scholarly journals Comparison Between Size and Stage of Preoperative Tumor Defined by Preoperative Magnetic Resonance Imaging and Postoperative Specimens After Radical Resection of Esophageal Cancer

2019 ◽  
Vol 18 ◽  
pp. 153303381987626
Author(s):  
Zhenzhen Gao ◽  
Beibei Hua ◽  
Xiaolin Ge ◽  
Jinyuan Liu ◽  
Lei Xue ◽  
...  

Background: Our objective is to explore the accuracy of magnetic resonance imaging in determining the preoperative T and N staging, pathological stage, and the length of esophageal tumor in patients with esophageal cancer. Methods: This retrospective analysis included 57 patients admitted to the Department of Thoracic Surgery of The First Affiliated Hospital of Nanjing Medical University between January 2015 and December 2016. Postoperative pathological results were used as the reference to verify the accuracy of magnetic resonance imaging in evaluating tumor T and N staging, pathological stage, and tumor length. The correlation between tumor lengths—measured using magnetic resonance imaging and the surgical specimen measurements—was evaluated. Results: The mean age of the patients was 64.6 ± 7.2 years, with a range of 47 to 77 years. The overall accuracy rate of magnetic resonance imaging in T staging of esophageal cancer was 63.2%; magnetic resonance imaging was generally consistent in the N staging of esophageal cancer. Magnetic resonance imaging and surgical evaluation of tumor length were in excellent agreement (κ = .82, P < .001), while that of gastroscopy and postoperative pathology was moderate (κ = .63, P < .001). Conclusion: Magnetic resonance imaging is highly accurate in determining the preoperative T and N staging, pathologic stage, and tumor length in patients with esophageal cancer, which is important in deciding the choice of preoperative treatment and the surgical approach.


2019 ◽  
Vol 55 (1) ◽  
pp. 9-16 ◽  
Author(s):  
Tara Pereiro Brea ◽  
Alberto Ruano Raviña ◽  
Josèc) Martín Carreira Villamor ◽  
Antonio Golpe Gómez ◽  
Anxo Martínez de Alegría ◽  
...  


2007 ◽  
Vol 82 (1) ◽  
pp. 70-75 ◽  
Author(s):  
Wai T. Ng ◽  
Anne W.M. Lee ◽  
Wai K. Kan ◽  
John Chan ◽  
Ellie S.Y. Pang ◽  
...  


PLoS ONE ◽  
2014 ◽  
Vol 9 (4) ◽  
pp. e93694 ◽  
Author(s):  
Juliann E. Kosovec ◽  
Ali H. Zaidi ◽  
Yoshihiro Komatsu ◽  
Pashtoon M. Kasi ◽  
Kyle Cothron ◽  
...  








2014 ◽  
Vol 88 (2) ◽  
pp. 419-424 ◽  
Author(s):  
Frederiek M. Lever ◽  
Irene M. Lips ◽  
Sjoerd P.M. Crijns ◽  
Onne Reerink ◽  
Astrid L.H.M.W. van Lier ◽  
...  


Neurosurgery ◽  
2001 ◽  
Vol 49 (4) ◽  
pp. 1008-1013 ◽  
Author(s):  
Paulo H. Aguiar ◽  
Celso Agner ◽  
Fernanda R. Tavares ◽  
Nise Yamaguchi

Abstract OBJECTIVE AND IMPORTANCE Brain metastases from papillary carcinoma of the thyroid gland are unusual. No consensus regarding management has yet been reached. We report a case, review the current literature, and explain our approach on the basis of clinical, pathological, and radiological data. CLINICAL PRESENTATION A 33-year-old woman presented with signs of intracranial hypertension. The diagnostic evaluation included chest tomography, head computed tomography, brain magnetic resonance imaging with and without contrast enhancement, total-body scanning, and cerebral scintigraphy. Multiple supratentorial lesions and one right cerebellopontine angle lesion were observed. Histopathological analysis of the surgical specimen confirmed papillary carcinoma of the thyroid gland. INTERVENTION A ventriculoperitoneal shunt was placed and a right suboccipital craniotomy was performed, with complete removal of the cerebellopontine angle tumor. Total-brain irradiation with 40 Gy/lesion followed the initial operation. One year after surgery, the patient presented with signs of increased intracranial pressure. A new left frontal lobe lesion with massive peritumoral edema was identified on magnetic resonance imaging scans. The edema was treated clinically and a left frontal craniotomy was performed, with complete resection of the tumor. The patient is currently faring well, with residual expressive aphasia. CONCLUSION Surgery followed by radiotherapy seems to be a good alternative for the treatment of this specific type of metastasis. Thorough clinical and radiological evaluation, followed by genetic analysis of the surgical specimen, particularly with respect to the potential for tumor invasion under specific conditions, is recommended. The information obtained contributes to better management and better overall long-term outcomes for these patients.



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