Diagnosis of Adenocarcinoima of the Esophageal Junction

Ko, Soon Young; Kim, Jeong Hwan

doi:2012.12.3.145

Korean J Helicobacter Up Gastrointest Res > Volume 12(3); 2012 > Article

Review

The Korean Journal of Helicobacter and Upper Gastrointestinal Research 2012;12(3):145-150.
DOI: https://doi.org/10.7704/kjhugr.2012.12.3.145 Published online September 10, 2012.

Diagnosis of Adenocarcinoima of the Esophageal Junction

Soon Young Ko, Jeong Hwan Kim

Department of Internal Medicine, Konkuk University School of Meidicine, Seoul, Korea. sefamily@kuh.ac.kr

위식도 접합부 암의 진단

고순영, 김정환

건국대학교 의학전문대학원 내과학교실

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.

Key Words: Esophageal neoplasms; Adenocarcinoma; Diagnosis