Comparison of endoscopic ultrasonography and multislice spiral computed tomography for the preoperative staging of gastric cancer - results of a single institution study of 610 Chinese patients

This study compared the performance of endoscopic ultrasonography (EUS) and multislice spiral computed tomography (MSCT) in the preoperative staging of gastric cancer. A total of 610 patients participated in this study, all of whom had undergone surgical resection, had confirmed gastric cancer and w...

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Bibliographic Details
Published in:PloS one 2013-11, Vol.8 (11), p.e78846-e78846
Main Authors: Feng, Xing-Yu, Wang, Wei, Luo, Guang-Yu, Wu, Jing, Zhou, Zhi-Wei, Li, Wei, Sun, Xiao-Wei, Li, Yuan-Fang, Xu, Da-Zhi, Guan, Yuan-Xiang, Chen, Shi, Zhan, You-Qing, Zhang, Xiao-Shi, Xu, Guo-Liang, Zhang, Rong, Chen, Ying-Bo
Format: Article
Language:English
Subjects:
Accuracy
Adult
Aged
Aged, 80 and over
Asian People
Cancer
Cancer therapies
Care and treatment
China
Classification
Complications and side effects
Computation
Computed tomography
Diagnosis
Endoscopic ultrasonography
Endoscopy
Endosonography - methods
Female
Gastric cancer
Humans
Laboratories
Lasers
Lymphatic Metastasis
Male
Medical imaging
Metastases
Metastasis
Middle Aged
Multidetector Computed Tomography - methods
Neoplasm Staging - methods
Oncology
Patients
Preoperative Period
Reproducibility of Results
Stomach cancer
Stomach Neoplasms - ethnology
Stomach Neoplasms - pathology
Stomach Neoplasms - surgery
Studies
Surgery
Tomography
Tumors
Ultrasound
Young Adult
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Summary:This study compared the performance of endoscopic ultrasonography (EUS) and multislice spiral computed tomography (MSCT) in the preoperative staging of gastric cancer. A total of 610 patients participated in this study, all of whom had undergone surgical resection, had confirmed gastric cancer and were evaluated with EUS and MSCT. Tumor staging was evaluated using the Tumor-Node-Metastasis (TNM) staging and Japanese classification. The results from the imaging modalities were compared with the postoperative histopathological outcomes. The overall accuracies of EUS and MSCT for the T staging category were 76.7% and 78.2% (P=0.537), respectively. Stratified analysis revealed that the accuracy of EUS for T1 and T2 staging was significantly higher than that of MSCT (P
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0078846