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Fig 1.

Flow diagram of the study.

ESD, endoscopic submucosal dissection; RT, radiotherapy; CCRT, concurrent chemoradiotherapy; SESCC, superficial esophageal squamous cell carcinoma; SCC, squamous cell carcinoma

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Fig 2.

Endoscopic images of Lugol chromoendoscopy.

(A) No Lugol voiding lesions (LVLs); (B) several (≤10) small LVLs; (C) many (>10) LVLs; (D) many (>10) irregularly shaped multiform LVLs around the main lesion.

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Fig 3.

Margin of main Lugol-voiding lesion (LVL).

(A) clear margin of the main LVL; (B) unclear margin of the main LVL; (C) spiculated margin of the main LVL.

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Table 1.

Baseline characteristics of patients with versus without metachronous recurrence.

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Fig 4.

Metachronous recurrence after endoscopic submucosal dissection for superficial esophageal squamous cell carcinoma occurred in 8.3% of the patients allocated to surveillance (incidence, 28/10000 person-years).

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Table 2.

Univariate analysis of the risk factors for metachronous recurrence after endoscopic resection.

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Fig 5.

Metachronous recurrence-free survival in patients who underwent endoscopic resection for (A) Lugol-voiding lesion (LVL) and (B) Margin of the main LVL.

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Table 3.

Multivariable analysis of risk factors for metachronous recurrence after endoscopic resection.

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