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Screening for Simultaneous Esophageal Primary Tumors
Esophagoscopy vs Esophagography
Arch Otolaryngol Head Neck Surg. 1998;124:930-932.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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Hypothesis
Barium swallow studies are as efficacious as either flexible or rigid esophagoscopy in the detection of a simultaneous second primary tumor in a patient with newly diagnosed upper aerodigestive tract squamous cell carcinoma.
PRO
The incidence of second esophageal primary tumors in patients diagnosed as having squamous cell carcinoma of the head and neck varies in the literature. However, in large series, an incidence of about 1% to 2% is commonly reported.1-2 This relatively low overall incidence has led some authors to question the traditional use of panendoscopy, including the use of either rigid or flexible esophagoscopy to screen for simultaneous second primary tumors of the esophagus in patients with head and neck cancer. Arguments in this regard cite the exposure of most patients to unnecessary additional risk from potential complications and prolonged operating time associated with endoscopy, as well as reduced cost-effectiveness from the routine use of such procedures in . . . [Full Text of this Article]
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BOTTOM LINE
Amit Agrawal, MD;
Barry L. Wenig, MD, MPH
From the Department of Otolaryngology—Head and Neck Surgery, University of Illinois at Chicago.
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