Endoscopic ultrasound-fine needle aspiration in esophageal cancer

Endoscopic ultrasound (EUS) was developed in the early 1980s with the hope that it would circumvent the limitations of transabdominal ultrasound and transthoracic computed tomography-guided biopsy of mediastinal masses which had a high rate of pneumothorax. The clinical utility of EUS-guided finenee...

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Bibliographic Details
Published in:Techniques in gastrointestinal endoscopy 1999-04, Vol.1 (2), p.60-62
Main Author: Ciaccia, Donato
Format: Article
Language:English
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Summary:Endoscopic ultrasound (EUS) was developed in the early 1980s with the hope that it would circumvent the limitations of transabdominal ultrasound and transthoracic computed tomography-guided biopsy of mediastinal masses which had a high rate of pneumothorax. The clinical utility of EUS-guided fineneedle aspiration (FNA) for esophageal cancer is in establishing the presence of regional metastases to periesophageal lymph nodes, as well as distant metastases to celiac lymph nodes and the left lobe of the liver. It has also been used to make a primary diagnosis in esophageal cancers that present submucosally or to detect esophgeal cancer recurrence following surgical resection. The ability of FNA, in addition to EUS, to change management in esophageal cancer has not yet been fully evaluated, but the detection of celiac lymphadenopathy or liver metastases can prevent unnecessary surgery. This could translate into cost savings in the overall management of the patient with esophageal cancer.
ISSN:1096-2883
1558-5050
DOI:10.1016/S1096-2883(99)80035-7