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Value of transabdominal ultrasoud in preoperative assessment of adenocarcinoma of the esophagogastric junction
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- Author:
- No author available
- Journal Title:
- World Chinese Journal of Digestology
- Issue:
- 24
- DOI:
- 10.11569/wcjd.v24.i24.3612
- Key Word:
- 经腹体表超声;食管胃结合部腺癌;分型;TNM分期;分化程度;Transabdominal ultrasoud;AEG;Type;TNM staging;Degree of differentiation
Abstract： 目的 探究经腹体表超声(transabdominal ultrasoud,TUS)在食管胃结合部腺癌(adenocarcinoma of esophagogastric junction,AEG)术前评估的临床应用价值.方法 2014-12/2016-05接受手术切除的65例经胃镜初诊的AEG患者,所有研究对象均于术前行TUS和电子计算机断层扫描(computed tomography,CT)检查,结合术后病理进行分析对比.结果 参照Siewert分型,TUS对AEG临床分型诊断正确率为90.8％,其中Ⅰ型85.7％,非Ⅰ型92.2％.TUS及CT对AEG T分期的诊断准确率分别为33.8％、63.1％,其中T1-3 29.4％、52.9％;T4 35.4％、66.7％,两者在T分期诊断中差异有统计学意义(x2=10.85,P=0.001),但在术前诊断为低分化的腺癌的AEG患者中,TUS与CT在T分期诊断中差异无统计学意义(x2=0.26,P=0.61).TUS及CT对AEG N分期的诊断准确率分别为38.5％、50.8％,其中N0 87.5％、91.7％;N+9.8％、26.8％,两者在N分期诊断中差异无统计学意义(x2=0.07,P=0.79).TUS及CT对AEG M分期的诊断一致.结论 术前TUS能准确判断AEG的分型,有助于临床制定手术路径;TUS对AEG的N、M分期有较高的临床应用价值;当AEG患者术前胃镜初诊为低分化腺癌时,TUS和CT均可用于术前TNM分期.
- [1]张艳华,郭存丽,顾秀娟,等.体表超声判定胃癌生物学行为的意义[J].2006,(21).
- [2]王会宝,刘百灵.自然或空腹状态下胃的显示方法及其常见病变的超声表现[J].2010,(11).
- [3]廖盛日,陈敏华,霍苓,等.体表超声对胃癌浸润深度的诊断[J].2003,(8).
- [4]Lei Huang,A-Man Xu.Adenocarcinoma of esophagogastric junction: controversial classification, surgical management, and clinicopathology[J].2014,(3).
- [5]柰超,刘震,连肖,等.近端胃大部切除与全胃切除术治疗Siewert Ⅱ型食管胃结合部腺癌术后生存率的比较[J].2016,(2).
- [6]Lee,H.-J.,Kim,W.-H.,Suh,Y.-S.,etc.Should adenocarcinoma of the esophagogastric junction be classified as esophageal cancer? A comparative analysis according to the seventh AJCC TNM classification[J].2012,255(5).
- [7]An,J.Y.,Song,K.J.,Kim,C.B.,etc.Staging of adenocarcinoma of the esophagogastric junction: Comparison of AJCC 6th and 7th gastric and 7th esophageal staging systems[J].2013,20(8).
- [8]Amikar, Sehdev,Daniel V T, Catenacci.Gastroesophageal cancer: focus on epidemiology, classification, and staging.[J].2013,16(87).
- [9]Kim,J.W.,Shin,S.S.,Heo,S.H.,etc.Diagnostic performance of 64-section CT using CT gastrography in preoperative T staging of gastric cancer according to 7th edition of AJCC cancer staging manual[J].2012,22(3).
- [10]Hiroharu, Yamashita,Yasuyuki, Seto.[Optimal surgical approach for esophagogastric junction carcinoma].[J].2015,116.
- [11]J R, Siewert,H J, Stein.Classification of adenocarcinoma of the oesophagogastric junction.[J].1998,85(11).
- [12]Jiang-Wei Xiao,Zi-Lin Liu,Peng-Cheng Ye,etc.Clinical comparison of antrum-preserving double tract reconstruction vs roux-en-Y reconstruction after gastrectomy for Siewert types Ⅱ and Ⅲ adenocarcinoma of the esophagogastric junction[J].2015,(34).
- [13]吴在德,吴肇汉.外科学(第7版)[M].2008.
- [14]Edge SB,Compton CC.The American Joint Committee on Cancer: the 7th edition of the AJCC cancer staging manual and the future of TNM.[J].2010,17(6).
- [15]Mine,S.,Sano,T.,Hiki,N.,etc.Thoracic lymph node involvement in adenocarcinoma of the esophagogastric junction and lower esophageal squamous cell carcinoma relative to the location of the proximal end of the tumor[J].2014,21(5).
- [16]Buas,M.F.,Vaughan,T.L..Epidemiology and risk factors for gastroesophageal junction tumors: Understanding the rising incidence of this disease[J].2013,23(1).