Advances in staging of esophageal carcinoma

Chest
Mark J Krasna

Abstract

Staging criteria for thoracic malignancies are based on survival groupings that allow the stage groups to be used as prognosticators for cancer treatment. Definitive staging of esophageal cancer facilitates allocation of patients to appropriate treatment regimens according to each patient's stage. Existing noninvasive staging methods are imperfect in detecting abdominal and thoracic lymph node metastases in patients with esophageal cancer. Thoracoscopy is an excellent means for staging the chest and mediastinum. We have used thoracoscopic lymph node staging and laparoscopic lymph node staging for esophageal cancer since 1992. Thoracoscopy was performed in 45 patients with biopsy specimen-proved carcinoma of the esophagus. Laparoscopy was done in the last 20 patients. Laparoscopic-assisted feeding jejunostomies were performed in patients with obstructive symptoms. Directed liver biopsies were performed if lesions were present. Thoracoscopy was aborted in three patients because of adhesions. Thoracic lymph node stage was N0 in 40 patients and N1 in 3. Celiac lymph nodes were normal in 14 patients and abnormal in 6. Esophageal resection was performed in 30 patients after thoracoscopic lymph node staging; 18 of these underwent lapa...Continue Reading

References

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Citations

Mar 28, 2001·The Annals of Thoracic Surgery·R K Freeman, M A Wait
Sep 15, 2000·The Surgical Clinics of North America·B L Pratt, F L Greene
Oct 28, 1999·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·M J KrasnaZ Gamliel
Jun 6, 2000·Critical Reviews in Oncology/hematology·M A GuicciardiE Croce
Oct 1, 2003·Clinical Positron Imaging : Official Journal of the Institute for Clinical P.E.T·Henry W.D. YeungSteven M. Larson
Apr 16, 2005·The Cancer Journal·Koji OtsukaAlan T Lefor
Jun 11, 2003·American Journal of Clinical Oncology·Bart FrizzellAndrew Turrisi
Jan 25, 2005·Journal of the American College of Surgeons·Jean-Louis DulucqAhmad Mahajna
Feb 2, 2006·Annales de chirurgie·F PeschaudUNKNOWN French Society of Digestive Surgery
Sep 25, 2001·Current Problems in Cancer·A A Saber, M A Liberman
Feb 24, 2001·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·S G UrbaM Strawderman
Jul 1, 1999·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·M J Dalrymple-HayR E Lea
Apr 13, 2006·Journal de chirurgie·F PeschaudUNKNOWN Société Francaise de Chirurgie Digestive (SFCD)

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