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Esophageal cancer CT

Introduction

Overview

Overview

CT scan may be used for staging of esophageal cancer. Findings on CT scan suggestive of esophageal cancer include eccentric or circumferential wall thickening, or peri-esophageal soft tissue and fat stranding.

CT

CT

  • For initial staging of esophageal cancer, CT may be used concomitantly with endoscopic ultrasound or positive emission tomography.[1]
  • CT is used to determine the presence of metastatic disease, particularly within stage IV of the disease.
  • CT can detect the following features:
    • Eccentric or circumferential wall thickening >5 mm
    • Peri-esophageal soft tissue and fat stranding
    • Dilated fluid and debris filling the esophageal lumen
    • Tracheobronchial invasion
    • Aortic invasion
CT Sensitivity Specificity
Detection of celiac lymph node metastases 50% 83%
Detection of regional lymph node metastases 42% 93%
Source:commons.wikimedia.org by Hellerhoff- Own work, CC BY-SA 3.0, https://commons.wikimedia.org/w/index.php?curid=18836867
References

References

  1. ↑ Erasmus JJ, Munden RF (2007). “The role of integrated computed tomography positron-emission tomography in esophageal cancer: staging and assessment of therapeutic response”. Semin Radiat Oncol. 17 (1): 29–37. doi:10.1016/j.semradonc.2006.09.005. PMID 17185195.


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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Hadeel Maksoud M.D.[2]