Detection of pharyngeal cancer in the overall population undergoing upper GI endoscopy by using narrow-band imaging: a single-center experience, 2009–2012
Background Nonmagnifying observation by using narrow-band imaging (NBI) is useful for detecting pharyngeal lesions. Magnifying observation by using NBI can distinguish between cancerous and noncancerous lesions and is therefore useful for the early detection of pharyngeal cancer. Objective To evalua...
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| creator | Nakanishi, Hiroyoshi, MD Doyama, Hisashi, MD, PhD Takemura, Kenichi, MD Yoshida, Naohiro, MD Tsuji, Kunihiro, MD Takeda, Yasuhito, MD Asahina, Yoshiro, MD Kito, Yosuke, MD Ito, Renma, MD Hayashi, Tomoyuki, MD Hirano, Katsura, MD Goto, Yoshinori, MD, PhD Tominaga, Kei, MD Inagaki, Satoko, MD Waseda, Yohei, MD Tsuji, Shigetsugu, MD Miwa, Kazuhiro, MD Kaneko, Yoshibumi, MD, PhD Yamada, Shinya, MD Kurumaya, Hiroshi, MD, PhD Sakumoto, Makoto, MD, PhD Okada, Toshihide, MD, PhD |
| description | Background Nonmagnifying observation by using narrow-band imaging (NBI) is useful for detecting pharyngeal lesions. Magnifying observation by using NBI can distinguish between cancerous and noncancerous lesions and is therefore useful for the early detection of pharyngeal cancer. Objective To evaluate the usefulness of observation of the pharynx by using NBI in the overall population undergoing upper GI endoscopy. Design Retrospective study. Setting Single tertiary referral center. Patients A total of 11,050 upper GI endoscopies between January 2009 and December 2012. Interventions Observation of the pharynx by using NBI. Main Outcome Measures The rate of detection of pharyngeal cancer, the rates of detection according to the reason for endoscopy, and the types of cancers detected. Results Thirty-eight cancerous lesions were detected in 29 patients (0.26%, 29/11,050). The rate of detection of pharyngeal cancer was significantly higher in patients with a history of head and neck cancer (9.7%, 3/31) or a history of esophageal cancer (3.5%, 10/282). In patients undergoing endoscopy for screening, pharyngeal discomfort, and a history of gastric cancer, the rates of detection of pharyngeal cancer were 0.11% (10/8872), 1.1% (3/265), and 0.19% (3/1600), respectively. Two patients (6.9%) were female. One had a history of esophageal cancer, and the other had pharyngeal discomfort. Limitations Single-center, retrospective study. Conclusions Observation of the pharynx by using NBI in patients with previous head and neck cancer or esophageal cancer or who have pharyngeal discomfort is very important. Moreover, pharyngeal cancer was certainly found in the male patients undergoing screening endoscopy, although the rate was lower. |
| doi_str_mv | 10.1016/j.gie.2013.09.023 |
| format | Article |
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Magnifying observation by using NBI can distinguish between cancerous and noncancerous lesions and is therefore useful for the early detection of pharyngeal cancer. Objective To evaluate the usefulness of observation of the pharynx by using NBI in the overall population undergoing upper GI endoscopy. Design Retrospective study. Setting Single tertiary referral center. Patients A total of 11,050 upper GI endoscopies between January 2009 and December 2012. Interventions Observation of the pharynx by using NBI. Main Outcome Measures The rate of detection of pharyngeal cancer, the rates of detection according to the reason for endoscopy, and the types of cancers detected. Results Thirty-eight cancerous lesions were detected in 29 patients (0.26%, 29/11,050). The rate of detection of pharyngeal cancer was significantly higher in patients with a history of head and neck cancer (9.7%, 3/31) or a history of esophageal cancer (3.5%, 10/282). In patients undergoing endoscopy for screening, pharyngeal discomfort, and a history of gastric cancer, the rates of detection of pharyngeal cancer were 0.11% (10/8872), 1.1% (3/265), and 0.19% (3/1600), respectively. Two patients (6.9%) were female. One had a history of esophageal cancer, and the other had pharyngeal discomfort. Limitations Single-center, retrospective study. Conclusions Observation of the pharynx by using NBI in patients with previous head and neck cancer or esophageal cancer or who have pharyngeal discomfort is very important. Moreover, pharyngeal cancer was certainly found in the male patients undergoing screening endoscopy, although the rate was lower.</description><identifier>ISSN: 0016-5107</identifier><identifier>EISSN: 1097-6779</identifier><identifier>DOI: 10.1016/j.gie.2013.09.023</identifier><identifier>PMID: 24246793</identifier><language>eng</language><publisher>United States: Mosby, Inc</publisher><subject>Aged ; Endoscopy, Digestive System - methods ; Female ; Gastroenterology and Hepatology ; Humans ; Male ; Middle Aged ; Narrow Band Imaging ; Pharyngeal Neoplasms - diagnosis ; Retrospective Studies ; Time Factors</subject><ispartof>Gastrointestinal endoscopy, 2014-04, Vol.79 (4), p.558-564</ispartof><rights>American Society for Gastrointestinal Endoscopy</rights><rights>2014 American Society for Gastrointestinal Endoscopy</rights><rights>Copyright © 2014 American Society for Gastrointestinal Endoscopy. Published by Mosby, Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-e7399f703dac8bceec7b507408245a0b8489103a8609509b3b894c4ebc7efe4d3</citedby><cites>FETCH-LOGICAL-c474t-e7399f703dac8bceec7b507408245a0b8489103a8609509b3b894c4ebc7efe4d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.gie.2013.09.023$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24246793$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nakanishi, Hiroyoshi, MD</creatorcontrib><creatorcontrib>Doyama, Hisashi, MD, PhD</creatorcontrib><creatorcontrib>Takemura, Kenichi, MD</creatorcontrib><creatorcontrib>Yoshida, Naohiro, MD</creatorcontrib><creatorcontrib>Tsuji, Kunihiro, MD</creatorcontrib><creatorcontrib>Takeda, Yasuhito, MD</creatorcontrib><creatorcontrib>Asahina, Yoshiro, MD</creatorcontrib><creatorcontrib>Kito, Yosuke, MD</creatorcontrib><creatorcontrib>Ito, Renma, MD</creatorcontrib><creatorcontrib>Hayashi, Tomoyuki, MD</creatorcontrib><creatorcontrib>Hirano, Katsura, MD</creatorcontrib><creatorcontrib>Goto, Yoshinori, MD, PhD</creatorcontrib><creatorcontrib>Tominaga, Kei, MD</creatorcontrib><creatorcontrib>Inagaki, Satoko, MD</creatorcontrib><creatorcontrib>Waseda, Yohei, MD</creatorcontrib><creatorcontrib>Tsuji, Shigetsugu, MD</creatorcontrib><creatorcontrib>Miwa, Kazuhiro, MD</creatorcontrib><creatorcontrib>Kaneko, Yoshibumi, MD, PhD</creatorcontrib><creatorcontrib>Yamada, Shinya, MD</creatorcontrib><creatorcontrib>Kurumaya, Hiroshi, MD, PhD</creatorcontrib><creatorcontrib>Sakumoto, Makoto, MD, PhD</creatorcontrib><creatorcontrib>Okada, Toshihide, MD, PhD</creatorcontrib><title>Detection of pharyngeal cancer in the overall population undergoing upper GI endoscopy by using narrow-band imaging: a single-center experience, 2009–2012</title><title>Gastrointestinal endoscopy</title><addtitle>Gastrointest Endosc</addtitle><description>Background Nonmagnifying observation by using narrow-band imaging (NBI) is useful for detecting pharyngeal lesions. Magnifying observation by using NBI can distinguish between cancerous and noncancerous lesions and is therefore useful for the early detection of pharyngeal cancer. Objective To evaluate the usefulness of observation of the pharynx by using NBI in the overall population undergoing upper GI endoscopy. Design Retrospective study. Setting Single tertiary referral center. Patients A total of 11,050 upper GI endoscopies between January 2009 and December 2012. Interventions Observation of the pharynx by using NBI. Main Outcome Measures The rate of detection of pharyngeal cancer, the rates of detection according to the reason for endoscopy, and the types of cancers detected. Results Thirty-eight cancerous lesions were detected in 29 patients (0.26%, 29/11,050). The rate of detection of pharyngeal cancer was significantly higher in patients with a history of head and neck cancer (9.7%, 3/31) or a history of esophageal cancer (3.5%, 10/282). In patients undergoing endoscopy for screening, pharyngeal discomfort, and a history of gastric cancer, the rates of detection of pharyngeal cancer were 0.11% (10/8872), 1.1% (3/265), and 0.19% (3/1600), respectively. Two patients (6.9%) were female. One had a history of esophageal cancer, and the other had pharyngeal discomfort. Limitations Single-center, retrospective study. Conclusions Observation of the pharynx by using NBI in patients with previous head and neck cancer or esophageal cancer or who have pharyngeal discomfort is very important. Moreover, pharyngeal cancer was certainly found in the male patients undergoing screening endoscopy, although the rate was lower.</description><subject>Aged</subject><subject>Endoscopy, Digestive System - methods</subject><subject>Female</subject><subject>Gastroenterology and Hepatology</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Narrow Band Imaging</subject><subject>Pharyngeal Neoplasms - diagnosis</subject><subject>Retrospective Studies</subject><subject>Time Factors</subject><issn>0016-5107</issn><issn>1097-6779</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9ks1u1DAUhSMEotPCA7BBXrIgw_VPxjFIlVALpVIlFsDacpyb1EPGDnZSmB3vwJan40lwOoUFC1aW7O8c69xzi-IJhTUFunmxXfcO1wwoX4NaA-P3ihUFJcuNlOp-sYIMlRUFeVQcp7QFgJpx-rA4YoKJjVR8Vfw8xwnt5IInoSPjtYl736MZiDXeYiTOk-kaSbjBaIaBjGGcB3OLz77F2AfnezKPY0YvLgn6NiQbxj1p9mROy5s3MYavZWN8S9zO9PnuJTFkeRuwtOinLMVv2cBh_vE5YQDq1_cfORV7VDzozJDw8d15Unx6--bj2bvy6v3F5dnrq9IKKaYSJVeqk8BbY-vGIlrZVCBFTisqA00takWBm3oDqgLV8KZWwgpsrMQORctPimcH3zGGLzOmSe9csjgMxmOYk6YV1IIBkzSj9IDaGFKK2Okx5lhxrynopRS91bkUvZSiQelcStY8vbOfmx22fxV_WsjAqwOAOeSNw6iTvZ1G62IuR7fB_df-9B-1HZx31gyfcY9pG-bo8_Q01Ylp0B-WrViWgnJgeUYV_w0_LrOq</recordid><startdate>20140401</startdate><enddate>20140401</enddate><creator>Nakanishi, Hiroyoshi, MD</creator><creator>Doyama, Hisashi, MD, PhD</creator><creator>Takemura, Kenichi, MD</creator><creator>Yoshida, Naohiro, MD</creator><creator>Tsuji, Kunihiro, MD</creator><creator>Takeda, Yasuhito, MD</creator><creator>Asahina, Yoshiro, MD</creator><creator>Kito, Yosuke, MD</creator><creator>Ito, Renma, MD</creator><creator>Hayashi, Tomoyuki, MD</creator><creator>Hirano, Katsura, MD</creator><creator>Goto, Yoshinori, MD, PhD</creator><creator>Tominaga, Kei, MD</creator><creator>Inagaki, Satoko, MD</creator><creator>Waseda, Yohei, MD</creator><creator>Tsuji, Shigetsugu, MD</creator><creator>Miwa, Kazuhiro, MD</creator><creator>Kaneko, Yoshibumi, MD, PhD</creator><creator>Yamada, Shinya, MD</creator><creator>Kurumaya, Hiroshi, MD, PhD</creator><creator>Sakumoto, Makoto, MD, PhD</creator><creator>Okada, Toshihide, MD, PhD</creator><general>Mosby, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20140401</creationdate><title>Detection of pharyngeal cancer in the overall population undergoing upper GI endoscopy by using narrow-band imaging: a single-center experience, 2009–2012</title><author>Nakanishi, Hiroyoshi, MD ; Doyama, Hisashi, MD, PhD ; Takemura, Kenichi, MD ; Yoshida, Naohiro, MD ; Tsuji, Kunihiro, MD ; Takeda, Yasuhito, MD ; Asahina, Yoshiro, MD ; Kito, Yosuke, MD ; Ito, Renma, MD ; Hayashi, Tomoyuki, MD ; Hirano, Katsura, MD ; Goto, Yoshinori, MD, PhD ; Tominaga, Kei, MD ; Inagaki, Satoko, MD ; Waseda, Yohei, MD ; Tsuji, Shigetsugu, MD ; Miwa, Kazuhiro, MD ; Kaneko, Yoshibumi, MD, PhD ; Yamada, Shinya, MD ; Kurumaya, Hiroshi, MD, PhD ; Sakumoto, Makoto, MD, PhD ; Okada, Toshihide, MD, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-e7399f703dac8bceec7b507408245a0b8489103a8609509b3b894c4ebc7efe4d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Aged</topic><topic>Endoscopy, Digestive System - methods</topic><topic>Female</topic><topic>Gastroenterology and Hepatology</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Narrow Band Imaging</topic><topic>Pharyngeal Neoplasms - diagnosis</topic><topic>Retrospective Studies</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nakanishi, Hiroyoshi, MD</creatorcontrib><creatorcontrib>Doyama, Hisashi, MD, PhD</creatorcontrib><creatorcontrib>Takemura, Kenichi, MD</creatorcontrib><creatorcontrib>Yoshida, Naohiro, MD</creatorcontrib><creatorcontrib>Tsuji, Kunihiro, MD</creatorcontrib><creatorcontrib>Takeda, Yasuhito, MD</creatorcontrib><creatorcontrib>Asahina, Yoshiro, MD</creatorcontrib><creatorcontrib>Kito, Yosuke, MD</creatorcontrib><creatorcontrib>Ito, Renma, MD</creatorcontrib><creatorcontrib>Hayashi, Tomoyuki, MD</creatorcontrib><creatorcontrib>Hirano, Katsura, MD</creatorcontrib><creatorcontrib>Goto, Yoshinori, MD, PhD</creatorcontrib><creatorcontrib>Tominaga, Kei, MD</creatorcontrib><creatorcontrib>Inagaki, Satoko, MD</creatorcontrib><creatorcontrib>Waseda, Yohei, MD</creatorcontrib><creatorcontrib>Tsuji, Shigetsugu, MD</creatorcontrib><creatorcontrib>Miwa, Kazuhiro, MD</creatorcontrib><creatorcontrib>Kaneko, Yoshibumi, MD, PhD</creatorcontrib><creatorcontrib>Yamada, Shinya, MD</creatorcontrib><creatorcontrib>Kurumaya, Hiroshi, MD, PhD</creatorcontrib><creatorcontrib>Sakumoto, Makoto, MD, PhD</creatorcontrib><creatorcontrib>Okada, Toshihide, MD, PhD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Gastrointestinal endoscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nakanishi, Hiroyoshi, MD</au><au>Doyama, Hisashi, MD, PhD</au><au>Takemura, Kenichi, MD</au><au>Yoshida, Naohiro, MD</au><au>Tsuji, Kunihiro, MD</au><au>Takeda, Yasuhito, MD</au><au>Asahina, Yoshiro, MD</au><au>Kito, Yosuke, MD</au><au>Ito, Renma, MD</au><au>Hayashi, Tomoyuki, MD</au><au>Hirano, Katsura, MD</au><au>Goto, Yoshinori, MD, PhD</au><au>Tominaga, Kei, MD</au><au>Inagaki, Satoko, MD</au><au>Waseda, Yohei, MD</au><au>Tsuji, Shigetsugu, MD</au><au>Miwa, Kazuhiro, MD</au><au>Kaneko, Yoshibumi, MD, PhD</au><au>Yamada, Shinya, MD</au><au>Kurumaya, Hiroshi, MD, PhD</au><au>Sakumoto, Makoto, MD, PhD</au><au>Okada, Toshihide, MD, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Detection of pharyngeal cancer in the overall population undergoing upper GI endoscopy by using narrow-band imaging: a single-center experience, 2009–2012</atitle><jtitle>Gastrointestinal endoscopy</jtitle><addtitle>Gastrointest Endosc</addtitle><date>2014-04-01</date><risdate>2014</risdate><volume>79</volume><issue>4</issue><spage>558</spage><epage>564</epage><pages>558-564</pages><issn>0016-5107</issn><eissn>1097-6779</eissn><abstract>Background Nonmagnifying observation by using narrow-band imaging (NBI) is useful for detecting pharyngeal lesions. Magnifying observation by using NBI can distinguish between cancerous and noncancerous lesions and is therefore useful for the early detection of pharyngeal cancer. Objective To evaluate the usefulness of observation of the pharynx by using NBI in the overall population undergoing upper GI endoscopy. Design Retrospective study. Setting Single tertiary referral center. Patients A total of 11,050 upper GI endoscopies between January 2009 and December 2012. Interventions Observation of the pharynx by using NBI. Main Outcome Measures The rate of detection of pharyngeal cancer, the rates of detection according to the reason for endoscopy, and the types of cancers detected. Results Thirty-eight cancerous lesions were detected in 29 patients (0.26%, 29/11,050). The rate of detection of pharyngeal cancer was significantly higher in patients with a history of head and neck cancer (9.7%, 3/31) or a history of esophageal cancer (3.5%, 10/282). In patients undergoing endoscopy for screening, pharyngeal discomfort, and a history of gastric cancer, the rates of detection of pharyngeal cancer were 0.11% (10/8872), 1.1% (3/265), and 0.19% (3/1600), respectively. Two patients (6.9%) were female. One had a history of esophageal cancer, and the other had pharyngeal discomfort. Limitations Single-center, retrospective study. Conclusions Observation of the pharynx by using NBI in patients with previous head and neck cancer or esophageal cancer or who have pharyngeal discomfort is very important. Moreover, pharyngeal cancer was certainly found in the male patients undergoing screening endoscopy, although the rate was lower.</abstract><cop>United States</cop><pub>Mosby, Inc</pub><pmid>24246793</pmid><doi>10.1016/j.gie.2013.09.023</doi><tpages>7</tpages></addata></record> |
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| subjects | Aged Endoscopy, Digestive System - methods Female Gastroenterology and Hepatology Humans Male Middle Aged Narrow Band Imaging Pharyngeal Neoplasms - diagnosis Retrospective Studies Time Factors |
| title | Detection of pharyngeal cancer in the overall population undergoing upper GI endoscopy by using narrow-band imaging: a single-center experience, 2009–2012 |
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