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食管癌的影像学检查:综述

Imaging in Esophageal Cancer: A Comprehensive Review.

作者信息

Talasila Pallavi, Hedge Swaroop G, Periasamy Kannan, Nagaraj Satish Subbiah, Singh Harmandeep, Singh Harjeet, Gupta Pankaj

机构信息

Department of Radiodiagnosis and Imaging, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Department of Radiation Oncology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

出版信息

Indian J Radiol Imaging. 2024 May 18;35(1):123-138. doi: 10.1055/s-0044-1786871. eCollection 2025 Jan.

DOI:10.1055/s-0044-1786871
PMID:39697520
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11651834/
Abstract

Esophageal cancer is one of the common cancers. Risk factors are well recognized and lead most commonly to two distinct histological subtypes (squamous cell carcinoma and adenocarcinoma). The diagnosis is based on endoscopic evaluation. The most challenging aspect of management is accurate staging as it guides appropriate management. Endoscopic ultrasound, computed tomography (CT), positron emission tomography-CT, and magnetic resonance imaging are the imaging tests employed for the staging. Each imaging test has its own merits and demerits. Imaging is also critical to evaluate posttreatment complication and for response assessment. In this review article, we discuss in detail the risk factors, anatomical aspects, and role of imaging test in staging and evaluation of complications and response after treatment.

摘要

食管癌是常见癌症之一。风险因素已得到充分认识,最常导致两种不同的组织学亚型(鳞状细胞癌和腺癌)。诊断基于内镜评估。管理中最具挑战性的方面是准确分期,因为它指导适当的管理。内镜超声、计算机断层扫描(CT)、正电子发射断层扫描-CT和磁共振成像都是用于分期的影像学检查。每种影像学检查都有其自身的优缺点。影像学对于评估治疗后并发症和反应评估也至关重要。在这篇综述文章中,我们详细讨论了风险因素、解剖学方面以及影像学检查在分期、评估治疗后并发症和反应中的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09ac/11651834/74ab133bb32f/10-1055-s-0044-1786871-i2423378-16.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09ac/11651834/74ab133bb32f/10-1055-s-0044-1786871-i2423378-16.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09ac/11651834/182d13f3f0ba/10-1055-s-0044-1786871-i2423378-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09ac/11651834/8919b7dcd403/10-1055-s-0044-1786871-i2423378-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09ac/11651834/7379df80e326/10-1055-s-0044-1786871-i2423378-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09ac/11651834/200eb6a10cc8/10-1055-s-0044-1786871-i2423378-5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09ac/11651834/acd3b05bb49e/10-1055-s-0044-1786871-i2423378-6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09ac/11651834/c5704333fa64/10-1055-s-0044-1786871-i2423378-7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09ac/11651834/892604a329cb/10-1055-s-0044-1786871-i2423378-8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09ac/11651834/07495c0c39e5/10-1055-s-0044-1786871-i2423378-9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09ac/11651834/14eba1a556a8/10-1055-s-0044-1786871-i2423378-10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09ac/11651834/e7980f0904e7/10-1055-s-0044-1786871-i2423378-12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09ac/11651834/5b6a41573c4c/10-1055-s-0044-1786871-i2423378-13.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09ac/11651834/3d231c1bddba/10-1055-s-0044-1786871-i2423378-14.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09ac/11651834/7d29e10e918c/10-1055-s-0044-1786871-i2423378-15.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09ac/11651834/74ab133bb32f/10-1055-s-0044-1786871-i2423378-16.jpg

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Esophageal and Esophagogastric Junction Cancers, Version 2.2023, NCCN Clinical Practice Guidelines in Oncology.《食管癌和食管胃交界癌,第2版,2023年,美国国立综合癌症网络肿瘤学临床实践指南》
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Oesophageal cancer: ESMO Clinical Practice Guideline for diagnosis, treatment and follow-up.
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World J Gastrointest Endosc. 2022 Apr 16;14(4):205-214. doi: 10.4253/wjge.v14.i4.205.
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The Role of Magnetic Resonance Imaging in the Management of Esophageal Cancer.磁共振成像在食管癌管理中的作用。
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