Back to Search
Start Over
Supraclavicular lymph node metastases in carcinoma of the esophagus and gastroesophageal junction: assessment with CT, US, and US-guided fine-needle aspiration biopsy.
- Source :
-
Radiology [Radiology] 1991 Apr; Vol. 179 (1), pp. 155-8. - Publication Year :
- 1991
-
Abstract
- The preoperative assessment of supraclavicular lymph node metastases was prospectively studied in 100 patients with carcinoma of the esophagus and gastroesophageal junction. Findings at computed tomography (CT), ultrasound (US), and palpation were compared, and US-guided fine-needle aspiration biopsy of nodes with a small axis of 5 mm or greater was performed. Supraclavicular metastases were detected on CT scans in 11 of 13 patients (85%) and on US scans in 14 of 16 patients (88%) but were palpable in only three of the 16 patients (19%). The predictive value of a supraclavicular node indicating metastases was .74 at US and .85 at CT. Metastases were diagnosed in 10 of 46 patients with squamous cell carcinoma (22%) and five of 50 patients (10%) with adenocarcinoma. Nodes with metastases had a round configuration, with a statistically significant greater short-axis to long-axis ratio than that of benign nodes (0.89 vs 0.54; P = .05). In four of 16 patients (25%) with supraclavicular metastases proved with cytologic examination, neither CT nor US of the mediastinum and abdomen showed enlarged nodes.
- Subjects :
- Abdomen diagnostic imaging
Adenocarcinoma diagnostic imaging
Adenocarcinoma pathology
Adenocarcinoma secondary
Adult
Aged
Aged, 80 and over
Carcinoma diagnostic imaging
Carcinoma pathology
Carcinoma secondary
Carcinoma, Squamous Cell diagnostic imaging
Carcinoma, Squamous Cell pathology
Carcinoma, Squamous Cell secondary
Female
Humans
Lymph Nodes pathology
Male
Mediastinum diagnostic imaging
Middle Aged
Neck diagnostic imaging
Predictive Value of Tests
Prospective Studies
Radiography, Abdominal
Ultrasonography
Biopsy, Needle
Esophageal Neoplasms pathology
Esophagogastric Junction
Lymph Nodes diagnostic imaging
Lymphatic Metastasis
Tomography, X-Ray Computed
Subjects
Details
- Language :
- English
- ISSN :
- 0033-8419
- Volume :
- 179
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Radiology
- Publication Type :
- Academic Journal
- Accession number :
- 2006268
- Full Text :
- https://doi.org/10.1148/radiology.179.1.2006268