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Figures
      Last updated March 14, 2022

      Diagnosis And Staging Of Patients With Esophageal Cancer

      Recommendatiions

      Staging of Esophageal Cancer

      For early stage esophageal cancer, computed tomography of the chest and abdomen is an optional test for staging. (Level B, Class I (benefit > > >risk))
      316232
      For locoregionalized esophageal cancer, computed tomography of the chest and abdomen is a recommended test for staging. (Level B, Class I (benefit > > >risk))
      316232
      For early stage esophageal cancer, positron emission tomography is an optional test for staging. (Level B, Class IIb (benefit > >risk))
      316232
      For locoregionalized esophageal cancer, positron emission tomography is a recommended test for staging. (Level B, Class I (benefit > > >risk))
      316232
      In the absence of metastatic disease, endoscopic ultrasonography is recommended to improve the accuracy of clinical staging. (Level B, Class IIa (benefit > > risk))
      316232

      Endoscopic mucosal resection should be considered as a diagnostic/staging tool for small, discrete nodules or areas of dysplasia when the disease appears limited to the mucosa or submucosa as assessed by endoscopic ultrasonography. (Level B, Class IIa (benefit > > risk))
      316232
      For locally advanced (T3/T4) adenocarcinoma of the esophagogastric junction infiltrating the anatomic cardia, or Siewart type III esophagogastric tumors, laparoscopy is recommended to improve the accuracy of staging. (Level C, Class IIb (benefit > >risk))
      316232

      Recommendation Grading

      Overview

      Title

      Diagnosis And Staging Of Patients With Esophageal Cancer

      Authoring Organization

      Publication Month/Year

      July 1, 2013

      Document Type

      Guideline

      External Publication Status

      Published

      Country of Publication

      US

      Document Objectives

      The focus of this project was to systematically review the literature with regard to the diagnostic workup and staging of esophageal cancer.

      Inclusion Criteria

      Female, Male, Adult, Older adult

      Health Care Settings

      Ambulatory, Hospital, Outpatient, Radiology services

      Intended Users

      Social worker, nurse practitioner, nurse, physician, physician assistant

      Scope

      Assessment and screening, Diagnosis

      Diseases/Conditions (MeSH)

      D004938 - Esophageal Neoplasms

      Keywords

      staging, cancer staging, Esophageal cancer

      Source Citation

      The Society of Thoracic Surgeons Guidelines on the Diagnosis and Staging of Patients With Esophageal Cancer

      Varghese, Thomas K. et al.
      The Annals of Thoracic Surgery, Volume 96, Issue 1, 346 - 356

       

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