score/[id]

/
ALGORITHM
Classification
Early esophageal SCC curative resection after ESD
Assesses curability and need for additional therapy after esophageal ESD/EMR from pathology. Based on JGES esophageal ESD/EMR guideline (2020) Fig. 5 and JES practice guidelines.
Fig. 5 Curability and additional treatment (SCC)
JGES esophageal ESD/EMR guideline (2020) · JES practice guidelines
* Assumes negative margins (R0). Positive margin → non-curative
Complete all items to highlight the matching cell
DepthLy/V (-)Ly/V (+)
pEP/LPMCurative no add-on therapyAdditional therapy strongly recommended
pT1a-MMIndividual decision (CQ6)Additional therapy strongly recommended
pT1b-SMAdditional therapy strongly recommended (CQ7)
Positive margin: non-curative → definitive CRT or surgery (JCOG0508)
JCOG0508: pMM, Ly/V (-), margin (-) in observation arm. Decide in MDT
Pathology inputs
0 / 4
Depth (pathology)
Lymphovascular invasion (Ly / V)
Includes immunostaining (e.g. D2-40)
Resection margin
Resection method
Select every item to see the result
Ishihara 2020, Fig. 5, Original
Reference
Guideline / criteria
Ishihara R et al. Dig Endosc 2020;32:452-493
Japanese reference
JES esophageal cancer practice guidelines
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Decision support only. Follow current guidelines and local protocols. Classification definitions and terminology follow the original publication language.