Positron Emission Tomography and Carcinosarcoma of the Esophagus

[...] they demonstrated that traditional imaging evaluation by computed tomographic scans or endoscopic ultrasonography was not able to accurately predict the patient's prognosis. Because the observed trend is for PSCC to follow SCC in most respects, on average physicians can expect a 40 to 50...

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Bibliographic Details
Published in:The American surgeon 2011, Vol.77 (1), p.128-131
Main Authors: HALL, Andrew B, KELLER, Leslie L, VARNER, Louis, WIN NAING, COUNTRYMAN, David, MITCHELL, James D
Format: Article
Language:English
Subjects:
Antineoplastic Combined Chemotherapy Protocols
Biological and medical sciences
Biopsy, Needle
Cancer
Carcinosarcoma - diagnostic imaging
Carcinosarcoma - pathology
Carcinosarcoma - therapy
Chemotherapy
Combined Modality Therapy
Deglutition Disorders - diagnosis
Deglutition Disorders - etiology
Esophageal Neoplasms - diagnostic imaging
Esophageal Neoplasms - pathology
Esophageal Neoplasms - therapy
Esophagoscopy - methods
Follow-Up Studies
General aspects
Humans
Immunohistochemistry
Male
Medical sciences
Middle Aged
Mortality
Neoplasm Staging
Positron-Emission Tomography
Radiotherapy
Treatment Outcome
Tumors
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Summary:[...] they demonstrated that traditional imaging evaluation by computed tomographic scans or endoscopic ultrasonography was not able to accurately predict the patient's prognosis. Because the observed trend is for PSCC to follow SCC in most respects, on average physicians can expect a 40 to 50 per cent response rate to initial therapy.16 Ultimately these findings suggest that for otherwise healthy patients with complete response to CRT by PET scan and SUV less than 4, surgical resection should still be considered, whereas patients with poor or incomplete response to CRT and SUV greater than 4 may not experience the benefit of an improved outcome with aggressive therapy.
ISSN:0003-1348
1555-9823
DOI:10.1177/000313481107700145