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Consequently, it was considered a malignancy with a poor prognosis. However, recent advances in image\u2010enhanced endoscopy (IEE) have facilitated the early detection of superficial pharyngeal cancers. The combination of IEE and magnifying endoscopy enables both the detection and detailed characterization of lesions, including assessment of malignancy and invasion depth. Due to the anatomically complex structure of the pharyngolaryngeal region, en bloc resection using snare\u2010based endoscopic mucosal resection has been difficult. However, the development of endoscopic submucosal dissection (ESD) and endoscopic laryngopharyngeal surgery has made en bloc resection technically possible. Successful pharyngeal ESD requires careful planning, including consideration of intubation route, laryngoscope positioning, and choice of devices. Tumor thickness \u22651000\u00a0\u00b5m and positive lymphovascular invasion are pathological risk factors for lymph node metastasis. However, no consensus exists regarding the need for additional adjuvant chemotherapy. After pharyngeal ESD, close follow\u2010up is essential, focusing on lymph node metastasis and metachronous cancers. Lymph node metastasis may require dissection or radiotherapy, while metachronous lesions can often be treated endoscopically. A multidisciplinary approach is essential for effective management of superficial pharyngeal cancer.<\/jats:p>","DOI":"10.1002\/deo2.70180","type":"journal-article","created":{"date-parts":[[2025,8,11]],"date-time":"2025-08-11T09:18:15Z","timestamp":1754903895000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Comprehensive Endoscopic Management of Superficial Pharyngeal Cancer \u2013 From Detection and Diagnosis to Treatment and Surveillance"],"prefix":"10.1002","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0529-7910","authenticated-orcid":false,"given":"Daisuke","family":"Kikuchi","sequence":"first","affiliation":[{"name":"Department of Gastroenterology Toranomon Hospital Kajigaya  Kanagawa Japan"},{"name":"Diagnostic and Therapeutic Gastrointestinal Endoscopy Clinic  Kanagawa 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