Evaluation of the accuracy of preoperative staging in thoracic esophageal cancer

被引：80

作者：

Nishimaki, T

Tanaka, O

Ando, N

Ide, H

Watanabe, H

Shinoda, M

Takiyama, W

Yamana, H

Ishida, K

Isono, K

Endo, M

Ikeuchi, T

Mitomi, T

Koizumi, H

Imamura, M

Iizuka, T

机构：

[1] Niigata Univ, Sch Med, Dept Surg 1, Niigata 951, Japan

[2] Niigata Canc Ctr Hosp, Dept Surg, Niigata, Japan

[3] Keio Univ, Sch Med, Dept Surg, Tokyo 160, Japan

[4] Tokyo Womens Med Coll, Dept Surg, Tokyo 162, Japan

[5] Natl Canc Ctr Hosp, Dept Surg, Tokyo, Japan

[6] Aichi Canc Ctr Hosp, Dept Thorac Surg, Nagoya, Aichi 464, Japan

[7] Natl Shikoku Canc Ctr Hosp, Dept Surg, Matsuyama, Ehime, Japan

[8] Kurume Univ, Fac Med, Dept Surg 1, Kurume, Fukuoka 830, Japan

[9] Iwate Med Coll, Dept Surg 1, Morioka, Iwate, Japan

[10] Chiba Univ, Fac Med, Dept Surg 2, Chiba, Japan

[11] Tokyo Med & Dent Univ, Sch Med, Dept Surg 1, Tokyo 113, Japan

[12] Second Tokyo Natl Hosp, Dept Surg, Tokyo, Japan

[13] Tokai Univ, Sch Med, Dept Surg, Isehara, Kanagawa 25911, Japan

[14] Kanagawa Canc Ctr Hosp, Dept Surg, Yokohama, Kanagawa, Japan

[15] Kyoto Univ, Fac Med, Dept Surg 1, Kyoto 606, Japan

[16] Natl Oji Hosp, Tokyo, Japan

来源：

ANNALS OF THORACIC SURGERY | 1999年 / 68卷 / 06期

关键词：

D O I：

10.1016/S0003-4975(99)01171-6

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background. Exact clinical staging before treatment of esophageal cancer has become increasingly important in the evaluation and comparison of the results of different treatment modalities, including surgery, chemotherapy, and radiotherapy. Methods. The accuracy of preoperative tumor staging by using an esophagography, esophagoscopy, percutaneous and endoscopic ultrasonography, and computed tomography was assessed in 224 patients with resectable esophageal cancer. The results of tumor staging by these tests were compared prospectively with the pathologic stage of the esophagectomy specimens with respect to the T and N categories defined by the International Union Against Cancer TNM classification. Results. For the T category, the overall accuracy was 80%. For the N category, overall accuracy was 72%, with a sensitivity of 78%, a specificity of 60%, and a positive predictive value of 78%. Overall, the accuracy of stage grouping was 56%. Conclusions. Either the T or N categories can be predicted reliably by clinical staging techniques. However, the preoperative stage grouping might not be valid in resectable, localized esophageal cancer. (C) 1999 by The Society of Thoracic Surgeons.

引用

页码：2059 / 2064

页数：6

共 16 条

[1] A FUNDAMENTAL-STUDY OF NORMAL LAYER STRUCTURE OF THE GASTROINTESTINAL WALL VISUALIZED BY ENDOSCOPIC ULTRASONOGRAPHY [J].