Table 3 Indications and contraindications for endoscopic resection in early squamous cell and Barrett's cancer.
Indication for ER | Intermediate indication* | Contraindication for ER | |
---|---|---|---|
Barrett's neoplasia | LGIN, HGIN, carcinoma, size <20 mm, no risk factors†, macroscopic type I, IIa, b, c | Adenocarcinoma >20 mm, multifocal adenocarcinoma, sm1 infiltration without risk factors | Sm2 tumour infiltration and deeper, sm1 cancer with one risk factor†, macroscopic type III |
Squamous cell neoplasia | LGIN, HGIN, mucosal cancer, no risk factors†, macroscopic type I, IIa, b, c | Size >20 mm, multifocal cancer | Sm1 cancer and deeper, macroscopic type III |
LGIN, Low‐grade intraepithelial neoplasia; HGIN, high‐grade intraepithelial neoplasia.
*Endoscopic resection (ER) should only be performed in highly experienced centres or under study conditions.
†Risk factors: lymph vessel invasion (L1), venous infiltration (V1), poorly differentiated carcinoma (G3).