Esophageal cancer other diagnostic studies: Difference between revisions
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==Overview== | ==Overview== | ||
Laparoscopy, thoracoscopy and bronchoscopy can be used in addition to EUS and CT in locally advanced esophageal cancer. | |||
==Other Diagnostic Studies== | |||
== | ===Laparoscopy and Thoracoscopy=== | ||
*Laparoscopic and thoracoscopic staging can be used to more accurately stage regional lymph nodes (particularly celiac and intrathoracic) as compared to EUS.<ref name="pmid17532386">{{cite journal |vauthors=Kaushik N, Khalid A, Brody D, Luketich J, McGrath K |title=Endoscopic ultrasound compared with laparoscopy for staging esophageal cancer |journal=Ann. Thorac. Surg. |volume=83 |issue=6 |pages=2000–2 |year=2007 |pmid=17532386 |doi=10.1016/j.athoracsur.2007.02.023 |url=}}</ref><ref name="pmid11308139">{{cite journal |vauthors=Krasna MJ, Reed CE, Nedzwiecki D, Hollis DR, Luketich JD, DeCamp MM, Mayer RJ, Sugarbaker DJ |title=CALGB 9380: a prospective trial of the feasibility of thoracoscopy/laparoscopy in staging esophageal cancer |journal=Ann. Thorac. Surg. |volume=71 |issue=4 |pages=1073–9 |year=2001 |pmid=11308139 |doi= |url=}}</ref> | |||
*They can be used to determine intraperitoneal metstases in those patients with distalesophageal adenocarcinomas.<ref name="pmid11373108">{{cite journal |vauthors=Bryan RT, Cruickshank NR, Needham SJ, Moffitt DD, Young JA, Hallissey MT, Fielding JW |title=Laparoscopic peritoneal lavage in staging gastric and oesophageal cancer |journal=Eur J Surg Oncol |volume=27 |issue=3 |pages=291–7 |year=2001 |pmid=11373108 |doi=10.1053/ejso.2001.1113 |url=}}</ref> | |||
*Furthermore, laparoscopy and thoracoscopy is used limit aggressive treatment in those who have a locally advanced cancer. | |||
===Bronchoscopy=== | |||
*Preoperative bronchoscopy with biopsy and brush cytology has been implemented recently as the last phase in staging workup in those with a locally advanced tumor that is located at or above the carina.<ref name="pmid9515844">{{cite journal |vauthors=Riedel M, Hauck RW, Stein HJ, Mounyam L, Schulz C, Schömig A, Siewert JR |title=Preoperative bronchoscopic assessment of airway invasion by esophageal cancer: a prospective study |journal=Chest |volume=113 |issue=3 |pages=687–95 |year=1998 |pmid=9515844 |doi= |url=}}</ref> | |||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Hadeel Maksoud M.D.[2]
Overview
Laparoscopy, thoracoscopy and bronchoscopy can be used in addition to EUS and CT in locally advanced esophageal cancer.
Other Diagnostic Studies
Laparoscopy and Thoracoscopy
- Laparoscopic and thoracoscopic staging can be used to more accurately stage regional lymph nodes (particularly celiac and intrathoracic) as compared to EUS.[1][2]
- They can be used to determine intraperitoneal metstases in those patients with distalesophageal adenocarcinomas.[3]
- Furthermore, laparoscopy and thoracoscopy is used limit aggressive treatment in those who have a locally advanced cancer.
Bronchoscopy
- Preoperative bronchoscopy with biopsy and brush cytology has been implemented recently as the last phase in staging workup in those with a locally advanced tumor that is located at or above the carina.[4]
References
- ↑ Kaushik N, Khalid A, Brody D, Luketich J, McGrath K (2007). "Endoscopic ultrasound compared with laparoscopy for staging esophageal cancer". Ann. Thorac. Surg. 83 (6): 2000–2. doi:10.1016/j.athoracsur.2007.02.023. PMID 17532386.
- ↑ Krasna MJ, Reed CE, Nedzwiecki D, Hollis DR, Luketich JD, DeCamp MM, Mayer RJ, Sugarbaker DJ (2001). "CALGB 9380: a prospective trial of the feasibility of thoracoscopy/laparoscopy in staging esophageal cancer". Ann. Thorac. Surg. 71 (4): 1073–9. PMID 11308139.
- ↑ Bryan RT, Cruickshank NR, Needham SJ, Moffitt DD, Young JA, Hallissey MT, Fielding JW (2001). "Laparoscopic peritoneal lavage in staging gastric and oesophageal cancer". Eur J Surg Oncol. 27 (3): 291–7. doi:10.1053/ejso.2001.1113. PMID 11373108.
- ↑ Riedel M, Hauck RW, Stein HJ, Mounyam L, Schulz C, Schömig A, Siewert JR (1998). "Preoperative bronchoscopic assessment of airway invasion by esophageal cancer: a prospective study". Chest. 113 (3): 687–95. PMID 9515844.