Document Detail


Endoscopic ultrasonographic detection of carcinomatous invasion and of lymph nodes in the thoracic esophagus.
MedLine Citation:
PMID:  2181715     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The use of endoscopic ultrasonography (EUS) for diagnosing the depth of carcinomatous invasion into the esophageal wall and in detecting mediastinal lymph nodes in patients with esophageal carcinoma was assessed. EUS was performed before surgery in 33 patients who underwent subtotal esophagectomy with lymph node dissection in our department of surgery between January 1987 and February 1989. The findings of EUS prospectively correlated with intraoperative macroscopic findings and histopathologic findings of the resected specimens. An accurate diagnosis of the depth of invasion into the esophageal wall was made in 30 of the 33 patients (90.1%). Visualization rates of mediastinal lymph nodes were 92.9%, 53.1%, and 1.0% when the nodes were greater than 10 mm in maximum diameter, 5 to 9 mm, and less than 5 mm, respectively. Although EUS had no diagnostic value for patients in whom the ultrasonic probe could not be inserted beyond the tumor, it is an excellent method for evaluating the depth of invasion and detecting lymph nodes greater than 10 mm in diameter. Detection is not feasible when the lymph node is less than 5 mm in diameter. EUS provides the surgeon with one more tool for the preoperative determination of curability.
Authors:
K Sugimachi; S Ohno; H Fujishima; H Kuwano; M Mori; T Misawa
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Surgery     Volume:  107     ISSN:  0039-6060     ISO Abbreviation:  Surgery     Publication Date:  1990 Apr 
Date Detail:
Created Date:  1990-05-02     Completed Date:  1990-05-02     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0417347     Medline TA:  Surgery     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  366-71     Citation Subset:  AIM; IM    
Affiliation:
Department of Surgery II, Kyushu University, Faculty of Medicine, Fukuoka, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Carcinoma / pathology*,  radiography
Endoscopy
Esophageal Neoplasms / pathology*,  radiography
Esophagus / pathology*
Female
Humans
Lymph Nodes / pathology*
Male
Mediastinum
Middle Aged
Neoplasm Invasiveness
Thorax
Ultrasonography / methods*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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