在早期食道癌中使用EUS和PET-CECT预测低阶段的预测因素

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Updated: Jun 5, 2025

Gene Regulation and Targeted Therapy in Gastric Cancer Peritoneal Metastasis: Radiological Findings from Dual Energy CT and PET/CT

Published on: January 22, 2018

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Karthik Venkataramani¹, Sabita Jiwnani², Devayani Niyogi¹

¹Department of Surgical Oncology, Tata Memorial Hospital & Homi Bhabha National Institute, Dr. E. Borges Road, Parel, Mumbai, 400012, India.

Journal of gastrointestinal cancer

|December 11, 2024

概括

精确确定食道癌的阶段是至关重要的. 内镜T2阶段,瘤长度>3.5厘米,SUVmax>3.05预测低阶段,表明需要新辅助疗法.

科学领域:

在瘤学瘤学.
手术瘤学手术瘤学
诊断成像诊断成像诊断成像

背景情况:

食道癌的临床放射学分期具有可变的准确性.
低阶段可能会剥夺患者的新辅助疗法益处,影响长期生存.
准确识别高风险瘤对于个性化治疗策略至关重要.

研究的目的:

为了评估食道癌的临床放射学分期的准确性.
为了确定低阶段的预测因素在早期的食道癌.
为了确定低阶段对患者存活率的影响.

主要方法:

对1496例食道切除 (2011-2019) 的回顾性分析.
包括早期 (T1/2,N0) 食道癌患者,分期使用EUS和FDG PET-CECT.
对人口统计,分期,术后和随访数据的分析.

主要成果:

临床和手术分期之间的整体一致性为55.8%.
低阶段的预测因素包括EUS T2阶段,瘤长度>3.5厘米和SUVmax>3.05.
与队列 (74.2%) 相比,低阶段患者的3年整体存活率 (48.2%) 显著降低.

结论:

内镜T2阶段,瘤长度>3.5厘米,SUVmax>3.05与显著的低阶段相关.
这些因素应该促使人们考虑在食道癌症中使用新辅助疗法.
提高分期精度可以优化治疗选择并改善患者的治疗结果.

关键词:

癌症的分期癌症的分期内镜超声波检查 (Endoscopic ultrasonography) 是一种内镜超声波检查,用于检查内镜超声波.消化管切除术是指消化管切除术.

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