Endoscopic ultrasonography and endoscopy for staging depth of invasion in early gastric cancer: a pilot study

被引:135
作者
Yanai, H
Matsumoto, Y
Harada, T
Nishiaki, M
Tokiyama, H
Shigemitsu, T
Tada, M
Okita, K
机构
[1] First Dept. of Internal Medicine, Yamaguchi Univ. School of Medicine, 1144 Kogushi, Ube
关键词
D O I
10.1016/S0016-5107(97)70088-9
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Background We compared the accuracy of endoscopic ultrasonography (EUS) for staging depth of invasion of early gastric cancer with that of conventional endoscopy. Patients and methods: We assessed the depth of invasion of 108 lesions (104 patients) using EUS with a thin 20 MHz probe and compared the results with those of conventional endoscopy and of histologic examination of endoscopically or surgically resected specimens. Results: The overall accuracy rates for staging depth of invasion for conventional endoscopy and EUS were 72.2% and 64.8%, respectively. Lesions that were classified as limited to the mucosa on both conventional endoscopy and EUS were very likely (92.2%) to be limited to the mucosa on histologic examination. The rates for understaging and overstaging were 16.7% and 11.1%, respectively, for conventional endoscopy; and 7.4% and 24.1%, respectively, for EUS. The highest rate for understaging based on conventional endoscopy occurred for lesions in the gastric body (including cardia, 23.9%). Conclusions: EUS appears to be useful in combination with conventional endoscopy for staging depth of invasion of early gastric cancer. In particular, the two techniques in tandem may accurately predict that a lesion is limited to the mucosa, and EUS may be useful to overcome the potential for understaging by conventional endoscopy, particularly ii? the gastric body.
引用
收藏
页码:212 / 216
页数:5
相关论文
共 20 条
[1]   A FUNDAMENTAL-STUDY OF NORMAL LAYER STRUCTURE OF THE GASTROINTESTINAL WALL VISUALIZED BY ENDOSCOPIC ULTRASONOGRAPHY [J].
AIBE, T ;
FUJI, T ;
OKITA, K ;
TAKEMOTO, T .
SCANDINAVIAN JOURNAL OF GASTROENTEROLOGY, 1986, 21 :6-15
[2]   PREOPERATIVE EVALUATION OF GASTRIC-CANCER BY ENDOSCOPIC ULTRASOUND [J].
AKAHOSHI, K ;
MISAWA, T ;
FUJISHIMA, H ;
CHIJIIWA, Y ;
MARUOKA, A ;
OHKUBO, A ;
NAWATA, H .
GUT, 1991, 32 (05) :479-482
[3]   STAGING OF GASTRIC-CANCER BY ENDOSCOPY [J].
COLINJONES, DG ;
ROSCH, T ;
DITTLER, HJ .
ENDOSCOPY, 1993, 25 (01) :34-38
[4]   ENDOSONOGRAPHY FOR PREOPERATIVE LOCOREGIONAL STAGING OF ESOPHAGEAL AND GASTRIC-CANCER [J].
GRIMM, H ;
BINMOELLER, KF ;
HAMPER, K ;
KOCH, J ;
HENNEBRUNS, D ;
SOEHENDRA, N .
ENDOSCOPY, 1993, 25 (03) :224-230
[5]  
*JAP RES SOC GASTR, 1995, JAP CLASS GASTR CARC, P37
[6]   HISTOLOGIC CORRELATES OF GASTROINTESTINAL ULTRASOUND IMAGES [J].
KIMMEY, MB ;
MARTIN, RW ;
HAGGITT, RC ;
WANG, KY ;
FRANKLIN, DW ;
SILVERSTEIN, FE .
GASTROENTEROLOGY, 1989, 96 (02) :433-441
[7]   Endoscopic treatment of esophagogastric tumors [J].
Lambert, R .
ENDOSCOPY, 1996, 28 (01) :27-37
[8]   ENDOSCOPIC ULTRASONOGRAPHY IN THE DIAGNOSIS, STAGING AND FOLLOW-UP OF ESOPHAGEAL AND GASTRIC-CANCER [J].
LIGHTDALE, CJ .
ENDOSCOPY, 1992, 24 :297-303
[9]  
LONGO WE, 1987, ARCH SURG-CHICAGO, V122, P292
[10]  
MARATKA Z, 1989, TERMINOLOGY DEFINITI, P47