Measurement of tumour area, by endoscopic ultrasonography (EUS), and pathological tumour volume. (A) Ultrasound probe image of submucosal cancer. The ultrasound probe reveals a hypoechoic mass region extensively invading into the high echoic third layer (submucosal layer). In this case, the EUS area of the tumour was 36.1 mm2. (B) Histological findings after surgery showed the tumour limited to the submucosa (haematoxylin-eosin, original magnification). Pathological tumour volume (cm3) is the total tumour area (a+b+c+d) (cm2)×width of prepared specimen (0.4 cm) In this case, the pathological tumour volume was 3.20 cm3.