Endoscopic ultrasonography in the diagnosis and staging of neoplasms of the head and neck

Endoscopy
Stephan M WildiMichael B Wallace

Abstract

Endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) is a minimally invasive and highly accurate method of detecting mediastinal lymph-node metastases in gastrointestinal and lung cancer. Little information is available regarding the use of EUS-FNA to stage tumors in the head and neck region. This study reports experience with EUS in the diagnosis and staging of these tumors and their mediastinal spread. The records of patients who underwent EUS for diagnosis and/or staging of head and neck tumors were reviewed. Referral criteria were suspected invasion of the esophagus by a lower-neck mass on cervical computed tomography (CT) or magnetic resonance imaging (MRI), or mediastinal lymphadenopathy > 10 mm on a chest CT. Thirty-two patients (23 men, nine women; mean age 65 years, range 44 - 80) were referred and underwent 35 EUS examinations. In one patient, EUS was not possible due to a benign esophageal stricture. In 17 patients with suspected esophageal invasion on CT scans, EUS demonstrated invasion of the esophagus in four cases and of the pleura in one; 12 tumors showed no visible invasion of adjacent structures. The other 17 examinations were carried out for suspected mediastinal metastatic disease. In eight cases, E...Continue Reading

Citations

Dec 14, 2005·Current Treatment Options in Oncology·Zoran RumboldtSusan Ackermann
Dec 24, 2009·Annals of Oncology : Official Journal of the European Society for Medical Oncology·R PericJ T Annema
Feb 26, 2005·Advances in Anatomic Pathology·Edward B StelowMichael W Stanley
Dec 5, 2006·Gastrointestinal Endoscopy·Kathryn ClaryDarshana N Jhala
Mar 3, 2006·Diagnostic Cytopathology·Ricardo H BardalesMichael W Stanley
May 13, 2005·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·P Fusaroli, G Caletti
Jun 14, 2003·Otolaryngologic Clinics of North America·Terry A DayKhanh Gien Hoang
Nov 9, 2016·Endoscopic Ultrasound·Malay SharmaAnish Chopra

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cancer Imaging

Imaging techniques, including CT and MR, have become essential to tumor detection, diagnosis, and monitoring. Here is the latest research on cancer imaging.