title: [Early oesophageal cancer: epidemiology diagnosis and management].
abstract: In Europe, oesophageal cancers are diagnosed at an early stage in less than 10% of the cases. They are superficial tumours whose invasion is limited to the mucosae and the submucosa. Synchronous node invasion is the most important prognosis factor. Oesophagectomy is the benchmark treatment. Nowadays, endoscopic resection is a validated curative therapeutic alternative. Accurate endoscopic evaluation using chemical or virtual colouring as well as an echoendoscopy, followed by an expert pathological review, must be conducted beforehand. It can be realised for good prognosis tumours after evaluation of the synchronous node invasion or its risk. After completion, regular endoscopic follow-ups are compulsory to detect local relapse.
authors.forename: T
authors.initials: T
authors.lastname: Koessler
authors.forename: P
authors.initials: P
authors.lastname: Bichard
authors.forename: G
authors.initials: G
authors.lastname: Puppa
authors.forename: V
authors.initials: V
authors.lastname: Lepilliez
authors.forename: A
authors.initials: A
authors.lastname: Roth
authors.forename: W
authors.initials: W
authors.lastname: Cacheux
mesh_terms: D018450:Disease Progression; D004938:Esophageal Neoplasms / Q000175:diagnosis / Q000453:epidemiology / Q000473:pathology / Q000628:therapy; D004945:Esophagoscopy; D005060:Europe / Q000453:epidemiology; D006801:Humans; D008991:Monitoring, Physiologic / Q000379:methods; D012307:Risk Factors