Summary
The adventitial involvement (AI) of esophageal squamous cell carcinoma in 20 patients was analyzed by endoscopic ultrasonography (EUS) and computed tomography (CT). The findings were compared with the histologic evidence of tumor invasion in the resected specimens. AI was detected as an irregularity or interruption of the third layer of the esophageal wall on ultrasound examination. The overall accuracy in the assessment of depth of tumor invasion by EUS and CT scan was 80% and 68%, respectively. EUS diagnosed AI in 17 patients and detected direct tumor invasion of either the aorta, trachea or pericardium in 7 of them. In 4 patients who had severe stenotic lesions, EUS underestimated the depth of tumor invasion when compared to the histologic findings. Overall, these results, show that EUS when combined with CT scanning is a useful means of preoperatively evaluating tumor invasion in patients with esophageal carcinoma.
Similar content being viewed by others
References
Abe S, Tachibana M, Shimokawa T, Shiraishi M, Nakamura T (1989) Surgical treatment of advanced carcinoma of the esophagus. Surg Gynecol Obstet 168: 115–120
Aibe T, Fuji T, Okita K, Takemoto T (1986) Fundamental study of normal layer structure of gastrointestinal wall visualized by endoscopic ultrasonography. Scand J Gastroenterol 21 [Suppl 123]: 6–15
Akiyama H, Tsurumaru M, Ono Y (1981) Principles of surgical treatment for carcinoma of the esophagus: analysis of lymph node involvement. Ann Surg 194: 438–446
Caletti G, Bolondi L, Labo G (1984) Anatomical aspects in ultrasonic endoscopy for the stomach. Scand J Gastroenterol 19 [Suppl 94]: 34–42
Calletti G, Bolondi L, Zani L, Labo G (1986) Technique of endoscopic ultrasonography investigation: esophagus, stomach and duodenum. Scand J Gastroenterol 21 [Suppl 123]: 1–5
Dancyger H, Classen M (1986) How can we diagnose the depth of cancer in the esophagus? Endoscopy 18 [Suppl 3]: 19–21
Earlam R, Cunha-Melo JR (1980) Oesophageal squamous cell carcinoma. I. A critical review of surgery. Br J Surg 67: 381–390
Fekete F, Gayet B, Langonnet F (1986) Survival results of thoracic esophageal carcinomas. In: Siewert JR, Hölscher AH (eds) Diseases of the esophagus. Springer, Berlin Heidelberg New York, pp 679–685
Guidelines for clinical and pathologic studies on carcinoma of the esophagus (1989) Japanese Society of Esophageal Disease, 7th edn. Kanehara, Tokyo
Moss AA, Schnyder P, Thoeni RF, Margulis AR (1981) Esophageal carcinoma: pre-therapy staging by computed tomography. AJR 136: 1051–1056
Murata Y, Muroi M, Yoshida M, Ide H, Hanyu F (1987) Endoscopic ultrasonography in the diagnosis of esophageal carcinoma. Surg Endosc 1: 11–16
Picus D, Balfe DM, Koehler RE, Roper CL, Owen JM (1983) Computed tomography in the staging of esophageal carcinoma. Radiology 146: 433–438
Sasajima K, Takai A, Taniguchi Y, Hao K, Takubo K, Yamashita K, Onda M (1989) Polypoid squamous cell carcinoma of the esophagus. Cancer 64: 94–97
Skinner DB, Dowlatshhi KD, DeMeester TR (1982) Potentially curable cancer of the esophagus. Cancer 50: 2571–2575
Takemoto T, Ito T, Aibe T, Okita K (1986) Endoscopic ultrasonography in the diagnosis of esophageal carcinoma, with particular regard to staging it for operability. Endoscopy 18 [Suppl 3]: 22–25
Thompson WM, Halvorsen RA, Foster WL Jr, Williford ME, Postlethwait RW, Korobkin M (1983) Computed tomography for staging esophageal and gastroesophageal cancer: reevaluation. AJR 141: 951–958
Tio TL, Den Hartog -Jager, Tytgat GNJ (1986) The role of endoscopic ultrasonography in assessing local resectability of oesophagogastric malignancies. Accuracy, pitfalls, and predictability. Scand J Gastroenterol 21 [Suppl 123]: 78–86
Tio TL, Cohen P, Coene PP, Udding, Den Hartogjager FCA, Tytgat GNJ (1989) Endosonography and computed tomography of esophageal carcinoma. Preoperative classification compared to the new (1987) TMN system. Gastroenterology 96: 1478–1486
Wong J (1988) Factors affecting the mortality of resection for cancer of the oesophagus. In: Jamieson GG (ed) Surgery of the oesophagus. Churchill Livingstone, Edinburgh London Melbourne, pp 611–616
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Date, H., Miyashita, M., Sasajima, K. et al. Assessment of adventitial involvement of esophageal carcinoma by endoscopic ultrasonography. Surg Endosc 4, 195–197 (1990). https://doi.org/10.1007/BF00316790
Issue Date:
DOI: https://doi.org/10.1007/BF00316790