| Preoperative TN staging of esophageal cancer: comparison of miniprobe ultrasonography, spiral CT and MRI. | |
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MedLine Citation:
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PMID: 12532435 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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AIM: To evaluate the value of miniprobe sonography (MPS), spiral CT and MR imaging (MRI) in the tumor and regional lymph node staging of esophageal cancer. METHODS: Eight-six patients (56 men and 30 women; age range of 39-73 years, mean 62 years) with esophageal carcinoma were staged preoperatively with imaging modalities. Of them, 81 (94 %) had squamous cell carcinoma, 4(5 %) adenocarcinoma, and 1(1 %) adenoacanthoma. Eleven patients (12 %) had malignancy of the upper one third, 41 (48 %) of the mid-esophagus and 34 (40 %) of the distal one third. Forty-one were examined by spiral CT in whom 13 were co-examined by MPS, and forty-five by MRI in whom 18 were also co-examined by MPS. These imaging results were compared with the findings of the histopathologic examination for resected specimens. RESULTS: In staging the depth of tumor growth, MPS was significantly more accurate (84 %) than spiral CT and MRI (68 % and 60 %, respectively, P<0.05). The specificity and sensitivity were 82 % and 85 % for MPS; 60 % and 69 % for spiral CT; and 40 % and 63 % for MRI, respectively. In staging regional lymph nodes, spiral CT was more accurate (78 %) than MPS and MRI (71 % and 64 %, respectively), but the difference was not statistically significant. The specificity and sensitivity were 79 % and 77 % for spiral CT; 75 % and 68 % for MPS; and 68 % and 62 % for MRI, respectively. CONCLUSION: MPS is superior to spiral CT or MRI for T staging, especially in early esophageal cancer. However, the three modalities have the similar accuracy in N staging. Spiral CT or MRI is helpful for the detection of far-distance metastasis in esophageal cancer. |
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Authors:
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Ling-Fei Wu; Bing-Zhou Wang; Jia-Lin Feng; Wei-Rong Cheng; Guo-Re Liu; Xiao-Hua Xu; Zhi-Chao Zheng |
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Publication Detail:
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Type: Comparative Study; Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: World journal of gastroenterology : WJG Volume: 9 ISSN: 1007-9327 ISO Abbreviation: World J. Gastroenterol. Publication Date: 2003 Feb |
Date Detail:
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Created Date: 2003-01-17 Completed Date: 2003-05-14 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 100883448 Medline TA: World J Gastroenterol Country: China |
Other Details:
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Languages: eng Pagination: 219-24 Citation Subset: IM |
Affiliation:
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Department of Gastroenterology, Second Affiliated Hospital, Shantou University Medical College, Shantou 515041, Guangdong Province China. lingfeiwu@21cn.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Esophageal Neoplasms / diagnosis* Female Humans Magnetic Resonance Imaging* Male Middle Aged Neoplasm Staging / methods* Tomography, X-Ray Computed* Ultrasonography* |
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