Endoscopic ultrasonography for preoperative staging of gastric carcinoma

Milena Massari, Ugo Cioffi, Matilde De Simone, Luigi Bonavina, Antonio D'Elia, Lorenzo Rosso, Concetto Ferro, Marco Montorsi

Research output: Contribution to journalArticle

36 Citations (Scopus)

Abstract

Background/Aims: To assess the accuracy and limitation of endoscopic ultrasonography in preoperative staging of gastric cancer, we performed a prospective study on 99 patients. Material and Methods: Ninety-nine patients with gastric cancer had preoperative staging with endoscopic ultrasound (EUS) and CT. Results: The depth of infiltration (T parameter) was correctly defined by EUS in 58/65 patients (89%). The lymph node involvement (N parameter) was correctly classified in 44/65 patients (68%), the sensitivity was 74% and the specificity was 54%. The most frequent cause of understaging T parameter was microscopic tumor invasion, whereas overstaging was due to peri-tumor inflammation. Conclusions: We believe that EUS is a reliable method, superior to all diagnostic tools, in the evaluation of locoregional extension of gastric cancer.

Original languageEnglish
Pages (from-to)542-546
Number of pages5
JournalHepato-Gastroenterology
Volume43
Issue number9
Publication statusPublished - 1996

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Endosonography
Stomach
Stomach Neoplasms
Carcinoma
Neoplasms
Lymph Nodes
Prospective Studies
Inflammation

Keywords

  • Endoscopic ultrasonography
  • Gastric carcinoma
  • Preoperative staging

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Endoscopic ultrasonography for preoperative staging of gastric carcinoma. / Massari, Milena; Cioffi, Ugo; De Simone, Matilde; Bonavina, Luigi; D'Elia, Antonio; Rosso, Lorenzo; Ferro, Concetto; Montorsi, Marco.

In: Hepato-Gastroenterology, Vol. 43, No. 9, 1996, p. 542-546.

Research output: Contribution to journalArticle

Massari, M, Cioffi, U, De Simone, M, Bonavina, L, D'Elia, A, Rosso, L, Ferro, C & Montorsi, M 1996, 'Endoscopic ultrasonography for preoperative staging of gastric carcinoma', Hepato-Gastroenterology, vol. 43, no. 9, pp. 542-546.
Massari, Milena ; Cioffi, Ugo ; De Simone, Matilde ; Bonavina, Luigi ; D'Elia, Antonio ; Rosso, Lorenzo ; Ferro, Concetto ; Montorsi, Marco. / Endoscopic ultrasonography for preoperative staging of gastric carcinoma. In: Hepato-Gastroenterology. 1996 ; Vol. 43, No. 9. pp. 542-546.
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