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. 2020 Jun;32(3):271–286. doi: 10.21147/j.issn.1000-9604.2020.03.01

1. International guidelines on endoscopic and surgical treatment of early esophageal cancer.

Tumor stage Japan (9) USA (8,22,23) Europe (7,24)
m, mucosa; m1, limited to the epithelium; m2, invasion of the lamina propria mucosae; m3, invasion of the muscularis mucosae; sm, submucosa; SCC, squamous cell carcinoma; AC, adenocarcinoma; ER, endoscopic resection; CRT, chemoradiotherapy; , if ≥3/4th to complete encircling of the circumference: additional chemo(radio)therapy; ††, evaluate patient’s surgical tolerability; †††, when vascular invasion presents; , absolute indication when well differentiated (G1/2), no evidence of lymph (L0) or vascular invasion (V0); ‡‡, relative indication, only in selected cases (high risk of lymph node metastases); §, absolute indication when L0−V0;§§, relative indication when G1/2, depth of invasion ≤200 μm (SCC) or 500 μm (AC), L0, V0, no ulceration (multidisciplinary discussion); §§§, further treatment after endoscopic resection when: ≥sm2/>200 μm/poorly differentiated/lymphatic invasion (L+)/vascular invasion (V+)/positive vertical margins.
T1a−m1/2 ER AC: ER; SCC: ER AC: ER§; SCC: ER§
T1a−m3 ER/surgery††/ER+CRT††† AC: ER; SCC: ER‡‡ AC: ER§; SCC: ER§§
T1b−sm1 Surgery††/CRT AC: ER‡‡; SCC: ER‡‡ AC: ER§§; SCC: ER§§
T1b−sm2/3 SCC/AC Surgery††/CRT Surgery††/CRT Surgery††/CRT§§§