Esophageal cancer CT: Difference between revisions
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{{Esophageal cancer}} | {{Esophageal cancer}} | ||
{{CMG}}{{AE}}{{ | {{CMG}}{{AE}}{{HM}} | ||
==Overview== | ==Overview== | ||
CT scan may be | 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== | ==CT== | ||
*Eccentric or circumferential wall thickening >5 mm | *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> | ||
*Peri-esophageal soft tissue and fat stranding | *[[Computed tomography|CT]] is used to determine the presence of metastatic disease, particularly within stage IV of the disease. | ||
*Dilated fluid and debris | *[[Computed tomography|CT]] can detect the following features: | ||
*Tracheobronchial invasion | **Eccentric or circumferential wall thickening >5 mm | ||
*Aortic invasion | **Peri-esophageal soft tissue and fat stranding | ||
**Dilated fluid and debris filling the esophageal lumen | |||
**Tracheobronchial invasion | |||
**Aortic invasion | |||
{| class="wikitable" | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |CT | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Sensitivity | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Specificity | |||
|- | |||
|Detection of celiac lymph node metastases | |||
|50% | |||
|83% | |||
|- | |||
|Detection of regional lymph node metastases | |||
|42% | |||
|93% | |||
|} | |||
[[Image:Ec3.jpg|thumb|center|500px|Source:commons.wikimedia.org by Hellerhoff- Own work, CC BY-SA 3.0, https://commons.wikimedia.org/w/index.php?curid=18836867]] | |||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
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{{WikiDoc Help Menu}} | {{WikiDoc Help Menu}} | ||
{{WikiDoc Sources}} | {{WikiDoc Sources}} | ||
[[Category:Up-To-Date]] | |||
[[Category:Oncology]] | |||
[[Category:Medicine]] | |||
[[Category:Gastroenterology]] | |||
[[Category:Surgery]] | |||
Latest revision as of 17:06, 18 December 2017
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Esophageal cancer Microchapters |
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Treatment |
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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.