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Review
. 2006;20(5):877-91.
doi: 10.1016/j.bpg.2006.05.001.

Staging in oesophageal cancer

J Th M Plukker  1 , H L van Westreenen
Affiliations
Review

Staging in oesophageal cancer

J Th M Plukker et al. Best Pract Res Clin Gastroenterol. 2006.

Abstract

Accurate staging defines groups for stage-specific treatment, minimising inappropriate treatment. Application of dedicated staging methods - including 16-64 multidetector computed tomography (CT), endoscopic ultrasonography with fine-needle aspiration (EUS-FNA) and positron emission tomography (PET) - results in better staging of oesophageal cancer. PET as a metabolic imaging technique that is usually applied after (or recently in combination with) CT (PET/CT) improves the accuracy of non-invasive staging, especially in locally advanced oesophageal cancer patients. Whether EUS-FNA or PET/CT should be performed as a first diagnostic step is still a matter of debate. Fluoro-2-deoxyglucose (FDG) PET is also promising tool in assessing neoadjuvant treatment response. Application of these dedicated staging methods has a learning curve, suggesting a prominent role for centralisation.

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