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Imaging Findings in Gastrointestinal Cancer: Esophagus, Stomach

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Imaging in Clinical Oncology
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Abstract

Before the introduction of endoscopy and the advent of Computer Tomography, conventional-barium meal-radiographic imaging of the upper gastrointestinal tract was the examination of choice for the detection of esophageal and gastric cancers. Nowadays computer tomography (CT), endoscopic ultrasound (EUS) and positron emission tomography (PET) are the imaging modalities implicated in the management of upper gastrointestinal tract cancer. Their role comprises staging of the disease that incorporates assessment of local disease (T stage), of lymph node involvement (N stage) and of distal metastases (M stage), evaluation of treatment response and detection of possible tumor recurrence.

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References

  1. Reed CE, Eloubeidi MA (2002) New techniques for staging for esophageal cancer. Surg Clin North Am 82:697–710

    Article  PubMed  Google Scholar 

  2. Rice TW (2000) Clinical staging of esophageal carcinoma. CT, EUS, and PET. Chest Surg Clin N Am 10:471–485

    PubMed  CAS  Google Scholar 

  3. Picus D, Balfe DM, Koehler RE et al (1983) Computed tomography in the staging of esophageal carcinoma. Radiology 146:433–438

    PubMed  CAS  Google Scholar 

  4. Takashima S, Takeuchi N, Shiozaki H et al (1991) Carcinoma of the esophagus: CT vs MR imaging in determining resectability. AJR Am J Roentgenol 156:297–302

    Article  PubMed  CAS  Google Scholar 

  5. Berger AC, Scott WJ (2004) Noninvasive staging of esophageal carcinoma. J Surg Res 117:127–133

    Article  PubMed  Google Scholar 

  6. Flamen P, Lerut A, Van Cutsem E (2000) Utility of positron emission tomography for the staging of patients with potentially operable esophageal carcinoma. Clin Oncol 18:3202–3210

    Google Scholar 

  7. Tio TL, Cohen P, Coene PP et al (1989) Endosonography and computed tomography of esophageal carcinoma: preoperative classification compared to the new (1987) TNM system. Gastroenterology 96:1478–1486.

    Google Scholar 

  8. Souquet JC, Napoleon B, Pujol B et al (1994) Endoscopic ultrasonography in the preoperative staging of esophageal cancer. Endoscopy 26:764–766

    Article  PubMed  CAS  Google Scholar 

  9. Parmar KS, Zwischenberger JB, Reeves AL, Waxman I (2002) Clinical impact of endoscopic ultrasound- guided fine needle aspiration of celiac axis lymph nodes (M1a disease) in esophageal cancer. Ann Thorac Surg 73:916–920

    Article  PubMed  Google Scholar 

  10. Dorfman RE, Alpern MB, Gross BH, Sandler MA (1991) Upper abdominal lymph nodes: criteria for normal size determined with CT. Radiology 180:319–322

    PubMed  CAS  Google Scholar 

  11. Fultz PJ, Feins RH, Strang JG et al (2002) Detection and diagnosis of nonpalpable supraclavicular lymph nodes in lung cancer at CT and US. Radiology 222:245–251

    Article  PubMed  Google Scholar 

  12. van Westreenen HL, Westerterp M, Bossuyt PM et al (2004) Systematic review of the staging performance of 18F fluorodeoxyglucose positron emission tomography in esophageal cancer. J Clin Oncol 22:3805–3812

    Article  PubMed  Google Scholar 

  13. Kato H, Kuwano H, Nakajima M et al (2002) Comparison between positron emission tomography and computed tomography in the use of the assessment of esophageal carcinoma. Cancer 94:921–928

    Article  PubMed  Google Scholar 

  14. Lerut T, Flamen P, Ectors N et al (2000) Histopathologic validation of lymph node staging with FDG-PET scan in cancer of the esophagus and gastroesophageal junction: a prospective study based on primary surgery with extensive lymphadenectomy. Ann Surg 232:743–752

    Article  PubMed  CAS  Google Scholar 

  15. Kuszyk BS, Bluemke DA, Urban BA et al (1996) Portal-phase contrast-enhanced helical CT for the detection of malignant hepatic tumors: sensitivity based on comparison with intraoperative and pathologic findings. AJR Am J Roentgenol 166:91–95

    Article  PubMed  CAS  Google Scholar 

  16. Schwartz LH, Gandras EJ, Colangelo SM, Ercolani MC, Panicek DM (1999) Prevalence and importance of small hepatic lesions found at CT in patients with cancer. Radiology 210:71–74

    Article  PubMed  CAS  Google Scholar 

  17. Westerterp M, van Westreenen HL, Reitsma JB et al (2005) Esophageal cancer: CT, endoscopic US, and FDG PET for assessment of response to neoadjuvant therapy—systematic review. Radiology 236:841–851

    Article  PubMed  Google Scholar 

  18. Weber WA, Ott K, Becker K et al (2001) Prediction of response to preoperative chemotherapy in adenocarcinomas of the esophagogastric junction by metabolic imaging. J Clin Oncol 19:3058–3065

    PubMed  CAS  Google Scholar 

  19. Kim YN, Choi D, Kim SH et al (2009) Gastric cancer staging at isotropic MDCT including coronal and sagittal MPR images: endoscopically diagnosed early vs. advanced gastric cancer. Abdom Imaging 34:26–34

    Article  PubMed  Google Scholar 

  20. Yang DM, Kim HC, Jin W et al (2007) 64 multidetector-row computed tomography for preoperative evaluation of gastric cancer: histological correlation. J Comput Assist Tomogr 31:98–103

    Article  PubMed  Google Scholar 

  21. Lee IJ, Lee JM, Kim SH et al (2010) Diagnostic performance of 64-channel multidetector CT in the evaluation of gastric cancer: differentiation of mucosal cancer (T1a) from submucosal involvement (T1b and T2). Radiology 255:805–814

    Article  PubMed  Google Scholar 

  22. Kim AY, Kim HJ, Ha HK (2005) Gastric cancer by multidetector row CT: preoperative staging. Abdom Imaging 30:465–472

    Article  PubMed  CAS  Google Scholar 

  23. Ba-Ssalamah A, Prokop M, Uffmann M et al (2003) Dedicated multidetector CT of the stomach: spectrum of diseases. Radiographics 23:625–644

    Article  PubMed  Google Scholar 

  24. Husband JE, Reznek R (2004) Imaging in oncology. In: Mclean A (ed) Gastric cancer. Taylor and Francis, London, pp 189–215

    Google Scholar 

  25. Kwee RM, Kwee TC (2009) Imaging in assessing lymph node status in gastric cancer. Gastric Cancer 12:6–22

    Article  PubMed  CAS  Google Scholar 

  26. Kim SJ, Kim HH, Kim YH et al (2009) Peritoneal metastasis: detection with 16- or 64-detector row CT in patients undergoing surgery for gastric cancer. Radiology 253:407–415

    Article  PubMed  Google Scholar 

  27. Jacquet P, Jelinek JS, Steves MA, Sugarbaker PH (1993) Evaluation of computed tomography in patients with peritoneal carcinomatosis. Cancer 72:1631–1636

    Article  PubMed  CAS  Google Scholar 

  28. Chang DK, Kim JW, Kim BK et al (2005) Clinical significance of CT-defined minimal ascites in patients with gastric cancer. World J Gastroenterol 11:6587–6592

    PubMed  Google Scholar 

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Correspondence to Spyros D. Yarmenitis .

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Yarmenitis, S.D. (2014). Imaging Findings in Gastrointestinal Cancer: Esophagus, Stomach. In: Gouliamos, A., Andreou, J., Kosmidis, P. (eds) Imaging in Clinical Oncology. Springer, Milano. https://doi.org/10.1007/978-88-470-5385-4_51

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  • DOI: https://doi.org/10.1007/978-88-470-5385-4_51

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  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-5384-7

  • Online ISBN: 978-88-470-5385-4

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