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Imaging and Staging of Esophageal Cancers

  • Tae Jung Kim
Chapter

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.

Keywords

Esophagus Esophageal cancer Staging Imaging modality Computed tomography Positron emission tomography (PET)/CT Endoscopic ultrasound 

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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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Tae Jung Kim
    • 1
  1. 1.Department of RadiologySamsung Medical CenterSeoulRepublic of Korea

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