Editorial
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Oncol. Aug 15, 2024; 16(8): 3386-3392
Published online Aug 15, 2024. doi: 10.4251/wjgo.v16.i8.3386
Early diagnosis of esophageal cancer: How to put “early detection” into effect?
Suolang Pubu, Jun-Wen Zhang, Jian Yang
Suolang Pubu, Department of Gastroenterology, Changdu People’s Hospital of Xizang, Changdu 854000, Tibet Autonomous Region, China
Jun-Wen Zhang, Jian Yang, Department of Gastroenterology, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
Author contributions: Zhang JW and Yang J conceptualized and designed the research; Pubu S and Yang J performed the literature search, analyzed the data, and wrote the original manuscript; Zhang JW edited the final manuscript; and all authors have read and approved the final manuscript.
Supported by the Education and Teaching Reform Project, the First Clinical College of Chongqing Medical University, No. CMER202305; and Program for Youth Innovation in Future Medicine, Chongqing Medical University, No. W0138.
Conflict-of-interest statement: No conflict of interest exists.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jian Yang, MD, PhD, Associate Chief Physician, Department of Gastroenterology, The First Affiliated Hospital of Chongqing Medical University, No. 1 Youyi Road, Yuzhong District, Chongqing 400016, China. yangjian@hospital.cqmu.edu.cn
Received: March 19, 2024
Revised: May 4, 2024
Accepted: May 20, 2024
Published online: August 15, 2024
Processing time: 141 Days and 15.4 Hours
Abstract

This editorial comments on the article by Qu et al in a recent edition of World Journal of Gastrointestinal Oncology, focusing on the importance of early diagnosis in managing esophageal cancer and strategies for achieving “early detection”. The five-year age-standardized net survival for esophageal cancer patients falls short of expectations. Early detection and accurate diagnosis are critical strategies for improving the treatment outcomes of esophageal cancer. While advancements in endoscopic technology have been significant, there seems to be an excessive emphasis on the latest high-end endoscopic devices and various endoscopic resection techniques. Therefore, it is imperative to redirect focus towards proactive early detection strategies for esophageal cancer, investigate the most cost-effective screening methods suitable for different regions, and persistently explore practical solutions to improve the five-year survival rate of patients with esophageal cancer.

Keywords: Esophageal cancer; Early diagnosis; Early detection; Iodine staining; Five-year survival rate

Core Tip: Despite technological advancements, the mortality rate for esophageal cancer remains high, with the five-year survival rate lagging behind that of other gastrointestinal cancers. This editorial highlights the importance of early esophageal cancer detection and delves into the current status, challenges, and potential solutions for enhancing esophageal screening efforts.