Preoperative endosonographic staging of cancer of the cardia.
BACKGROUND
To evaluate the diagnostic accuracy of endosonography (ES) in a prospective series of cancer of the cardia.


METHODS
Thirty-five patients with cancer of the cardia were investigated by ES; 29 underwent surgery. ES staging for the surgery patients was compared with histopathologic findings. Tumors were staged according to the 1987 TNM classification.


RESULTS
ES had a diagnostic accuracy of 79% for the T category, 79% for the N category, 89% for the M category, and 72% for prognostic TNM staging.


CONCLUSIONS
ES is an excellent paraclinical modality for the staging of local-regional spread of cancer of the cardia and a useful complement to computed tomography for evaluation of these tumors.
François
E
E
Unité d'Oncologie Digestive, Centre Antoine-Lacassagne, 36 Voie Romaine, 06054 Nice Cedex 1, France.
Peroux
J
J
Mouroux
J
J
Chazalle
M
M
Hastier
P
P
Ferrero
J
J
Simon
J
J
Bourry
J
J
D000230:Adenocarcinoma / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D000368:Aged; D002299:Cardia / Q000473:pathology; D019160:Endosonography; D005260:Female; D006801:Humans; D008297:Male; D009367:Neoplasm Staging; D011300:Preoperative Care; D011446:Prospective Studies; D012680:Sensitivity and Specificity; D013274:Stomach Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery