| Comparison of endoscopic ultrasonography (EUS), positron emission tomography (PET), and computed tomography (CT) in the preoperative locoregional staging of resectable esophageal cancer. | |
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MedLine Citation:
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PMID: 20033712 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Endoscopic ultrasonography (EUS) has been a useful method for the accurate staging of esophageal cancer. This study aimed to compare the diagnostic performance of EUS, positron emission tomography (PET), and computed tomography (CT) in the locoregional staging of resectable esophageal cancer. METHODS: A total of 109 patients with resectable esophageal cancer were prospectively enrolled and retrospectively reviewed for evaluation of preoperative EUS, PET, and CT. The sensitivity, specificity, and accuracy of tumor depth (T) staging and regional lymph nodal (N) staging for each test were compared with the postoperative histopathologic stage as the gold standard. RESULTS: The overall accuracy of EUS for T staging was 72%, and it was the only method for delineating the layers of the esophageal wall. The sensitivities for N staging were 42% for EUS, 49% for PET, and 35% for CT, and their specificities were, respectively, 91, 87, and 93%. The accuracy for N staging was 66% for EUS, 68% for PET, and 63% for CT, and it did not differ significantly across the three tests. CONCLUSIONS: Preoperative EUS for the locoregional staging of esophageal cancer provides excellent T staging accuracy and similar accuracy for N staging compared with PET and CT. Especially in T staging, EUS could play an important role in the choice of candidates for esophageal cancer surgery. |
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Authors:
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Jeongmin Choi; Sang Gyun Kim; Joo Sung Kim; Hyun Chae Jung; In Sung Song |
Publication Detail:
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Type: Comparative Study; Journal Article Date: 2009-12-24 |
Journal Detail:
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Title: Surgical endoscopy Volume: 24 ISSN: 1432-2218 ISO Abbreviation: Surg Endosc Publication Date: 2010 Jun |
Date Detail:
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Created Date: 2010-05-14 Completed Date: 2010-10-05 Revised Date: 2011-04-27 |
Medline Journal Info:
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Nlm Unique ID: 8806653 Medline TA: Surg Endosc Country: Germany |
Other Details:
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Languages: eng Pagination: 1380-6 Citation Subset: IM |
Affiliation:
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Department of Internal Medicine and Liver Research Institute, Seoul National University College of Medicine, Yongun-dong 28, Chongno-gu, Seoul 110-744, South Korea. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adenocarcinoma
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diagnosis,
surgery Carcinoma, Squamous Cell / diagnosis, surgery Carcinosarcoma / diagnosis, surgery Diagnosis, Differential Endosonography / methods* Esophageal Neoplasms / diagnosis*, surgery Esophagectomy* Female Follow-Up Studies Humans Male Middle Aged Neoplasm Staging / methods* Positron-Emission Tomography / methods* Preoperative Care / methods* Prospective Studies Reproducibility of Results Sensitivity and Specificity Tomography, X-Ray Computed / methods* |
| Comments/Corrections | |
Comment In:
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Surg Endosc. 2011 Apr;25(4):1344-5; author reply 1346
[PMID:
20725745
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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