Preoperative endosonographic staging of cancer of the cardia

Abdom Imaging. 1996 Nov-Dec;21(6):483-7. doi: 10.1007/s002619900109.


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.

Conclusion: 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.

MeSH terms

  • Adenocarcinoma / diagnostic imaging*
  • Adenocarcinoma / pathology
  • Adenocarcinoma / surgery
  • Aged
  • Cardia / pathology
  • Endosonography*
  • Female
  • Humans
  • Male
  • Neoplasm Staging
  • Preoperative Care
  • Prospective Studies
  • Sensitivity and Specificity
  • Stomach Neoplasms / diagnostic imaging*
  • Stomach Neoplasms / pathology
  • Stomach Neoplasms / surgery