Online ISSN: 2515-8260

Keywords : TNM staging

Role of 128 slice-multi detector computed tomography in the imaging and staging of carcinoma oesophagus

Dr. Lohith K, Dr. Rinu Pious, Dr. Supriya AS, Dr. Rashwin Pinto, Dr. Pradeep Kumar CN

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 2, Pages 2473-2484

Carcinoma oesophagus infiltrates locally involving adjacent lymph nodes and metastases widely by hematogenous spread. Esophageal cancers typically spread both by direct invasion and also via network of lymphatics. Hematogenous spread is more common in patients with advanced stages of diseases. Lungs and the liver have been regarded as the usual sites of hematogenous metastases. Out of all these patients, 78 patients were selected on the basis of histopathological examination (HPE) report showing the confirmed presence of carcinoma of the esophagus. After taking a properly informed written consent and complete history, a thorough clinical examination was done and these patients were subjected to CT scan. Clinical and radiological data from the study was recorded as per the proforma. Lymph nodal staging was done as per TNM staging in which N2 stage was seen maximum in 33 patients (42.3%) followed by N0 stage in 22 (28.2%) patients. 13 patients out of 78 were staged under N1 category (16.7%) and only 10 patients out of 78 (12.8%) showed N3 stage of lymph nodal spread. In our study out of 78 patients, 14 patients showed evidence of distant metastases (17.9%)-M1 stage. Rest 64 patients (81.1%)-M0 stage.