Tumor outline of esophageal carcinoma

Autor: Bernard Baker, Lewis L. Haas
Rok vydání: 1955
Předmět:
Zdroj: Radiology. 64(2)
ISSN: 0033-8419
Popis: The roentgen diagnosis of carcinoma of the esophagus is usually based upon the alterations seen in the barium-filled lumen, such as filling defects produced by the fungating tumor, excavations due to necrotic ulcers, obstruction, suprastenotic dilatation, perforation, and indentations by para-esophageal lymph node metastases. The extension of the tumor is usually determined from the length of the lesion as indicated by the filling defect, and this is the basis for surgical indications and statistics. This procedure is unsatisfactory, since it fails to outline the tumor in its lateral extent and therefore does not satisfy the general principles of tumor localization, for which all the dimensions of the lesion should be determined: length, width, and depth. The intramural and/or extra-esophageal extension may significantly affect therapeutic indications and prognosis. Also, the added knowledge of lateral or depth extension may influence radiation technic and selection of fields. For these reasons it would b...
Databáze: OpenAIRE