To the Editor:We read with interest the article written by Altorki et al and would like to congratulate the authors for their efforts in publishing this manuscript. The authors performed a retrospective review of all pathology reports of T1 squamous and adenocarci-nomas surgically resected in their institution and found a high prevalence of nodal metas-tases, lymphatic vascular invasion (LVI), and multifocal neoplasia (MFN) associated with these lesions. They concluded that the high incidence of these features do no support the use of endoscopic therapy in patients with Tl esophageal cancer regardless of depth of invasion, cell type, differentiation, or extent of Barrett esophagus.
展开▼
