Staging Accuracy of Computed Tomography and Endoscopic Ultrasound in Preoperative Staging of Esophageal Cancer: Results of an Referral Center

Detalhes bibliográficos
Autor(a) principal: Ramos, Carina Nogueira
Data de Publicação: 2017
Outros Autores: Carneiro, Teresa, Gomes, António, Luís, Dina, Martins, Sandra
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/1822/49010
Resumo: Staging Accuracy of Computed Tomography and Endoscopic Ultrasound in Preoperative Staging of Esophageal Cancer: Results of an Referral Center
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spelling Staging Accuracy of Computed Tomography and Endoscopic Ultrasound in Preoperative Staging of Esophageal Cancer: Results of an Referral CenterEsophageal cancerStaging accuracyEndoscopic ultrasonographyComputerized tomographyCiências Médicas::Medicina BásicaStaging Accuracy of Computed Tomography and Endoscopic Ultrasound in Preoperative Staging of Esophageal Cancer: Results of an Referral CenterIntroduction: Preoperative staging is the main prognostic factor and is crucial in therapeutic selection of esophageal cancer. Aim: Evaluate computerized tomography and endoscopic ultrasonography accuracy in preoperative esophageal cancer staging. Methods: A retrospective study between 1/1/2010 and 30/9/2015 was performed. Sensibility, specificity, positive and negative predictive values, and accuracy for T and N stage was calculated. Using the Cohen weighted K, the degree of concordance between the exams and anatomopathological results was assessed. Results: Computerized tomography and endoscopic ultrasonography presented an accuracy of 35.7% (95%CI, 17.9-53.4) and 64.3% (95%CI, 46.5-82) for T, and 57.1% (95%CI, 38.8-75.4) and 71.4% (95%CI, 54.6-88.1) for N. Computerized tomography presented an sensibility, specificity, positive and negative predictive values of 12.5%(95%CI, 0.32-52.6), 85%(95%CI, 62.1-96.8), 25%(95%CI, 0.63-80.6), 70.8%(95%CI, 48.9-87.4) for T1; 33.3%(95%CI, 4.3-77.7), 68.2%(95%CI, 45.1-86.1), 22.2%(95%CI, 2.8-60), 78.9%(95%CI, 54.4-93.9) for T2; 50%(95%CI, 23-77), 57.1%(95%CI, 28.9-82.3), 53.8%(95%CI, 25.1-80.8), 53.3%(95%CI, 26.6-78.1) for T3; 30%(95%CI, 6.67-65.25), 72.2%(95%CI, 46.5-90.3), 37.5%(95%CI, 8.5-75.5), 65%(95%CI, 40.8- 84.6) for N. For endoscopic ultrasonography: 62.5%(95%CI, 0-40.96), 95%(95%CI, 75.1-99.9),83.3%(95%CI, 35.9-99.6), 86.4%(95%CI, 65.1-97.1) for T1; 50%(95%CI, 11.8-88.2), 77.3%(95%CI, 54.6- 92.2), 37.5%(95%CI, 8.5-75.6), 85%(95%CI, 62.1-96.8) for T2; 71.4%(95%CI, 41.9-91.6), 71.4%(95%CI, 41.9-91.6), 71.4%(95%CI, 41.9-91.6), 71.4%(95%CI, 41.9-91.6) for T3; 90%(95%CI, 55.5-99.7), 61.1%(95CI, 35.7-82.7), 56.2%(95%CI, 29.9-80.2), 92%(95%CI, 62.5-99.8) for N. Concordance was poor for computerized tomography and moderate for endoscopic ultrasonography. Conclusions: Endoscopic ultrasonography has a better accuracy in esophageal cancer staging, for T and N, showing a high sensibility, specificity, positive and negative predictive values, with a better accuracy for T3. Only endoscopic ultrasonography showed a significant relationship with an atom pathological results (p<0.05).info:eu-repo/semantics/publishedVersionARC PublicationsUniversidade do MinhoRamos, Carina NogueiraCarneiro, TeresaGomes, AntónioLuís, DinaMartins, Sandra2017-01-042017-01-04T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/1822/49010engCarina Nogueira Ramos,et.al, "Staging Accuracy of Computed Tomography and Endoscopic Ultrasound in Preoperative Staging of Esophageal Cancer: Results of an Referral Center". ARC Journal of Hepatology and Gastroenterology. 2017;2(1):13-182456-0022https://www.arcjournals.org/journal-of-gastroenterology/volume-2-issue-1/3info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-07-21T12:34:23Zoai:repositorium.sdum.uminho.pt:1822/49010Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T19:30:04.123665Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Staging Accuracy of Computed Tomography and Endoscopic Ultrasound in Preoperative Staging of Esophageal Cancer: Results of an Referral Center
title Staging Accuracy of Computed Tomography and Endoscopic Ultrasound in Preoperative Staging of Esophageal Cancer: Results of an Referral Center
spellingShingle Staging Accuracy of Computed Tomography and Endoscopic Ultrasound in Preoperative Staging of Esophageal Cancer: Results of an Referral Center
Ramos, Carina Nogueira
Esophageal cancer
Staging accuracy
Endoscopic ultrasonography
Computerized tomography
Ciências Médicas::Medicina Básica
title_short Staging Accuracy of Computed Tomography and Endoscopic Ultrasound in Preoperative Staging of Esophageal Cancer: Results of an Referral Center
title_full Staging Accuracy of Computed Tomography and Endoscopic Ultrasound in Preoperative Staging of Esophageal Cancer: Results of an Referral Center
title_fullStr Staging Accuracy of Computed Tomography and Endoscopic Ultrasound in Preoperative Staging of Esophageal Cancer: Results of an Referral Center
title_full_unstemmed Staging Accuracy of Computed Tomography and Endoscopic Ultrasound in Preoperative Staging of Esophageal Cancer: Results of an Referral Center
title_sort Staging Accuracy of Computed Tomography and Endoscopic Ultrasound in Preoperative Staging of Esophageal Cancer: Results of an Referral Center
author Ramos, Carina Nogueira
author_facet Ramos, Carina Nogueira
Carneiro, Teresa
Gomes, António
Luís, Dina
Martins, Sandra
author_role author
author2 Carneiro, Teresa
Gomes, António
Luís, Dina
Martins, Sandra
author2_role author
author
author
author
dc.contributor.none.fl_str_mv Universidade do Minho
dc.contributor.author.fl_str_mv Ramos, Carina Nogueira
Carneiro, Teresa
Gomes, António
Luís, Dina
Martins, Sandra
dc.subject.por.fl_str_mv Esophageal cancer
Staging accuracy
Endoscopic ultrasonography
Computerized tomography
Ciências Médicas::Medicina Básica
topic Esophageal cancer
Staging accuracy
Endoscopic ultrasonography
Computerized tomography
Ciências Médicas::Medicina Básica
description Staging Accuracy of Computed Tomography and Endoscopic Ultrasound in Preoperative Staging of Esophageal Cancer: Results of an Referral Center
publishDate 2017
dc.date.none.fl_str_mv 2017-01-04
2017-01-04T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/1822/49010
url http://hdl.handle.net/1822/49010
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Carina Nogueira Ramos,et.al, "Staging Accuracy of Computed Tomography and Endoscopic Ultrasound in Preoperative Staging of Esophageal Cancer: Results of an Referral Center". ARC Journal of Hepatology and Gastroenterology. 2017;2(1):13-18
2456-0022
https://www.arcjournals.org/journal-of-gastroenterology/volume-2-issue-1/3
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv ARC Publications
publisher.none.fl_str_mv ARC Publications
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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