Zhang H, et al. – Here the physicians illustrated the cumulative influence of simultaneous lymphatic and vascular invasion in thoracic oesophageal squamous carcinoma after radical operation. They concluded that simultaneous lymphatic and vascular invasion independently had a more adverse effect on prognosis than lymphatic or vascular invasion alone. To further explore the role of lymphovascular invasion in cancer staging and prognostication, differentiation between lymphatic and vascular invasion was recommended.