Esophageal cancer CT: Difference between revisions
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==CT== | ==CT== | ||
*For initial staging of esophageal cancer, CT may be used concomitantly with endoscopic ultrasound or positive emission tomography.<ref name="pmid17185195">{{cite journal |vauthors=Erasmus JJ, Munden RF |title=The role of integrated computed tomography positron-emission tomography in esophageal cancer: staging and assessment of therapeutic response |journal=Semin Radiat Oncol |volume=17 |issue=1 |pages=29–37 |year=2007 |pmid=17185195 |doi=10.1016/j.semradonc.2006.09.005 |url=}}</ref> | *For initial staging of esophageal cancer, CT may be used concomitantly with [[endoscopic ultrasound]] or [[Positron emission tomography|positive emission tomography]].<ref name="pmid17185195">{{cite journal |vauthors=Erasmus JJ, Munden RF |title=The role of integrated computed tomography positron-emission tomography in esophageal cancer: staging and assessment of therapeutic response |journal=Semin Radiat Oncol |volume=17 |issue=1 |pages=29–37 |year=2007 |pmid=17185195 |doi=10.1016/j.semradonc.2006.09.005 |url=}}</ref> | ||
*CT is used to determine the presence of metastatic disease, particularly within stage IV of the disease. | *[[Computed tomography|CT]] is used to determine the presence of metastatic disease, particularly within stage IV of the disease. | ||
*CT can detect the following features: | *[[Computed tomography|CT]] can detect the following features: | ||
**Eccentric or circumferential wall thickening >5 mm | **Eccentric or circumferential wall thickening >5 mm | ||
**Peri-esophageal soft tissue and fat stranding | **Peri-esophageal soft tissue and fat stranding | ||
| Line 16: | Line 16: | ||
**Aortic invasion | **Aortic invasion | ||
{| class="wikitable" | {| class="wikitable" | ||
!CT | ! align="center" style="background:#4479BA; color: #FFFFFF;" |CT | ||
!Sensitivity | ! align="center" style="background:#4479BA; color: #FFFFFF;" |Sensitivity | ||
!Specificity | ! align="center" style="background:#4479BA; color: #FFFFFF;" |Specificity | ||
|- | |- | ||
|Detection of celiac lymph node metastases | |Detection of celiac lymph node metastases | ||
Latest revision as of 17:06, 18 December 2017
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Esophageal cancer Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Esophageal cancer CT On the Web |
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American Roentgen Ray Society Images of Esophageal cancer CT |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Hadeel Maksoud M.D.[2]
Overview
CT scan may be used for staging of esophageal cancer. Findings on CT scan suggestive of esophageal cancer include eccentric or circumferential wall thickening, or peri-esophageal soft tissue and fat stranding.
CT
- For initial staging of esophageal cancer, CT may be used concomitantly with endoscopic ultrasound or positive emission tomography.[1]
- CT is used to determine the presence of metastatic disease, particularly within stage IV of the disease.
- CT can detect the following features:
- Eccentric or circumferential wall thickening >5 mm
- Peri-esophageal soft tissue and fat stranding
- Dilated fluid and debris filling the esophageal lumen
- Tracheobronchial invasion
- Aortic invasion
| CT | Sensitivity | Specificity |
|---|---|---|
| Detection of celiac lymph node metastases | 50% | 83% |
| Detection of regional lymph node metastases | 42% | 93% |
References
- ↑ Erasmus JJ, Munden RF (2007). "The role of integrated computed tomography positron-emission tomography in esophageal cancer: staging and assessment of therapeutic response". Semin Radiat Oncol. 17 (1): 29–37. doi:10.1016/j.semradonc.2006.09.005. PMID 17185195.