| Diagnostic accuracy of T and N stages with endoscopy, stomach protocol CT, and endoscopic ultrasonography in early gastric cancer. | |
| | |
MedLine Citation:
|
PMID: 18937292 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: Preoperative accurate diagnosis of the T and N stages in early gastric cancer (EGC) is important in determining the application of various limited treatments. The aim of this study is to analyze the accuracy of T and N staging of EGC with esophagogastroduodenoscopy (EGD), Stomach protocol CT (S-CT), and endoscopic ultrasonography (EUS), and the factors influencing the accuracy. METHODS: Four hundred and thirty-four patients preoperatively diagnosed as EGC using EGD or S-CT and undergoing curative gastrectomy at Seoul National University Hospital in 2005 were included. The T and N stage reviewed by experienced personnel were compared with the surgical pathology. RESULTS: The predictive values for EGC of EGD, S-CT, and EUS were 87.4%, 92.2%, and 94.1%, respectively. The predictive values for node negativity of S-CT, and EUS were 90.1% and 92.6%, respectively. The factors leading to underestimation of T stage with EGD were the upper third location, the size greater than 2 cm, and diffuse type of tumor. Those with S-CT were female sex, the upper third location and lesion size greater than 2 cm. CONCLUSIONS: Before applying limited treatment for EGC, a surgeon should consider the risk factors of underestimation of T stage with EGD or S-CT. |
| | |
Authors:
|
Hye Seong Ahn; Hyuk-Joon Lee; Moon-Won Yoo; Sang Gyun Kim; Jong Pil Im; Se Hyung Kim; Woo Ho Kim; Kuhn Uk Lee; Han-Kwang Yang |
Publication Detail:
|
Type: Comparative Study; Journal Article |
Journal Detail:
|
Title: Journal of surgical oncology Volume: 99 ISSN: 1096-9098 ISO Abbreviation: J Surg Oncol Publication Date: 2009 Jan |
Date Detail:
|
Created Date: 2008-12-22 Completed Date: 2009-01-13 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0222643 Medline TA: J Surg Oncol Country: United States |
Other Details:
|
Languages: eng Pagination: 20-7 Citation Subset: IM |
Affiliation:
|
Department of Surgery, Seoul National University College of Medicine, Jongno-Gu, Seoul, Korea. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Aged Duodenoscopy Endoscopy, Digestive System* Endosonography* Esophagoscopy Female Gastrectomy Gastroscopy Humans Male Middle Aged Neoplasm Staging / methods* Predictive Value of Tests Stomach Neoplasms / diagnosis*, surgery Tomography, X-Ray Computed* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Evaluation of a peritoneal surface disease severity score in patients with colon cancer with periton...
Next Document: Convergent patterns of association between phenylalanine hydroxylase variants and schizophrenia in f...