPPER ESOPHAGEAL SPHINCTER AND PIRIFORM SINUS

ENDOSCOPIC SUBMUCOSAL DISSECTION OF A TUMOR IN THE UPPER ESOPHAGEAL SPHINCTER AND PIRIFORM SINUS

Video Transcription

Video Summary

The video transcript discusses a case of a 77-year-old male who underwent endoscopic submucosal dissection (ESD) for a potentially malignant esophageal tumor in the upper esophageal sphincter and piriform sinus. The patient initially underwent various diagnostic procedures including EGD, PET-CT scan, and biopsies to confirm the presence of squamous cell carcinoma (SCC). Due to the complexity and extensive nature of the tumor, it was decided to perform ESD with concurrent chemoradiation therapy in order to preserve the patient's quality of life while achieving complete removal of the tumor. The procedure involved careful marking of the lesion, submucosal dissection, and removal of the mass. The patient subsequently underwent adjuvant chemoradiation and follow-up examinations showed no evidence of cancer recurrence. The case demonstrates the potential efficacy of ESD in avoiding more invasive surgeries involving the larynx and esophagus for certain tumors in challenging locations.

Keywords

endoscopic submucosal dissection

potentially malignant esophageal tumor

upper esophageal sphincter

piriform sinus

squamous cell carcinoma