Endosonography of the oesophagus in the diagnosis and treatment of oesophageal tumours

Endoscopic ultrasound examination (EUS) in oesophageal tumours is a widely used method with the need for further study of its benefits and indication. EUS plays an important role in the staging and management of further therapy. Following on from current world literature, we review the current impor...

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Published inRozhledy v chirurgii Vol. 91; no. 7; p. 357
Main Authors Stašek, M, Tozzi di Angelo, I, Aujeský, R, Vomáčková, K, Vrba, R, Neoral, C
Format Journal Article
LanguageCzech
Published Czech Republic 01.07.2012
Subjects
Carcinoma - diagnostic imaging
Endosonography
Esophageal Neoplasms - diagnostic imaging
Esophageal Neoplasms - therapy
Esophagus - diagnostic imaging
Humans
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Summary:Endoscopic ultrasound examination (EUS) in oesophageal tumours is a widely used method with the need for further study of its benefits and indication. EUS plays an important role in the staging and management of further therapy. Following on from current world literature, we review the current importance of EUS in oesophageal tumours. We point out contemporary technical possibilities and comment on the importance of endosonography for early oesophageal carcinoma management, T-staging of primary tumour, benefits for N-stage diagnosis, the potential for the detection of generalised disease in comparison with CT and PET/CT, and the possibilities of histological evaluation. We mention in particular the impact of EUS on mesenchymal oesophageal tumour management. We consider EUS to be the golden standard for submucosal oesophageal tumour diagnosis. EUS has a special importance for early oesophageal carcinoma evaluation and the detection of celiac trunk lymph node involvement. Furthermore, EUS is a complementary method for higher-stage oesophageal carcinoma diagnostics. The benefits of the method, however, need further scientific evaluation. Key words: oesophageal endoscopic ultrasound - early oesophageal carcinoma - oesophageal carcinoma staging - submucosal oesophageal tumour.
ISSN:0035-9351