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Imaging and Staging of Esophageal Cancers

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Diagnostic Imaging for Thoracic Surgery

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Abstract

Esophageal cancer is one of the leading causes of cancer-related deaths worldwide, and the 5-year survival rate remains less than 20% in the United States. Surgical resection is currently the best treatment option for patients without distant metastases or locally advanced disease. Therefore, accurate staging of newly diagnosed can result in the most appropriate therapies being offered to patients who may potentially benefit. Currently, computed tomography (CT) and positron-emission tomography (PET)/CT are commonly used for the evaluation of distant metastases. Endoscopic ultrasound is the best modality for evaluation of tumor invasion depth and regional lymph node involvement. It is important to be familiar with staging system and particularly with multimodality approach for clinical staging because each modality has its own strengths and drawbacks for TNM staging. In this chapter, the 8th edition of TNM staging system for esophageal cancer and the diagnostic findings of esophageal cancer at CT, PET/CT, and endoscopic ultrasound are discussed in detail.

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Abbreviations

AJCC:

American Joint Committee on Cancer

CT:

Computed tomography

EUS:

Endoscopic ultrasound

MPR:

Multiplanar reformation

PET:

Positron emission tomography

PET/CT:

Positron emission tomography/CT

UICC:

Union for International Cancer Control

WECC:

World Esophageal Cancer Consortium

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Author information

Authors and Affiliations

  1. Department of Radiology, Samsung Medical Center, Seoul, Republic of Korea

    Tae Jung Kim

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  1. Tae Jung Kim
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Editors and Affiliations

  1. Sapienza Università di Roma, Policlinico Umberto I, Rome, Italy

    Michele Anzidei

  2. Department of Thoracic Surgery, University of Rome Sapienza, Policlinico Umberto I, Rome, Italy

    Marco Anile

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Kim, T.J. (2018). Imaging and Staging of Esophageal Cancers. In: Anzidei, M., Anile, M. (eds) Diagnostic Imaging for Thoracic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-89893-3_16

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  • DOI: https://doi.org/10.1007/978-3-319-89893-3_16

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  • Publisher Name: Springer, Cham

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  • Online ISBN: 978-3-319-89893-3

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