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Surg Endosc (2011) 25:1344–1345 DOI 10.1007/s00464-010-1283-8 Optimizing locoregional staging in the preoperative setting of resectable esophageal cancer Charalambos Batsis Ioannis Makris Published online: 20 August 2010 Springer Science+Business Media, LLC 2010 As preoperative, also called neoadjuvant, chemoradiother- 35% for CT to 49% for PET. Accuracy for N staging apy has increasingly been incorporated into clinical prac- showed no significant difference (66% for EUS, 68% for tice for the multimodal treatment of resectable esophageal PET, and 63% for CT). The authors concluded that espe- cancer, there is an increased interest in how accurately the cially for T staging, EUS may have an important integrated clinical stage (cTNM) needs to be predicted before the role in the selection of surgery or neoadjuvant chemora- initiation of neoadjuvant treatment, staging (yTNM), sub- diotherapy as primary treatment. sequent surgery, and final histopathologic examination of Although the report by Choi et al. [2] is limited by the the surgical specimen (pTNM staging). retrospective analysis of data for a small number of patients Imaging technology including endoscopic ultrasonog- without randomization, it is clinically very useful for raphy (EUS), positron-emission tomography (PET), and oncologists and surgeons in daily clinical practice. Despite computed tomography (CT) currently is suggested
Surgical Endoscopy – Springer Journals
Published: Aug 20, 2010
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