Impact of EUS-FNA in the Management of Patients with Oesophageal Cancer

Morris, J.; Suzuki, H; McKernan, Margaret; Stephen, Mary; Stuart, RC; Stanley, Adrian J.

doi:10.1258/rsmsmj.54.2.30

Cited by 5 publications

(2 citation statements)

References 22 publications

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“…However, a study by Shimpi et al [20] showed that EUS provides good staging accuracy after dilatation of the malignant stricture. Compared with our study where EUS-guided FNA was not performed, recent studies [21,22] with EUS-guided FNA of enlarged lymph nodes showed greater change in the management protocol (50% vs 67%) in patients with oesophageal carcinoma.…”

Section: Discussioncontrasting

confidence: 84%

A Study Comparing Endoscopic Ultrasound (EUS) and Computed Tomography (CT) in Staging Oesophageal Cancer and their Role in Clinical Decision Making

Subasinghe

Samarasekera

2009

J Gastrointest Canc

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Section: Discussioncontrasting

confidence: 84%

A Study Comparing Endoscopic Ultrasound (EUS) and Computed Tomography (CT) in Staging Oesophageal Cancer and their Role in Clinical Decision Making

Subasinghe

Samarasekera

2009

J Gastrointest Canc

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“…Findings from EUS-FNA have changed the management strategy an additional 8% (95% CI, 6% to 15%) of the cases 6. It was shown, in another study, that EUS-FNA has altered the management strategy in as high as 67% of patients 7. Addition of EUS-FNA to EUS is generally recommended when the histopathologic result of EUS-FNA can influence the diagnosis or choice of therapeutic options.…”

Section: Eus and Eus-fna In Esophageal Cancermentioning

confidence: 99%

Endoscopic Ultrasound-Guided Fine Needle Aspiration in Hollow Viscus Cancer

Kim

2012

Clin Endosc

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Accurate cancer staging is essential in patients with hollow viscus malignancy to decide therapeutic modalities. Endoscopic ultrasound (EUS) is considered as the best modality for local staging of hollow viscus cancer. EUS-guided fine needle aspiration (FNA) is a minimally invasive and effective sampling method. EUS-FNA should be applied when positive diagnosis of malignancy can possibly change the choice of therapeutic options. EUS in conjunction with EUS-FNA can optimize stage-directed therapy which is helpful in selecting minimally invasive treatment option including endoscopic treatment and avoiding unnecessary surgery in advanced cases.

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Ultrasound of the larynx, hypopharynx and upper esophagus

Arens

Weigt

Schumacher

et al. 2010

HNO

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Sonography is an integral part of the routine diagnosis of diseases of the head and neck area. Ultrasound plays an important role in particular in the diagnosis, treatment and follow-up of head and neck cancer. Sonographic imaging of the larynx, hypopharynx and upper esophagus is often difficult due to the anatomical conditions. Therefore, CT and MRI are performed as the imaging techniques of first choice for diseases of these organs. In addition to the well-established transcutaneous ultrasound, endoscopic endoluminal ultrasound has developed as a promising new technique in recent years. Hollow organs can be displayed in high resolution transcutaneously and endoluminally. Thus, the attending otolaryngologist can use endoscopy and ultrasonography for accurate surgical planning. The aim of the present paper is to present the possibilities and limitations of ultrasonography of the larynx, hypopharynx and upper esophagus.

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Impact of EUS-FNA in the Management of Patients with Oesophageal Cancer

Abstract: EUS-FNA appears to help direct patients towards appropriate treatment strategies.

Cited by 5 publications

References 22 publications

A Study Comparing Endoscopic Ultrasound (EUS) and Computed Tomography (CT) in Staging Oesophageal Cancer and their Role in Clinical Decision Making

A Study Comparing Endoscopic Ultrasound (EUS) and Computed Tomography (CT) in Staging Oesophageal Cancer and their Role in Clinical Decision Making

Endoscopic Ultrasound-Guided Fine Needle Aspiration in Hollow Viscus Cancer

Ultrasound of the larynx, hypopharynx and upper esophagus

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