• Issue

    Digestive Endoscopy: Volume 36, Issue 8

    867-964
    August 2024

COVER IMAGE

Free Access

Cover Image

  • Page: 867
  • First Published: 08 August 2024
Cover Image Volume 36 Issue 8, 2024

Cover image: Two representative cases requiring attention for overdiagnosis by preoperative endoscopic ultrasonography (EUS) diagnosis. (a,b) Case 1 shows an elevated lesion with depressions (0-IIa + IIc), 12 mm in diameter, which was located on the descending part of the anal side of the papilla. EUS revealed that the low-intensity tumor echo was displaced into the third layer (arrows), and clinical submucosal invasive cancer (cSM-Ca) was suspected in preoperative diagnosis. (c,d) Case 2 shows a subcircumferential elevated lesion with nodules (0-IIa + I), 70 mm in diameter, which was located on the descending part of the anal side of the papilla. EUS revealed an interrupted third layer (arrows), and cSM-Ca was suspected in preoperative diagnosis. In both Case 1 and Case 2, histopathological diagnosis of resected specimens confirmed pathological intramucosal cancer, highlighting a misdiagnosis in the preoperative prediction of invasion depth. (See Morita Y. et al. p. 936).

ISSUE INFORMATION

Free Access

Issue Information

  • Pages: 868-870
  • First Published: 08 August 2024