常规放大内镜联合病理诊断消化道早期癌专家共识

Expert consensus on routine magnifying endoscopy in combination with pathology for early digestive cancer

摘要:

食管癌和胃癌均为我国常见的恶性肿瘤，提高生存率的关键在于早期发现。放大内镜技术在消化道早期癌的筛查和诊断中具有重要意义。中华医学会消化内镜学分会消化系早癌内镜诊断与治疗协作组及《中华消化内镜杂志》编委会组织相关专家，在前期发布的《上消化道肿瘤高危人群放大内镜检查中西部专家意见》的基础上，经多次讨论，形成了本共识。共识主要针对常规应用放大内镜进行上消化道早期癌筛查及与病理诊断联合应用的开展方法进行阐述，并对常规放大内镜筛查应用的临床场景做进一步的细化，以期为消化道早期癌筛查工作提供参考。

Abstract:

Esophageal and gastric cancers are two of the most common cancers in China. The key to improve the survival of these two cancers is early detection. Magnifying endoscopy has been widely used in the screening and diagnosis for early digestive cancer. Endoscopic Diagnosis and Treatment Group of Early Digestive Cancer, Digestive Endoscopy Branch of Chinese Medical Association and the Editorial Board of Chinese Journal of Digestive Endoscopy have organized experts on this field to reach this consensus after several discussions on the basis of Midwestern expert opinion on magnifying endoscopy for upper gastrointestinal tumors in high‑risk population published previously. This consensus aims to expain the practical method of routine magnifying endoscopy in combination with pathology for the screening of early digestive cancer and to detail the clinical scenario of routine manifying endoscopy application in order to provide reference for early digestive cancer screening.