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Titolo:
Evaluation of the accuracy of preoperative staging in thoracic esophageal cancer
Autore:
Nishimaki, T; Tanaka, O; Ando, N; Ide, H; Watanabe, H; Shinoda, M; Takiyama, W; Yamana, H; Ishida, K; Isono, K; Endo, M; Ikeuchi, T; Mitomi, T; Koizumi, H; Imamura, M; Iizuka, T;
Indirizzi:
Niigata Univ, Sch Med, Dept Surg 1, Niigata 951, Japan Niigata Univ Niigata Japan 951 Sch Med, Dept Surg 1, Niigata 951, Japan Niigata Canc Ctr Hosp, Dept Surg, Niigata, Japan Niigata Canc Ctr Hosp Niigata Japan Ctr Hosp, Dept Surg, Niigata, Japan Keio Univ, Sch Med, Dept Surg, Tokyo 160, Japan Keio Univ Tokyo Japan 160 eio Univ, Sch Med, Dept Surg, Tokyo 160, Japan Tokyo Womens Med Coll, Dept Surg, Tokyo 162, Japan Tokyo Womens Med Coll Tokyo Japan 162 Coll, Dept Surg, Tokyo 162, Japan Natl Canc Ctr Hosp, Dept Surg, Tokyo, Japan Natl Canc Ctr Hosp Tokyo Japan l Canc Ctr Hosp, Dept Surg, Tokyo, Japan Aichi Canc Ctr Hosp, Dept Thorac Surg, Nagoya, Aichi 464, Japan Aichi CancCtr Hosp Nagoya Aichi Japan 464 Surg, Nagoya, Aichi 464, Japan Natl Shikoku Canc Ctr Hosp, Dept Surg, Matsuyama, Ehime, Japan Natl Shikoku Canc Ctr Hosp Matsuyama Ehime Japan Matsuyama, Ehime, Japan Kurume Univ, Fac Med, Dept Surg 1, Kurume, Fukuoka 830, Japan Kurume UnivKurume Fukuoka Japan 830 t Surg 1, Kurume, Fukuoka 830, Japan Iwate Med Coll, Dept Surg 1, Morioka, Iwate, Japan Iwate Med Coll MoriokaIwate Japan l, Dept Surg 1, Morioka, Iwate, Japan Chiba Univ, Fac Med, Dept Surg 2, Chiba, Japan Chiba Univ Chiba JapanChiba Univ, Fac Med, Dept Surg 2, Chiba, Japan Tokyo Med & Dent Univ, Sch Med, Dept Surg 1, Tokyo 113, Japan Tokyo Med & Dent Univ Tokyo Japan 113 Med, Dept Surg 1, Tokyo 113, Japan Second Tokyo Natl Hosp, Dept Surg, Tokyo, Japan Second Tokyo Natl Hosp Tokyo Japan o Natl Hosp, Dept Surg, Tokyo, Japan Tokai Univ, Sch Med, Dept Surg, Isehara, Kanagawa 25911, Japan Tokai UnivIsehara Kanagawa Japan 25911 g, Isehara, Kanagawa 25911, Japan Kanagawa Canc Ctr Hosp, Dept Surg, Yokohama, Kanagawa, Japan Kanagawa CancCtr Hosp Yokohama Kanagawa Japan Yokohama, Kanagawa, Japan Kyoto Univ, Fac Med, Dept Surg 1, Kyoto 606, Japan Kyoto Univ Kyoto Japan 606 Univ, Fac Med, Dept Surg 1, Kyoto 606, Japan Natl Oji Hosp, Tokyo, Japan Natl Oji Hosp Tokyo JapanNatl Oji Hosp, Tokyo, Japan
Titolo Testata:
ANNALS OF THORACIC SURGERY
fascicolo: 6, volume: 68, anno: 1999,
pagine: 2059 - 2064
SICI:
0003-4975(199912)68:6<2059:EOTAOP>2.0.ZU;2-2
Fonte:
ISI
Lingua:
ENG
Soggetto:
CARCINOMA; ENDOSONOGRAPHY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
14
Recensione:
Indirizzi per estratti:
Indirizzo: Nishimaki, T Niigata Univ, Sch Med, Dept Surg 1, Asahimachi Dori 1-757, Niigata 951, Japan Niigata Univ Asahimachi Dori 1-757 Niigata Japan 951 , Japan
Citazione:
T. Nishimaki et al., "Evaluation of the accuracy of preoperative staging in thoracic esophageal cancer", ANN THORAC, 68(6), 1999, pp. 2059-2064

Abstract

Background. Exact clinical staging before treatment of esophageal cancer has become increasingly important in the evaluation and comparison of the results of different treatment modalities, including surgery, chemotherapy, and radiotherapy. Methods. The accuracy of preoperative tumor staging by using an esophagography, esophagoscopy, percutaneous and endoscopic ultrasonography, and computed tomography was assessed in 224 patients with resectable esophageal cancer. The results of tumor staging by these tests were compared prospectivelywith the pathologic stage of the esophagectomy specimens with respect to the T and N categories defined by the International Union Against Cancer TNMclassification. Results. For the T category, the overall accuracy was 80%. For the N category, overall accuracy was 72%, with a sensitivity of 78%, a specificity of 60%, and a positive predictive value of 78%. Overall, the accuracy of stagegrouping was 56%. Conclusions. Either the T or N categories can be predicted reliably by clinical staging techniques. However, the preoperative stage grouping might not be valid in resectable, localized esophageal cancer. (C) 1999 by The Society of Thoracic Surgeons.

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Documento generato il 20/01/21 alle ore 12:34:11