Harrington C, Smith L, Bisland J, López González E, Jamieson N, Paterson S, Stanley AJ. Mediastinal node staging by positron emission tomography-computed tomography and selective endoscopic ultrasound with fine needle aspiration for patients with upper gastrointestinal cancer: Results from a regional centre. World J Gastrointest Endosc 2018; 10(1): 37-44 [PMID: 29375740 DOI: 10.4253/wjge.v10.i1.37]
Corresponding Author of This Article
Dr. Adrian John Stanley, BM BCh, FRCP (C), MD, Associate Professor, Consultant Gastroenterologist, Glasgow Royal Infirmary, Walton Building, Castle Street, Glasgow G4 0ET, United Kingdom. adrian.stanley@ggc.scot.nhs.uk
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Endosc. Jan 16, 2018; 10(1): 37-44 Published online Jan 16, 2018. doi: 10.4253/wjge.v10.i1.37
Table 1 Patient characteristics
n = 121
Gender, n (%)
Male
91 (75.2)
Female
30 (24.8)
Primary diagnosis, n (%)
Oesophageal adenocarcinoma
38 (31.4)
Oesophago-gastric junctional adenocarcinoma
31 (25.6)
Oesophageal squamous cell carcinoma
48 (39.7)
Gastric adenocarcinoma
4 (3.3)
Excluded patients
13
EUS-FNA inadequate
11
PET-CT indeterminate
2
Table 2 Breakdown of results of positron emission tomography-computed tomography and endoscopic ultrasound-guided fine-needle aspiration
PET-CT positive
PET-CT negative
EUS-FNA positive
37 (34.3%)
3 (2.8%)
EUS-FNA negative
34 (31.5%)
34 (31.5%)
Table 3 Multidisciplinary team decision in discordant cases
n = 37
Radical treatment
27
Palliative care
5
Unknown
5
Table 4 Outcomes after radical treatment in discordant group
Radical treatment
n = 27
Disease progression after completion of treatment
11
Disease progression whilst receiving treatment
6
Clinical remission after completion of treatment
3
Death from other cause whilst in remission
1
Consent for radical treatment withdrawn
1
Had neo-adjuvant chemo but not fit for surgery
1
Unknown
4
Citation: Harrington C, Smith L, Bisland J, López González E, Jamieson N, Paterson S, Stanley AJ. Mediastinal node staging by positron emission tomography-computed tomography and selective endoscopic ultrasound with fine needle aspiration for patients with upper gastrointestinal cancer: Results from a regional centre. World J Gastrointest Endosc 2018; 10(1): 37-44