Post written by Renata Nobre, PhD, from Sao Paulo Cancer Institute, Sao Paulo, Brazil, Noriya Uedo, PhD, from Osaka International Cancer Institute, Osaka, Japan, Ryu Ishihara, PhD, from Osaka International Cancer Institute, and Fauze Maluf-Filho, MD, PhD, FASGE, from Sao Paulo Cancer Institute.

This article focuses on raising awareness among Western endoscopists regarding the importance of oral and pharyngeal endoscopic evaluation of high-risk patients. Failure to adequately evaluate the oral cavity and pharynx may lead to missed diagnoses of early-stage cancers. Endoscopists must identify high-risk patients and incorporate this strategy into their practice.

The incidence of head and neck squamous cell carcinoma appears to be increasing, and advancements in early detection are essential for improving patient prognosis. Undoubtedly, endoscopists play a crucial role in diagnosis and treatment of pharyngeal superficial lesions. Although Japan has successfully integrated this practice into the routine, unfortunately in many Western countries, this region is often neglected and overlooked.

To facilitate a shift in this mindset, it is imperative to enhance training and raise awareness globally. First, it is essential to identify high-risk patients who would benefit from this strategy, including heavy alcohol consumers, smokers, and those with a history of esophageal or head and neck cancers. These individuals should undergo a systematically screening of the oral cavity and pharynx, as outlined in the manuscript.

This approach is feasible and straightforward, requiring no more than 2 minutes to complete. By improving our diagnostic capabilities, we can consequently offer less-invasive treatment options, such as endoscopic resection.

The aim of the authors is to teach and spread this strategy for countries beyond Japan.

A lesion on the right piriform sinus that was overlooked during prior examination was ultimately diagnosed and subsequently resected by endoscopic submucosal dissection.

Read the full article online.

The information presented in Endoscopedia reflects the opinions of the authors and does not represent the position of the American Society for Gastrointestinal Endoscopy (ASGE). ASGE expressly disclaims any warranties or guarantees, expressed or implied, and is not liable for damages of any kind in connection with the material, information, or procedures set forth.