Application of unsedated transnasal esophagogastroduodenoscopy in the diagnosis of hypopharyngeal cancer
Journal
Head and Neck
Journal Volume
31
Journal Issue
2
Pages
153-157
Date Issued
2009
Abstract
Background. This study evaluates the efficacy of unsedated transnasal esophagogastroduodenoscopy (EGD) in the diagnosis of hypopharyngeal cancer and screening of esophageal lesions. Methods. Twenty-seven patients with newly diagnosed hypopharyngeal cancer were evaluated by transnasal EGD without conscious sedation. Results. Twenty-two hypopharyngeal cancers arose from the pyriform sinus, and the other 5 tumors were from the posterior hypopharyngeal wall. Seventeen tumors were classified as T3-T4. Twenty-four hypopharyngeal tumors were pathologically proved malignancy by this technique. Regarding simultaneous esophageal lesions, esophageal dysplasia was noted in 4 patients and esophageal cancer occurred in 6 patients. The procedures were performed without difficulty except in 1 patient with huge posterior wall tumor. The mean procedure time was 22 minutes. All patients tolerated the procedure well, without significant bleeding or respiratory distress during examination. Conclusion. Unsedated transnasal EGD is a safe, tolerable, and accurate endoscopic technique for diagnosis of hypophar-yngeal cancer and screening of simultaneous esophageal cancer. ? 2008 Wiley Periodicals, Inc.
SDGs
Other Subjects
antineoplastic agent; adult; aged; article; bleeding; cancer chemotherapy; cancer diagnosis; cancer radiotherapy; cancer screening; cancer surgery; clinical article; controlled study; esophagogastroduodenoscopy; esophagus cancer; esophagus injury; female; human; human tissue; hypopharynx cancer; laryngoscopy; male; priority journal; respiratory distress; tumor classification; Adult; Aged; Aged, 80 and over; Anesthesia, Local; Carcinoma, Squamous Cell; Conscious Sedation; Endoscopy, Digestive System; Esophageal Neoplasms; Female; Humans; Hypopharyngeal Neoplasms; Male; Middle Aged; Nasal Cavity; Neoplasms, Multiple Primary; Prospective Studies
Type
journal article