SUPRACLAVICULAR LYMPH-NODE METASTASES IN CARCINOMA OF THE ESOPHAGUS AND GASTROESOPHAGEAL JUNCTION - ASSESSMENT WITH CT, US, AND US-GUIDED FINE-NEEDLE ASPIRATION BIOPSY

被引:67
作者
VANOVERHAGEN, H
LAMERIS, JS
BERGER, MY
VANDERVOORDE, F
TILANUS, HW
KLOOSWIJK, AIJ
ZONDERLAND, HM
VANPEL, R
机构
[1] ERASMUS UNIV,HOSP DIJKZIGT,DEPT SURG,3015 GD ROTTERDAM,NETHERLANDS
[2] ERASMUS UNIV,HOSP DIJKZIGT,DEPT PATHOL,3015 GD ROTTERDAM,NETHERLANDS
[3] ERASMUS UNIV,HOSP DIJKZIGT,DEPT CLIN DECIS ANAL,3015 GD ROTTERDAM,NETHERLANDS
关键词
ESOPHAGUS; CT; NEOPLASMS; LYMPHATIC SYSTEM;
D O I
10.1148/radiology.179.1.2006268
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
The preoperative assessment of supraclavicular lymph node metastases was prospectively studied in 100 patients with carcinoma of the esophagus and gastroesophageal junction. Findings at computed tomography (CT), ultrasound (US), and palpation were compared, and US-guided fine-needle aspiration biopsy of nodes with a small axis of 5 mm or greater was performed. Supraclavicular metastases were detected on CT scans in 11 of 13 patients (85%) and on US scans in 14 of 16 patients (88%) but were palpable in only three of the 16 patients (19%). The predictive value of a supraclavicular node indicating metastases was .74 at US and .85 at CT. Metastases were diagnosed in 10 of 46 patients with squamous cell carcinoma (22%) and five of 50 patients (10%) with adenocarcinoma. Nodes with metastases had a round configuration, with a statistically significant greater short-axis to long-axis ratio than that of benign nodes (0.89 vs 0.54; P = .05). In four of 16 patients (25%) with supraclavicular metastases proved with cytologic examination, neither CT nor US of the mediastinum and abdomen showed enlarged nodes.
引用
收藏
页码:155 / 158
页数:4
相关论文
共 23 条
[1]   PRINCIPLES OF SURGICAL-TREATMENT FOR CARCINOMA OF THE ESOPHAGUS - ANALYSIS OF LYMPH-NODE INVOLVEMENT [J].
AKIYAMA, H ;
TSURUMARU, M ;
KAWAMURA, T ;
ONO, Y .
ANNALS OF SURGERY, 1981, 194 (04) :438-446
[2]  
BEAHRS OH, 1988, MANUAL STAGING CANC, P63
[3]   CT EVALUATION OF PATIENTS UNDERGOING TRANSHIATAL ESOPHAGECTOMY FOR CANCER [J].
BECKER, CD ;
BARBIER, P ;
PORCELLINI, B .
JOURNAL OF COMPUTER ASSISTED TOMOGRAPHY, 1986, 10 (04) :607-611
[4]  
DEJONG RJB, 1989, ARCH OTOLARYNGOL, V115, P689
[5]   THE RESULTS OF ESOPHAGOGASTRECTOMY WITHOUT THORACOTOMY FOR ADENOCARCINOMA OF THE ESOPHAGOGASTRIC JUNCTION [J].
FINLEY, RJ ;
INCULET, RI .
ANNALS OF SURGERY, 1989, 210 (04) :535-543
[6]   COMPUTED-TOMOGRAPHY OF AXILLARY AND SUPRACLAVICULAR ADENOPATHY [J].
GOLDBERG, RP ;
AUSTIN, RM .
CLINICAL RADIOLOGY, 1985, 36 (06) :593-596
[7]   ESOPHAGEAL CANCER STAGING BY CT - LONG-TERM FOLLOW-UP-STUDY [J].
HALVORSEN, RA ;
MAGRUDERHABIB, K ;
FOSTER, WL ;
ROBERTS, L ;
POSTLETHWAIT, RW ;
THOMPSON, WM .
RADIOLOGY, 1986, 161 (01) :147-151
[8]  
HALVORSEN RA, 1989, RADIOL CLIN N AM, V27, P667
[9]   EVALUATION OF NONINVASIVE TESTS FOR THE PREOPERATIVE STAGING OF CARCINOMA OF THE ESOPHAGUS - A PROSPECTIVE-STUDY [J].
INCULET, RI ;
KELLER, SM ;
DWYER, A ;
ROTH, JA .
ANNALS OF THORACIC SURGERY, 1985, 40 (06) :561-565
[10]   A SURGEON LOOKS AT CERVICAL LYMPH-NODES [J].
JOHNSON, JT .
RADIOLOGY, 1990, 175 (03) :607-610