The diagnostic challenge of mediastinal sarcoidosis accompanying esophageal cancer.
The primary staging of an oesophageal cancer can be difficult, if accompanied by sarcoidosis. In these patients endosonography, CT and PET may not be sufficient for staging purposes concerning lymph node and distant metastases. In these special cases operative biopsies of enlarged lymph nodes and unclear pulmonary nodules have to be obtained. In connection with the radiographic examinations the histopathological results of the biopsies contribute to further precise staging and help to decide on a curative versus a palliative therapy concept.
Department of General Surgery, Heinrich Heine University, Moorenstrasse 5, 40225 Duesseldorf, Germany. matthias.schauer@med.uni-duesseldorf.de
Matthias
M
Schauer
Joerg
J
Theisen
D000230:Adenocarcinoma / Q000175:diagnosis* / Q000628:therapy; D000368:Aged; D003657:Decision Making; D003937:Diagnosis, Differential; D019160:Endosonography; D004938:Esophageal Neoplasms / Q000175:diagnosis* / Q000628:therapy; D005260:Female; D019788:Fluorodeoxyglucose F18; D006801:Humans; D008198:Lymph Nodes / Q000473:pathology / Q000601:surgery; D008477:Mediastinal Diseases / Q000175:diagnosis* / Q000601:surgery; D008875:Middle Aged; D018307:Neoplasms, Squamous Cell / Q000175:diagnosis* / Q000628:therapy; D010166:Palliative Care; D049268:Positron-Emission Tomography; D011379:Prognosis; D019275:Radiopharmaceuticals; D012507:Sarcoidosis / Q000175:diagnosis* / Q000628:therapy; D014057:Tomography, X-Ray Computed
D019275:Radiopharmaceuticals; D019788:Fluorodeoxyglucose F18