[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-459150-105":59,"doc-detail-459150-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","combined-digestive-endoscopy-and-laryngoscopy-for-successful-management-of-an-early-stage-epiglottic-carcinoma","Combined digestive endoscopy and laryngoscopy for successful management of an early-stage epiglottic carcinoma","","A 70-year-old man with prior resected esophageal carcinoma was found during surveillance laryngoscopy to have multiple irregular epiglottic surface lesions. Laryngoscopy identified multifocal reddish flat lesions (0-IIb) with B1-type intraepithelial papillary capillary loops on narrow-band imaging, and biopsy confirmed in situ squamous cell carcinoma. Enhanced CT showed no lymph node involvement, supporting endoscopic curative intent. Endoscopic submucosal dissection under general anesthesia achieved en bloc R0 resection without adverse events; follow-up laryngoscopy confirmed complete healing with no recurrence or lymphadenopathy over 46 months.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/combined-digestive-endoscopy-and-laryngoscopy-for-successful-management-of-an-early-stage-epiglottic-carcinoma/459150/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/combined-digestive-endoscopy-and-laryngoscopy-for-successful-management-of-an-early-stage-epiglottic-carcinoma/459150.png","ImageObject",300,407,{"name":92,"@type":93},"dabgoudw","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-08","2026-09-30",true,{"@type":102,"interactionType":103,"userInteractionCount":14},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What prompted the discovery of the epiglottic lesions?","Question",{"text":112,"@type":113},"Lesions on the epiglottis were identified during follow-up laryngoscopy after the patient’s history of resected esophageal carcinoma.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How were the lesions diagnosed and staged?",{"text":117,"@type":113},"Laryngoscopy showed multifocal irregular reddish flat lesions (0-IIb) with B1-type intraepithelial papillary capillary loops on narrow-band imaging, and biopsy confirmed in situ squamous cell carcinoma; enhanced CT indicated no lymph node involvement.",{"name":119,"@type":110,"acceptedAnswer":120},"What treatment achieved and how was success assessed?",{"text":121,"@type":113},"Endoscopic submucosal dissection (ESD) was performed using a snare traction approach, enabling en bloc resection; histopathology confirmed lamina propria invasion with R0 resection, and follow-up showed complete healing with no local recurrence or lymphadenopathy over 46 months.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},459150,1790755278,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":14,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":14,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":129,"read_time":24,"preview_page_count":4},3985747860484,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","Article published online: 2026-01-08  \nCombined digestive endoscopy and laryngoscopy for successful management of an early-stage epiglottic carcinoma  \n▶Fig.2 The appearance of the neoplastic lesions under narrow-band imaging.  \nVideo 1 Combined digestive endoscopy and laryngoscopy for the successful management of an early-stage epiglottic carcinoma.  \nA 70-year-old man with a history of resected esophageal carcinoma was hospitalized due to the discovery of several lesions on the surface of the epiglottis during follow-up laryngoscopy. Laryngoscopy revealed multifocal and irregular lesions scattered on the lingual surface of the epiglottis. These flat (0-IIb), reddish lesions displayed B1-type intraepithelial papillary capillary loops under narrowband imaging ( ▶ Fig.1 , ▶ Fig.2) . A tumor biopsy revealed in situ squamous cell carcinoma. Meanwhile, enhanced computed tomography indicated an absence of lymph node involvement.  \nEndoscopic submucosal dissection (ESD) was performed under general anesthesia induced via nasal intubation ( ▶Video 1) . A therapeutic gastroscope was used for the procedure. The constrained anatomical space of the epiglottic vallecula necessitated the use of a snare traction approach to facilitate submucosal dissection in challenging areas. Subsequently, en bloc resection of the lesions was achieved ( ▶ Fig.3) . No adverse events were observed during or after the procedure. Histopathological analysis confirmed the local invasion of squamous cell carcinoma into the lamina propria and showed that R0 resection was achieved ( ▶ Fig.4) . A follow-up laryngoscopy conducted 3 months post-ESD revealed complete healing of the surgical site ( ▶ Fig.5), and subsequent routine follow-ups over 46 months detected neither local recurrence nor lymphadenopathy.  \nIn this case, the epiglottic mucosal lesions were initially overlooked on gastroscopy; however, they were subsequently detected by laryngoscopy. This finding highlights the complementary diagnostic value of laryngoscopy alongside gastroscopy in screening high-risk populations for pharyngeal cancer [1] . Complete endoscopic resection via digestive endoscopy was then performed, demonstrating its essential role in the treatment  \n▶Fig.3 The resected specimen of the lesions.  \n▶Fig.4 Histopathological analysis confirmed the presence of squamous cell carcinoma that locally invaded the lamina propria.  \n▶Fig.5 Follow-up laryngoscopy showing that the surgical wound has completely healed with scar formation.  \nof early-stage pharyngeal cancer [2,3] . Post–ESD follow-up was conducted vialaryngoscopy under local anesthesia, providing a well-tolerated and patient-  \nDuan Xun-Mei et al. Combined digestive endoscopy… Endoscopy 2026; 58: E15–E16 | © 2026. The Author(s) . E15  \nfriendly approach. This case highlights the clinical significance of an integrated strategy combining digestive endoscopy and laryngoscopy for the comprehensive management of early pharyngeal cancer, supporting its broader adoption in clinical practice.  \nEndoscopy_UCTN_Code_TTT_ 1AO_ 2AG_ 3AD  \nContributors ʼ Statement  \nXun-Mei Duan: Data curation, Formal analysis, Funding acquisition, Investigation, Project administration, Writing – original draft, Writing – review & editing. Yu Bao: Conceptualization, Methodology, Project administration, Resources, Supervision, Writing original draft, Writing – review & editing. YeHan Zhou: Data curation, Formal analysis, Project administration, Writing – original draft, Writing – review & editing. Zhen-Ming Zhang: Conceptualization, Data curation, Formal analysis, Funding acquisition, Investigation, Methodology, Project administration, Supervision, Writing – original draft, Writing – review & editing.  \nFunding Information  \nThe Early Cancer Standardization Capacity Building Fund Program  \nNo.202403  \nSichuan Province Medical Young Innovative Research Project Program  \nNo. Q23041  \n‡ These authors contributed equally.  \nConflict of Interest  \n\n| The authors declare","cbCaijO5V4zU2RD2","https://ap.wps.com/l/cbCaijO5V4zU2RD2","pdf",1198509,"English","# Case presentation\n## Diagnostic findings with narrow-band imaging\n## Endoscopic submucosal dissection and outcomes\n## Follow-up and clinical significance","[{\"question\":\"What prompted the discovery of the epiglottic lesions?\",\"answer\":\"Lesions on the epiglottis were identified during follow-up laryngoscopy after the patient’s history of resected esophageal carcinoma.\"},{\"question\":\"How were the lesions diagnosed and staged?\",\"answer\":\"Laryngoscopy showed multifocal irregular reddish flat lesions (0-IIb) with B1-type intraepithelial papillary capillary loops on narrow-band imaging, and biopsy confirmed in situ squamous cell carcinoma; enhanced CT indicated no lymph node involvement.\"},{\"question\":\"What treatment achieved and how was success assessed?\",\"answer\":\"Endoscopic submucosal dissection (ESD) was performed using a snare traction approach, enabling en bloc resection; histopathology confirmed lamina propria invasion with R0 resection, and follow-up showed complete healing with no local recurrence or lymphadenopathy over 46 months.\"}]","Combined digestive endoscopy and laryngoscopy for successful management of an early-stage epiglottic carcinoma | PDF"]