Abstract
Thirty-two patients with esophageal spinocellular (squamous cell) carcinoma were studied with superconductive magnet in order to evaluate local and extraluminal extent, as well as mediastinal lymph node spread of the disease. In the absence of adenopathy, the localized tumors were considered susceptible to surgical treatment. All patients were operated on within 21 days. The resectability criteria were correctly evaluated in 75% of cases; sensitivity and specificity were 86 and 67%, respectively. Unsatisfactory results were obtained in the evaluation of mediastinal adenopathies. We conclude that magnetic resonance imaging (MRI) is useful in the preoperative evaluation of resectability criteria in patients with esophageal squamous cell carcinoma.
Similar content being viewed by others
References
Quint LE, Glazer GM, Orringer MB, Gross BH: Esophageal carcinoma: CT findings.Radiology 155:171–175, 1985
Salonen O, Kiviisari L, Standertskjold-Nordenstam CG, Somer K, Virkkunen P: Computed tomography in staging of oesophageal carcinoma.Scand J Gastroenterol 22:65–68, 1987
Freeny PC, Marks WM: Adenocarcinoma of the gastroesophageal junction: Barium and CT examination.AJR 138:1077–1084, 1982
Marks WM, Callen PW, Moss AA: Gastroesophageal region: Source of confusion on CT.AJR 136:359–362, 1981
Picus D, Balfe DM, Koehler RE, Roper CL, Owel JW: Computed tomography in the staging of esophageal carcinoma.Radiology 146:433–438, 1983
Daffener RH, Halber MD, Postlethwait RW, Korghkin M, Thompson WM: CT of the esophagus. II. Carcinoma.AJR 133:1051–1055, 1979
Moss AA, Schnyder P, Thoeni RF, Margulis AF: Esophageal carcinoma pretherapy staging by computed tomography.AJR 136:1051–1056, 1981
Halvorsen RA, Thompson WM: Computed tomography evaluation of esophageal carcinoma.Semin Oncol 11:113–126, 1984
Lehr L, Rupp N, Siewert JR: Assessment of resectability of esophageal cancer by computed tomography and magnetic resonance imaging.Surgery 103:344–350, 1987
Quint LE, Glazer GM, Orringer MB: Esophageal imaging by MR and CT: Study of normal anatomy and neoplasms.Radiology 156:727–731, 1985
Reining JW, Stanley JH, Schabel SI: CT evaluation of thickened esophageal walls.AJR 140:931–934, 1983
Samuelsson L, Hambraeus GM, Mercke CE, Tylen U: CT staging of oesophageal carcinoma.Acta Radiol Diagn 25:7–11, 1984
Thompson WM, Halvorsen RA, Forster WL Jr, Williford ME, Postlethwait RW, Korobkin M: Computed tomography for staging esophageal and gastroesophageal cancer: Revaluation.AJR 141:951–958, 1983
Ingram CE, Belli AM, Lewars MD, Reznek RH, Husband JE: Normal lymph node size in the mediastinum: A retrospective study in two patient groups.Clin Radiol 40:35–39, 1989
Cohen AM, Creviston S, LiPuma JP, Bryan PJ, Haaga JR, Alfidi RJ: NMR evaluation of hilar and mediastinal lymphadenopathy.Radiology 148:739–742, 1983
Gross BH, Glazer GM, Orringer MB, Spizareny DL, Flint A: Bronchogenic carcinoma metastatic to normal-sized lymph nodes: Frequency and significance.Radiology 166:71–74, 1988
Hermaneck P, Sobin LH Internal Union Against Cancer (eds):TNM Classification of Malignant Tumors 4th ed. Torino: Minerva Medica, 1987, pp 40–48
Yamada A: Radiologic assessment of resectability and prognosis in esophageal carcinoma.Gastrointest Radiol 4:213–218, 1979
Bidoli P, Verusio C, Santoro A: Progressi nel Trattamento del Carcinoma Spinocellulare dell'Esofago Localmente Avanzato.Argom Oncol 10:219–230, 1989
Coulomb M, Lebas JF, Sarrazin R, Geindre M: L'apport de la tomodensitometrie au bilan d'extension des cancers de l'esophage.J Radiol 62:475–487, 1981
Margulis AM: Computed tomographic staging of gastrointestinal tract malignancies. Part I. Esophagus and stomach.Invest Radiol 22:3–16, 1987
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Petrillo, R., Balzarini, L., Bidoli, P. et al. Esophageal squamous cell carcinoma: MRI evaluation of mediastinum. Gastrointest Radiol 15, 275–278 (1990). https://doi.org/10.1007/BF01888795
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF01888795