caa a22 4500 477034837 CHVBK 20180405111302.0 cr unu---uuuuu 170330e19960701xx s 000 0 eng 10.1007/s002689900106 doi (NATIONALLICENCE)springer-10.1007/s002689900106 Endosonography for Preoperative Staging of Specific Nodal Groups Associated with Esophageal Cancer [Elektronische Daten] [Rajiv Y. Chandawarkar, Teruo Kakegawa, Hiromasa Fujita, Hideaki Yamana, Yuji Toh, Hiroyuki Fujitoh] Abstract. The results of endoscopic ultrasonography (EUS), used preoperatively in 74 endoscopically evaluable patients, were compared with the histopathology after subsequent total esophagectomy with radical lymphadenectomy involving a three-field dissection of the lower cervical, mediastinal, and abdominal nodes. Patients with obstruction to endoscopy were excluded from this study. Overall accuracy, specificity, and sensitivity were 87%, 90%, and 37%, respectively. EUS has an accuracy of more than 80% for detecting metastatic nodes in the cervical paraesophageal, supraclavicular, right recurrent laryngeal, left paratracheal, upper and lower paraesophageal, infraaortic, infracarinal, and lower posterior mediastinal regions. Its sensitivity is highest for cervical and upper thoracic paraesophageal, infracarinal, left paratracheal, and recurrent laryngeal nodes. Accuracy is maximum for periesophageal nodes and varies inversely with the axial distance of the nodes from the esophageal axis. We recommend that EUS be used routinely for preoperative assessment of the cervical and mediastinal nodal status.: 1996 by the Société Internationale de Chir, ugie Chandawarkar Rajiv Y. First Department of Surgery, Kurume University School of Medicine, Kurume, Japan, JP aut Kakegawa Teruo First Department of Surgery, Kurume University School of Medicine, Kurume, Japan, JP aut Fujita Hiromasa First Department of Surgery, Kurume University School of Medicine, Kurume, Japan, JP aut Yamana Hideaki First Department of Surgery, Kurume University School of Medicine, Kurume, Japan, JP aut Toh Yuji First Department of Surgery, Kurume University School of Medicine, Kurume, Japan, JP aut Fujitoh Hiroyuki Department of Radiology, Kurume University School of Medicine, Kurume, Japan, JP aut https://doi.org/10.1007/s002689900106 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s002689900106 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Chandawarkar Rajiv Y. First Department of Surgery, Kurume University School of Medicine, Kurume, Japan, JP aut NATIONALLICENCE 700 1- Kakegawa Teruo First Department of Surgery, Kurume University School of Medicine, Kurume, Japan, JP aut NATIONALLICENCE 700 1- Fujita Hiromasa First Department of Surgery, Kurume University School of Medicine, Kurume, Japan, JP aut NATIONALLICENCE 700 1- Yamana Hideaki First Department of Surgery, Kurume University School of Medicine, Kurume, Japan, JP aut NATIONALLICENCE 700 1- Toh Yuji First Department of Surgery, Kurume University School of Medicine, Kurume, Japan, JP aut NATIONALLICENCE 700 1- Fujitoh Hiroyuki Department of Radiology, Kurume University School of Medicine, Kurume, Japan, JP aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer