Endoscopic Ultrasonography

Caletti, Giancarlo; Fusaroli, Pietro; Buracco, Paolo

doi:10.1159/000007528

Cited by 29 publications

(19 citation statements)

References 116 publications

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“…Staging of local tumor invasion can be hampered by impassable stenoses--i.e., near the cardia and pylorus. In the 14 patients of this series, impassibility was without exception due to advanced tumor (pT3,4); therefore it can be regarded as a bad prognostic factor [4].…”

Section: Discussionmentioning

confidence: 76%

Endoscopic ultrasonography in the preoperative staging of gastric cancer

Willis

Truong²,

Gribnitz³

et al. 2000

Surg Endosc

131

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Generally accepted standards for the therapy of advanced gastric carcinomas do not exist. In cases where the therapeutic strategy is surgical exploration, no preoperative staging is necessary. In cases with differentiated treatment strategies, the accuracy of EUS is not sufficient for the selection of patients for endoscopic resection. Its accuracy for submucosal cancer invasion and for the detection of lymph node metastases needs to be further enhanced. If only multimodal therapy is considered, EUS staging seems to be absolutely mandatory. Patients classified preoperatively as T1 to T3 can be operated on primarily with sufficient security. In patients where radical resection of the tumor seems doubtful, we recommend that a diagnostic laparoscopy be performed to confirm the diagnosis.

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Section: Discussionmentioning

confidence: 76%

Endoscopic ultrasonography in the preoperative staging of gastric cancer

Willis

Truong²,

Gribnitz³

et al. 2000

Surg Endosc

131

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“…EUS is the best imaging technique to assess the gastrointestinal wall. It makes possible to distinguish the different layers and it is considered the technique of choice for staging of esophageal or gastric tumors [16] . Although EUS is able to stage the tumor infiltration in DLBCL, it has a low impact in this tumor as it does not really change the clinical management.…”

Section: Gastrointestinal Lymphomasmentioning

confidence: 99%

Role of endoscopic ultrasonography with and without fine needle aspiration cytology in the diagnosis and staging of lymphoma

Alvarez-Buylla

García²,

Sánchez

et al. 2012

J Hemat Malig

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Diagnosis of lymphoma is frequently challenging. The complexity of the sub-classification of lymphomas along with the necessity of a high quality sample leads to costly and invasive procedures in order to achieve the correct diagnosis. Endoscopic ultrasound is a valuable tool for the diagnosis and staging of gastrointestinal neoplasms as well as those that involve structures in the vicinity of the digestive tract. Whereas most gastrointestinal lymphomas are diagnosed and sub-classified using endoscopic biopsies, those involving deep-seated organs or lymph nodes might be targeted by minimal invasive procedures as endoscopic ultrasound-guided fine needle aspiration cytology. Endoscopic ultrasound is also an accurate tool for the local staging of gastrointestinal lymphomas and prediction of the response to Helicobacter pylori eradication. This review summarizes the indications and evidence of endoscopic ultrasonography with or without fine needle aspiration cytology in the diagnosis and staging of lymphoma.

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“…Endosonography (EUS) is widely performed for the regional assessment of esophageal carcinoma prior to initiating therapy [16,17,18,19]. Large series have reported accuracies of 85 and 75% for EUS determination of tumor (T) classification and node (N) classification, respectively, in patients undergoing surgical resection without prior neoadjuvant therapy [20,21,22].…”

Section: Introductionmentioning

confidence: 99%

Prediction of Survival by Tumor Area on Endosonography after Definitive Chemoradiotherapy for Locally Advanced Squamous Cell Carcinoma of the Esophagus

Shim¹,

Song

Lee

et al. 2014

Digestion

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Background: Definitive chemoradiotherapy (CRT) is a reasonable approach for patients with locally advanced esophageal cancer who are not surgical candidates. This study was performed to investigate whether endosonography (EUS) assessment of tumor area response is a useful prognostic marker in patients with squamous cell carcinoma (SCC) of the esophagus who receive definitive CRT. Methods: A total of 33 patients who received definitive CRT for locally advanced esophageal SCC were enrolled. The maximal transverse cross-sectional area of the tumor was measured before and after definitive therapy. EUS response was defined as a ≥50% reduction of the tumor area after definitive CRT. Results: Based on EUS evaluation, there were 20 nonresponders (60.6%) and 13 responders (39.4%). The median progression-free survival (PFS) was significantly longer in EUS responders than EUS nonresponders (p = 0.005). However, there was no statistical significance in overall survival according to EUS response (p = 0.120). During multivariate analysis, EUS response to definitive CRT was the only significant factor associated with PFS (p = 0.045), whereas EUS response to definitive CRT was not associated with overall survival (p = 0.221). Conclusions: A reduction of the maximal cross-sectional tumor area measured by EUS correlates with a superior prognosis in patients with locally advanced SCC of the esophagus after definitive CRT.

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Endoscopic Ultrasonography

Cited by 29 publications

References 116 publications

Endoscopic ultrasonography in the preoperative staging of gastric cancer

Endoscopic ultrasonography in the preoperative staging of gastric cancer

Role of endoscopic ultrasonography with and without fine needle aspiration cytology in the diagnosis and staging of lymphoma

Prediction of Survival by Tumor Area on Endosonography after Definitive Chemoradiotherapy for Locally Advanced Squamous Cell Carcinoma of the Esophagus

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