Diagnosis And Staging Of Patients With Esophageal Cancer
Publication Date: July 1, 2013
Last Updated: March 14, 2022
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))
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For locoregionalized esophageal cancer, computed tomography of the chest and abdomen is a recommended test for staging. (Level B, Class I (benefit > > >risk))
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For early stage esophageal cancer, positron emission tomography is an optional test for staging. (Level B, Class IIb (benefit > >risk))
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For locoregionalized esophageal cancer, positron emission tomography is a recommended test for staging. (Level B, Class I (benefit > > >risk))
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In the absence of metastatic disease, endoscopic ultrasonography is recommended to improve the accuracy of clinical staging. (Level B, Class IIa (benefit > > risk))
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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))
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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))
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Recommendation Grading
Overview
Title
Diagnosis And Staging Of Patients With Esophageal Cancer
Authoring Organization
Society of Thoracic Surgeons
Publication Month/Year
July 1, 2013
Last Updated Month/Year
January 9, 2024
Supplemental Implementation Tools
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