Precancerous esophageal lesions were detected in a 50-year-old patient solely through persistent belching.

Recently, a 50-year-old patient came in.Hoan My Vinh HospitalShe sought medical attention due to persistent belching. With their extensive practical experience, the doctors quickly identified the abnormality and proactively ordered an esophageal endoscopy to determine the cause.

During a standard white light endoscopy, the patient's esophageal mucosa was observed to be uneven, suggesting structural surface abnormalities. For a more in-depth examination, the doctors used narrow-band imaging (NBI) on the Pentax Inspira 8020 system and identified mucosal microvascular changes. This is a crucial sign that helps guide the diagnosis of early-stage neoplastic lesions – something that doctors with insufficient clinical experience could easily overlook.

Subsequent pathology results confirmed that the patient had high-grade dysplasia, a precancerous lesion with the potential to progress to invasive cancer if not detected early.

According to Dr. Nguyen Van Hoa, the case of patient D.T. was detected at a very early stage, when the lesion had not yet invaded surrounding tissues. Thanks to this, the patient was prescribed minimally invasive treatment methods, which are highly effective and have the potential for complete recovery. This is of great significance, not only shortening the treatment time but also significantly reducing costs and psychological stress for the patient.

Clinical practice shows that esophageal cancer in particular, and many gastrointestinal cancers in general, often begin with atypical symptoms. Initial signs may include: persistent belching, heartburn behind the sternum, difficulty swallowing, a feeling of choking while eating, mild chest pain, persistent hoarseness, or unexplained weight loss. These symptoms are often "masked" by familiar manifestations, making them easily mistaken for benign conditions such as gastroesophageal reflux, pharyngitis, or digestive disorders.

Therefore, many cases are only detected when the disease has progressed to a late stage, reducing treatment effectiveness, increasing costs, and significantly affecting the patient's quality of life. Thus, early recognition of warning signs and proactively seeking medical attention when experiencing unusual symptoms are key factors in detecting the disease at an early stage.

In this case, routine endoscopic screening plays a particularly important role. This method allows for direct observation of the mucosa of the esophagus, stomach, duodenum, and colon, helping to detect precancerous or cancerous lesions early, even before obvious symptoms appear. In particular, modern endoscopic techniques such as NBI, currently applied at Hoan My Vinh Hospital, further enhance the ability to detect changes in blood vessels and the surface of the digestive tract, thereby increasing diagnostic accuracy.

In addition, experts recommend that high-risk individuals such as those over 40, with a history of chronic gastroesophageal reflux disease, smokers, frequent alcohol drinkers, or those with a family history of gastrointestinal cancer should undergo regular endoscopic screening. Even for those without obvious risk factors, regular digestive health checkups are essential for long-term health protection.

The "decisive advantage" in treatment is created by the combination of the expertise of the medical team and the advanced medical equipment. This achievement reflects the tireless efforts ofHoan My Vinh Hospital Specifically, this also reflects Hoan My Medical Group's systematic investment strategy in developing high-quality human resources and continuously investing in modern equipment throughout the system.

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HOAN MY VINH HOSPITAL

No. 99 Pham Dinh Toai Street, Vinh Phu Ward, Nghe An Province

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