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Role of endoscopic ultrasound for pre-intervention evaluation in early esophageal cancer

World Journal of Gastrointestinal Endoscopy 2023年第6期15卷 447-457页

作者： Sartajdeep Kahlon Ali Aamar Zeeshan Butt Shiro Urayama Department of Internal Medicine University of California-DavisSacramentoCA 95817United States Department of Internal Medicine Baystate Medical CenterSpringfieldMA 01199United States

BACKGROUND endoscopic ultrasound(EUS)stands as an accurate imaging modality for esophageal cancer staging,however utilization of EUS in early-stage cancer management remains *** of non-applicability of endoscopic interventions with deep muscular invasion with EUS in pre-intervention evaluation of early-stage esophageal cancer is compared to endoscopic and histologic *** To display the role of EUS in pre-intervention early esophageal cancer staging and how the index endoscopic features of invasive esophageal malignancy compare for prediction of depth of invasion and cancer *** This was a retrospective study of patients who underwent pre-resection EUS after a diagnosis of esophageal cancer at a tertiary medical center from 2012 to *** clinical data,initial esophagogastroduodenoscopy/biopsy,EUS,and final resection pathology reports were abstracted,and statistical analysis was conducted to assess the role of EUS in management *** Forty nine patients were identified for this *** T stage was concordant with histological T stage in 75.5%of *** determining submucosal involvement(T1a vs T1b),EUS had a specificity of 85.0%,sensitivity of 53.9%,and accuracy of 72.7%.endoscopic features of tumor size>2 cm and the presence of esophageal ulceration were significantly associated with deep invasion of cancer on *** affected management from endoscopic mucosal resection/submucosal dissection to esophagectomy in 23.5%of patients without esophageal ulceration and 6.9%of patients with tumor sizeendoscopic findings,EUS identified deeper cancer and changed management in 4.8%(1/20)of *** EUS was reasonably specific in ruling out submucosal invasion but had relatively poor *** validated endoscopic indicators suggested superficial cancers in the group with a tumor size<2 cm and the lack of esophageal *** patients with these findi

关键词： endoscopic ultrasound Esophageal early-stage cancer endoscopic intervention endoscopic indicators of invasive cancer cancer intervention Endoscopy

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