ASSESSMENT OF ADVENTITIAL INVOLVEMENT OF ESOPHAGEAL-CARCINOMA BY ENDOSCOPIC ULTRASONOGRAPHY

被引：14

作者：

DATE, H ^{[1
]}

MIYASHITA, M ^{[1
]}

SASAJIMA, K ^{[1
]}

TOBA, M ^{[1
]}

YAMASHITA, K ^{[1
]}

TAKUBO, K ^{[1
]}

ONDA, M ^{[1
]}

机构：

[1] NIPPON MED COLL,DEPT SURG 1,1-1-5 SENDAGI,BUNKYO KU,TOKYO 113,JAPAN

来源：

SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES | 1990年 / 4卷 / 04期

关键词：

ENDOSCOPIC ULTRASONOGRAPHY; ESOPHAGEAL CARCINOMA; ADVENTITIAL INVOLVEMENT;

D O I：

10.1007/BF00316790

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

The adventitial involvement (AI) of esophageal squamous cell carcinoma in 20 patients was analyzed by endoscopic ultrasonography (EUS) and computed tomography (CT). The findings were compared with the histologic evidence of tumor invasion in the resected specimens. AI was detected as an irregularity or interruption of the third layer of the esophageal wall on ultrasound examination. The overall accuracy in the assessment of depth of tumor invasion by EUS and CT scan was 80% and 68%, respectively. EUS diagnosed AI in 17 patients and detected direct tumor invasion of either the aorta, trachea or pericardium in 7 of them. In 4 patients who had severe stenotic lesions, EUS underestimated the depth of tumor invasion when compared to the histologic findings. Overall, these results, show that EUS when combined with CT scanning is a useful means of preoperatively evaluating tumor invasion in patients with esophageal carcinoma.

引用

页码：195 / 197

页数：3

共 18 条

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