Fig. 3.
Superficial esophageal cancer treated via circumferential ESD. (A) A 5-cm flat Lugol voided lesion on the mid thoracic esophagus. (B) An artificial ulcer appeared immediately after ESD and resulted in a mucosal defect affecting >75% of the circumference (C) Local injection of steroids. (D) The tumor was removed en bloc with tumor-free lateral and basal margins. (E) Follow-up endoscopy 7 months after ESD revealed no postprocedural stricture. (F) Follow-up endoscopy 15 months after ESD revealed no postprocedural stricture. ESD, endoscopic submucosal dissection.