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Pre-operative staging of gastro-oesophageal junction carcinoma: comparison of endoscopic ultrasound and computed tomography.
Australas Radiol. 1996 Aug; 40(3):206-12.AR

Abstract

Fifteen patients with carcinoma of the gastro-oesophageal junction were pre-operatively staged with endoscopic ultrasound (EUS) and computed tomography (CT). The accuracy of tumour and nodal staging using both modalities was compared to the final histological staging of the resected specimens. In staging depth of tumour growth, EUS was significantly more accurate (87% of lesions correctly staged) than CT (40% correctly staged). In staging nodal involvement, EUS was again significantly more accurate (73% correctly staged) than CT (33%). Two-thirds of the lesions were traversable with the endoscopic probe, but most of the nontraversed lesions were correctly staged on EUS. In this study, CT has performed poorly as a staging modality for carcinoma at the gastro-oesophageal junction. Other studies have shown CT to be less accurate at this location than at other oesophageal sites. The orientation of the gastro-oesophageal junction, lack of surrounding fat planes, proximity of adjacent organs and patient motion contribute to the poor staging performance of CT at this location. In contrast, EUS has been an accurate staging modality at the gastro-oesophageal junction in this study and compares well with other studies evaluating EUS in the more proximal oesophagus. Endoscopic ultrasound is therefore a necessary modality if accurate pre-operative staging of gastro-oesophageal junction carcinoma is to be achieved.

Authors+Show Affiliations

Department of Diagnostic Radiology, Royal Perth Hospital, Western Australia, Australia.No affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

8826718

Citation

Holden, A, et al. "Pre-operative Staging of Gastro-oesophageal Junction Carcinoma: Comparison of Endoscopic Ultrasound and Computed Tomography." Australasian Radiology, vol. 40, no. 3, 1996, pp. 206-12.
Holden A, Mendelson R, Edmunds S. Pre-operative staging of gastro-oesophageal junction carcinoma: comparison of endoscopic ultrasound and computed tomography. Australas Radiol. 1996;40(3):206-12.
Holden, A., Mendelson, R., & Edmunds, S. (1996). Pre-operative staging of gastro-oesophageal junction carcinoma: comparison of endoscopic ultrasound and computed tomography. Australasian Radiology, 40(3), 206-12.
Holden A, Mendelson R, Edmunds S. Pre-operative Staging of Gastro-oesophageal Junction Carcinoma: Comparison of Endoscopic Ultrasound and Computed Tomography. Australas Radiol. 1996;40(3):206-12. PubMed PMID: 8826718.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Pre-operative staging of gastro-oesophageal junction carcinoma: comparison of endoscopic ultrasound and computed tomography. AU - Holden,A, AU - Mendelson,R, AU - Edmunds,S, PY - 1996/8/1/pubmed PY - 1996/8/1/medline PY - 1996/8/1/entrez SP - 206 EP - 12 JF - Australasian radiology JO - Australas Radiol VL - 40 IS - 3 N2 - Fifteen patients with carcinoma of the gastro-oesophageal junction were pre-operatively staged with endoscopic ultrasound (EUS) and computed tomography (CT). The accuracy of tumour and nodal staging using both modalities was compared to the final histological staging of the resected specimens. In staging depth of tumour growth, EUS was significantly more accurate (87% of lesions correctly staged) than CT (40% correctly staged). In staging nodal involvement, EUS was again significantly more accurate (73% correctly staged) than CT (33%). Two-thirds of the lesions were traversable with the endoscopic probe, but most of the nontraversed lesions were correctly staged on EUS. In this study, CT has performed poorly as a staging modality for carcinoma at the gastro-oesophageal junction. Other studies have shown CT to be less accurate at this location than at other oesophageal sites. The orientation of the gastro-oesophageal junction, lack of surrounding fat planes, proximity of adjacent organs and patient motion contribute to the poor staging performance of CT at this location. In contrast, EUS has been an accurate staging modality at the gastro-oesophageal junction in this study and compares well with other studies evaluating EUS in the more proximal oesophagus. Endoscopic ultrasound is therefore a necessary modality if accurate pre-operative staging of gastro-oesophageal junction carcinoma is to be achieved. SN - 0004-8461 UR - https://www.unboundmedicine.com/medline/citation/8826718/Pre_operative_staging_of_gastro_oesophageal_junction_carcinoma:_comparison_of_endoscopic_ultrasound_and_computed_tomography_ L2 - https://onlinelibrary.wiley.com/resolve/openurl?genre=article&sid=nlm:pubmed&issn=0004-8461&date=1996&volume=40&issue=3&spage=206 DB - PRIME DP - Unbound Medicine ER -