In vivo microscopic examination of the esophagus for the detection of cancer before liver transplantation in patients with alcoholic cirrhosis.
Esophageal squamous-cell carcinoma is relatively common in alcohol and tobacco abusers, and it can develop rapidly after liver transplantation. We report the early detection of an esophageal squamous-cell carcinoma in a patient with alcoholic cirrhosis, diagnosed during the pre-enlistment work-up that he was undergoing before liver transplantation. This lesion had not been detected at standard endoscopy, but was well characterized using in vivo staining and microscopic examination with an "endocytoscopy" system.
Dumonceau
J M
JM
Division of Gastroenterology and Hepatology, Geneva University Hospitals, 24 Rue Micheli-du-Crest, 1205 Geneva, Switzerland. jmdumonceau@hotmail.com
Giostra
E
E
Genta
R
R
Mentha
G
G
Rubbia-Brandt
L
L
Hadengue
A
A
D002294:Carcinoma, Squamous Cell / Q000150:complications / Q000175:diagnosis*; D004396:Coloring Agents; D004938:Esophageal Neoplasms / Q000150:complications / Q000175:diagnosis*; D004932:Esophageal and Gastric Varices / Q000150:complications / Q000175:diagnosis; D020701:Esophagoscopes; D004945:Esophagoscopy; D006801:Humans; D008104:Liver Cirrhosis, Alcoholic / Q000150:complications / Q000601:surgery*; D016031:Liver Transplantation; D008297:Male; D008751:Methylene Blue; D008853:Microscopy; D008875:Middle Aged
D004396:Coloring Agents; D008751:Methylene Blue