Endoscopic Ultrasonography in Analysing Peri-Intestinal Lymph Node Abnormality

1988 ◽  
pp. 16-22
Author(s):  
Thian Lok Tio
Keyword(s):  
Lymph Node ◽  
Endoscopic Ultrasonography ◽  
Intestinal Lymph

The accuracy of endoscopic ultrasonography for identifying stomach neoplasm before endoscopic submucosal dissection.

2016 ◽  
Vol 34 (4_suppl) ◽  
pp. 22-22
Author(s):  
Pil Hun Song ◽  
Hyun Sung ◽  
Jeonghun Lee ◽  
Won Jae Yoon ◽  
You Sun Kim ◽  
...  
Keyword(s):  
Lymph Node ◽  
Retrospective Study ◽  
Endoscopic Submucosal Dissection ◽  
Endoscopic Ultrasonography ◽  
Tumor Size ◽  
Stomach Neoplasm ◽  
Muscle Layer ◽  
Lymphatic Invasion ◽  
Submucosal Layer ◽  
Submucosal Dissection

22 Background: The treatment of stomach neoplasm was determined by the identification on of invasion extent and perigastric lymph node through endoscopic ultrasonography (EUS). In this study, we investigated diagnostic accuracy of EUS examination before endoscopic submucosal dissection (ESD). Methods: A retrospective study was conducted to both EUS and ESD for stomach neoplasms that were performed at Seoul Paik Hospital between January 2006 and July 2015. We compared the accuracy of EUS according to the location of lesion, tumor size and ulcer presence or absence on lesion. Results: 49 patients were enrolled in this study; their mean age was 64.14 ± 11.33 years. There were 40 male (81.6%) and 9 female (18.4%) patients. The cases of confined to the mucosa on pathology finding were 41 (83.6%) and involved to submucosal layer(sm) 1 were 3 (6.1%) and sm2 were 2 (4%) and sm3 were 1 (2%) and proper muscle layer were 2 (4%). The cases of lymphatic invasion were 2 (4%). The sensitivity and accuracy of antrum were 91.6 % (95% CI: 0.81-1.03) and 83.3 % (95% CI: 0.70-0.97), body of stomach were 92.3 % (CI: 0.78-1.07) and 83.3% (CI: 0.66-1.00), respectively. Whether lesions were no significant differences in any location. The tumor size was divided by smaller than 20 mm group, 20-30 mm group and more than 30 mm group. The smaller than 20 mm group, 20-30 mm group and more than 30 mm group were 36, 9, 2 patients. The remaining 2 patients were not described. The sensitivity and accuracy of smaller than 20 mm group were 96.6 % (95% CI: 0.90-1.03) and 83.3 % (CI: 0.71-0.95) and 2-30 mm group were 66.7 % (CI: 0.29-1.04) and 77.8 % (CI: 0.51-1.04), respectively. All patients were divided by ulcer presence or not. 27 patients were ulcer presence and 22 patients were not. The sensitivity and accuracy of ulcer presence group were 77.3 % (CI : 0.60-0.95) and 74 % (CI : 0.57-0.90), ulcer absence group were 95 % (CI : 0.85-1.04) and 91 % (CI : 0.79-1.02). Conclusions: The EUS for stomach neoplasm was reliable of lesion without ulcerous finding, smaller than 20 mm in diameter and irrespective of stomach neoplasm location.

scholarly journals Contrast-enhanced harmonic endoscopic ultrasonography for assessment of lymph node metastases in pancreatobiliary carcinoma

2016 ◽  
Vol 22 (12) ◽  
pp. 3381-3391 ◽  
Author(s):  
Takeshi Miyata ◽  
Masayuki Kitano ◽  
Shunsuke Omoto ◽  
Kumpei Kadosaka ◽  
Ken Kamata ◽  
...  
Keyword(s):  
Lymph Node ◽  
Endoscopic Ultrasonography ◽  
Lymph Node Metastases ◽  
Contrast Enhanced ◽  
Node Metastases

Tumor seeding following endoscopic ultrasonography-guided fine-needle aspiration of a celiac lymph node

2013 ◽  
Vol 25 (3) ◽  
pp. 344-345 ◽  
Author(s):  
Bradley Anderson ◽  
Jaswinder Singh ◽  
Syed F. Jafri
Keyword(s):  
Lymph Node ◽  
Endoscopic Ultrasonography ◽  
Fine Needle Aspiration ◽  
Needle Aspiration ◽  
Tumor Seeding ◽  
Fine Needle

Endoscopic ultrasonography in the diagnosis of depth invasion and lymph node metastasis of carcinoma of the papilla of Vater.

1990 ◽  
Vol 9 (11) ◽  
pp. 645-650 ◽  
Author(s):  
M Mitake ◽  
S Nakazawa ◽  
Y Tsukamoto ◽  
Y Naitoh ◽  
E Kimoto ◽  
...  
Keyword(s):  
Lymph Node ◽  
Lymph Node Metastasis ◽  
Endoscopic Ultrasonography ◽  
Papilla Of Vater ◽  
Node Metastasis

scholarly journals Fine-needle aspiration of a retropharyngeal lymph node guided by endoscopic ultrasonography

Endoscopy ◽  
2015 ◽  
Vol 47 (S 01) ◽  
pp. E449-E450 ◽  
Author(s):  
Jian-Jun Li ◽  
Long-Jun He ◽  
Guang-Yu Luo ◽  
Li-Zhi Liu ◽  
Xin-Xin Huang ◽  
...  
Keyword(s):  
Lymph Node ◽  
Endoscopic Ultrasonography ◽  
Fine Needle Aspiration ◽  
Needle Aspiration ◽  
Retropharyngeal Lymph Node ◽  
Fine Needle

The value of endoscopic ultrasonography in a PET/CT upfront model in staging esophageal cancer with respect to treatment decision.

2016 ◽  
Vol 34 (4_suppl) ◽  
pp. 25-25
Author(s):  
Jan-Binne Hulshoff ◽  
Hiske E.M. de Boer ◽  
Walter Noordzij ◽  
Wouter B. Nagengast ◽  
Hendrik M. van Dullemen ◽  
...  
Keyword(s):  
Esophageal Cancer ◽  
Lymph Node ◽  
Lymph Nodes ◽  
Radiation Field ◽  
Endoscopic Ultrasonography ◽  
Treatment Plan ◽  
Treatment Decision ◽  
Additional Information ◽  
Pet Ct ◽  
The Impact

25 Background: The optimal sequence of endoscopic ultrasonography (EUS) and positron emission tomography with computed tomography (PET/CT) in esophageal cancer (EC) is a matter of debate. The use of EUS with fine needle aspiration (FNA) after PET/CT seems to increase the efficacy of curative intended neoadjuvant or definitive chemoradiotherapy. Retrospectively, we assessed the impact of EUS in the PET/CT upfront model on the treatment decision making in EC patients. Methods: In the period 2009 to 2015, 298 EC patients were staged with hybrid PET/CT or PET with CT, and EUS if applicable, in a non-specific order to assess curability (T1-4a,N0-3M0). We determined the feasibility of EUS and whether the initial or additional EUS changed the primary decision suspicious incurable (T4b and M+) into curable disease or added extra nodal information leading to up/downstaging or exhibit suspected nodes at different lymph node stations. In addition, we assessed if EUS changed the radiation area (i.e. lymph nodes > 3.5 cm from the defined radiation target volumes) in the PET/CT “upfront model”. Results: EUS was complete in 185 (62.1%) and incomplete due to stricture from a relative obstructing tumor in 59 (19.8%) patients. Fifty-four patients (18.1%) did not receive EUS because of stenosis (n = 46; 15.4%), patient dependent reasons (n = 4; 1.3%) or other reasons (n = 4; 1.3%). EUS after hybrid PET/CT or PET with CT (n = 244) gave additional information in 166 patients (68.0%); it changed the curability in 4 (1.6%), lead to nodal up and downstaging in respectively, 81 (33.2%) and 27 (11.1%) patients, changed the number of or lymph node station of suspected lymph nodes in an additional 58 patients (n = 23.8%), and FNA gave additional information in 34 (13.9%) patients. EUS after PET/CT ”upfront” changed the treatment plan in 90 patients (36.9%), including alteration in the radiation field (86; 35.2%) and curability (4; 1.6%). Conclusions: EUS gave additional information after PET/CT “up front” and altered the radiation field in about one third of the EC patients, suggesting a better yield of “EUS on indication” after PET/CT upfront.

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