Esophageal cancer diagnostic study of choice: Difference between revisions
No edit summary |
No edit summary |
||
| Line 30: | Line 30: | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Specificity | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Specificity | ||
|- | |- | ||
! style="background: #696969; color: #FFFFFF; text-align: center;" | | ! style="background: #696969; color: #FFFFFF; text-align: center;" |Endoscopic biopsy | ||
| style="background: #DCDCDC; padding: 5px; text-align: center;" | | | style="background: #DCDCDC; padding: 5px; text-align: center;" |90% | ||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |95% | |||
| style="background: #DCDCDC; padding: 5px; text-align: center;" | | |||
|} | |} | ||
<small> | <small> </small> | ||
==References== | ==References== | ||
Revision as of 15:21, 12 December 2017
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Hadeel Maksoud M.D.[2]
|
Esophageal cancer Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Esophageal cancer diagnostic study of choice On the Web |
|
American Roentgen Ray Society Images of Esophageal cancer diagnostic study of choice |
|
Risk calculators and risk factors for Esophageal cancer diagnostic study of choice |
Overview
Esophageal cancer is best diagnosed using an endoscope to visualize the esophageal lesion, followed by a biopsy to confirm the diagnosis. These are done within the same sitting.
Diagnostic Study of Choice
=== Gold standard/Study of choice: ===
- Endoscopic biopsy is the gold standard test for the diagnosis of esophageal cancer.
- The following visualisation on endoscopic biopsy is seen in esophageal cancer:
Even though large masses seen in the esophagus are almost pathognomonic for esophageal cancer, the diagnosis of squamous cell carcinoma or adenocarcinoma esophageal cancer is confirmed by biopsy.
The comparison table for diagnostic studies of choice for esophageal cancer
- Studies have found that the greater the number of biopsies taken (up to seven), the higher the diagnostic accuracy. The addition of brush cytology specimens to seven biopsies increased the accuracy to 100%.[3]
| Sensitivity | Specificity | |
|---|---|---|
| Endoscopic biopsy | 90% | 95% |
References
- ↑ Lightdale CJ (1999). "Esophageal cancer. American College of Gastroenterology". Am. J. Gastroenterol. 94 (1): 20–9. doi:10.1111/j.1572-0241.1999.00767.x. PMID 9934727.
- ↑ Yendamuri S, Swisher SG, Correa AM, Hofstetter W, Ajani JA, Francis A, Maru D, Mehran RJ, Rice DC, Roth JA, Walsh GL, Vaporciyan AA (2009). "Esophageal tumor length is independently associated with long-term survival". Cancer. 115 (3): 508–16. doi:10.1002/cncr.24062. PMID 19117343.
- ↑ Graham DY, Schwartz JT, Cain GD, Gyorkey F (1982). "Prospective evaluation of biopsy number in the diagnosis of esophageal and gastric carcinoma". Gastroenterology. 82 (2): 228–31. PMID 7054024.