Role of endoscopic ultrasonography in gastric carcinoma.

作者: H. J. Dittler , J. R. Siewert

DOI: 10.1055/S-2007-1010276

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摘要: Two hundred and fifty four consecutive patients with gastric adenocarcinoma who underwent surgery were preoperatively evaluated endoscopic ultrasonography (EUS). The results compared the post-operative histo-pathological staging. EUS was correct in determining T N stage 83% 66%, respectively. Although accurate absence of lymph node metastases (accuracy N0: 93%), it not reliable stages N1 N2 (64% 52%, respectively). Since 88% all T3 T4 tumors had metastases, concomitant may be an important criterion for assessing nature endosonographically visualized nodes. actual R0-resection rate (78%) almost identical to predicted by (81%). We therefore consider a valuable pretherapeutic procedure carcinoma.

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