A suspected [18F]fluorodeoxyglucose positron emission tomography-negative metastatic lymph node successfully diagnosed by laparoscopic staging in esophageal cancer: Report of two cases

Atsushi Takeno, Shuji Takiguchi, Makoto Yamasaki, Hiroshi Miyata, Ryohei Kawabata, Yoichiro Nushijima, Tomoki Makino, Yoshiyuki Fujiwara, Kiyokazu Nakajima, Toshiro Nishida, Masaki Mori, Yuichiro Doki

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5 Citations (Scopus)

Abstract

An accurate preoperative staging is important for selecting an appropriate therapy for esophageal cancer. In particular, diagnosis of lymph node metastases influences the indication for radical surgery. [18F] Fluorodeoxyglucose positron emission tomography (FDG-PET) has been widely applied primarily as a useful tool for initial staging of esophageal cancer. However, false-negative cases sometimes make it difficult to select the appropriate treatment. We report two patients with esophageal cancer and PET-negative enlarged lymph node successfully diagnosed by laparoscopic sampling. This procedure did not only allow accurate histopathological staging, but also helped to select the optimal minimally invasive management. This technique can be recommended for patients with esophageal cancer in whom the diagnosis of enlarged lymph node cannot be confirmed by preoperative imaging.

Original languageEnglish
Pages (from-to)888-891
Number of pages4
JournalSurgery today
Volume39
Issue number10
DOIs
Publication statusPublished - Oct 1 2009
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Surgery

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    Takeno, A., Takiguchi, S., Yamasaki, M., Miyata, H., Kawabata, R., Nushijima, Y., Makino, T., Fujiwara, Y., Nakajima, K., Nishida, T., Mori, M., & Doki, Y. (2009). A suspected [18F]fluorodeoxyglucose positron emission tomography-negative metastatic lymph node successfully diagnosed by laparoscopic staging in esophageal cancer: Report of two cases. Surgery today, 39(10), 888-891. https://doi.org/10.1007/s00595-009-3952-6