superficial esophageal cancer
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Histologically proven squamous cell carcinoma or basal cell carcinoma, or endoscopically diagnosed as cancer based on the Japan esophageal society classification. 2) Tumor size of 20 mm or more. 3) Tumor depth of EP, LPM, MM or SM1. 4) Aged 20 years old or more. 5) ECOG performance status of 0, 1 or 2. 6) Adequate organ functions and all of the following conditions within 56 days at registration must be fulfilled: i) Hb is no less than 9.0 g/dl, ii) Plt is no less than 100,000 /mm3. 7) Written informed consent.
Exclusion criteria
Exclusion criteria: 1) Treatment for gastric lesions the same day. 2) The predicted line of mucosal incision is on the previous esophageal ESD. 3) Stenosis due to the previous esophageal ESD. 4) Status after radiation or surgery for esophageal cancer. 5) Severe psychiatric disease. 6) Infectious disease with systemic therapy indicated. 7) Women during pregnancy or breastfeeding. 8) History of myocardial infarction within 6 months or unstable angina pectoris within 3 weeks. 9) Unsuitable patient for clinical trial judged by clinicians' view.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| ESD procedure time | — |
Secondary
| Measure | Time frame |
|---|---|
| ESD procedure time according to the location of the lesion, the circumference, and tumor size; the rate of conversion case from conventional ESD to counter-traction ESD; procedure time of hemostasis; times of hemostasis; total quantity of injected solutions into the submucosa; damage of specimen caused by counter-traction; en bloc resection rate; complete en bloc resection rate; serious adverse events; factors related to technical difficulty | — |
Countries
Japan
Contacts
Shizuoka Cancer Center Division of Endoscopy