2009
DOI: 10.1007/s00595-009-3952-6
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A suspected [18F]fluorodeoxyglucose positron emission tomography-negative metastatic lymph node successfully diagnosed by laparoscopic staging in esophageal cancer: Report of two cases

Abstract: An accurate preoperative staging is important for selecting an appropriate therapy for esophageal cancer. In particular, diagnosis of lymph node metastases influences the indication for radical surgery. [18F]Fluorodeoxyglucose positron emission tomography (FDG-PET) has been widely applied primarily as a useful tool for initial staging of esophageal cancer. However, false-negative cases sometimes make it difficult to select the appropriate treatment. We report two patients with esophageal cancer and PET-negativ… Show more

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Cited by 5 publications
(5 citation statements)
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“…As both locoregional metastasis and hematogenous recurrence may occur, focused examination from the neck to the upper abdomen should be performed with a combination of several imaging modalities, including chest X-ray, CT, and ultrasonography. Although not always the case [22], FDG-PET CT may also aid in the detection of both hematogenous and lymphatic recurrences [23].…”
Section: Discussionmentioning
confidence: 99%
“…As both locoregional metastasis and hematogenous recurrence may occur, focused examination from the neck to the upper abdomen should be performed with a combination of several imaging modalities, including chest X-ray, CT, and ultrasonography. Although not always the case [22], FDG-PET CT may also aid in the detection of both hematogenous and lymphatic recurrences [23].…”
Section: Discussionmentioning
confidence: 99%
“…A laparoscopic staging system has been developed to improve the accuracy of diagnosis for LNs status. 63 This technique may be feasible for cases in which the diagnosis of LN cannot easily be confi rmed by preoperative imaging.…”
Section: Previous and Current Tnm Classifi Cationsmentioning
confidence: 99%
“…b Endoscopy after definitive chemoradiotherapy demonstrated complete response. c PET-CT scan after completion of definitive chemoradiotherapy did not demonstrate any uptake on the right side of the IVC complications [12,13]. A retroperitoneal videoscopic lymph node biopsy was performed to make a precise diagnosis of lymphadenopathy, and this made it possible to reduce the degree of surgical stress and also enables the patient to avoid postoperative complications.…”
Section: Discussionmentioning
confidence: 99%