Valero Manuel, Robles-Medranda Carlos
Manuel Valero, Carlos Robles-Medranda, Gastroenterology and Endoscopy Division, Instituto Ecuatoriano de Enfermedades Digestivas, University Hospital OMNI, Guayaquil 090505, Ecuador.
World J Gastrointest Endosc. 2017 Jun 16;9(6):243-254. doi: 10.4253/wjge.v9.i6.243.
An accurate staging is necessary to select the best treatment and evaluate prognosis in oncology. Staging usually begins with noninvasive imaging such as computed tomography, magnetic resonance imaging or positron emission tomography. In the absence of distant metastases, endoscopic ultrasound plays an important role in the diagnosis and staging of gastrointestinal tumors, being the most accurate modality for local-regional staging. Its use for tumor and nodal involvement in pre-surgical evaluation has proven to reduce unnecessary surgeries. The aim of this article is to review the current role of endoscopic ultrasound in the diagnosis and staging of esophageal, gastric and colorectal cancer.
准确的分期对于肿瘤学中选择最佳治疗方案和评估预后至关重要。分期通常始于非侵入性成像,如计算机断层扫描、磁共振成像或正电子发射断层扫描。在没有远处转移的情况下,内镜超声在胃肠道肿瘤的诊断和分期中发挥着重要作用,是局部区域分期最准确的方式。其在术前评估中用于肿瘤和淋巴结受累情况已被证明可减少不必要的手术。本文的目的是综述内镜超声在食管癌、胃癌和结直肠癌诊断及分期中的当前作用。