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[Preoperative staging of stomach carcinoma with endosonography--fact or fancy?]
1Chirurgische Universitätsklinik und Poliklinik, Medizinische Fakultät der RWTH, Aachen.
Langenbecks Archiv Fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft Fur Chirurgie. Kongress
|January 1, 1997
Abstract:
From January 1993 till December 1995, a total of 116 consecutive patients with gastric carcinoma were evaluated with endosonography and the results were compared with the histology of the resected specimen. The accuracy rate of the endosonography was 80% for T1 tumors an 83% for T4 tumors, and the sensitivity and specificity in the detection of regional involved lymph nodes were 91% and 84% respectively. Therefore endosonographic staging alone ist not a valuable pretherapeutic procedure to decide about endoscopic therapy in limited and neoadjuvant chemotherapy in extended gastric carcinoma.