单位：[1]Department of Radiation Oncology, Fujian Provincial Cancer Hospital, Provincial Clinical College of Fujian Medical University, Fuzhou, China[2]Fujian Provincial Key Laboratory of Translational Cancer Medicine, Fujian Provincial Cancer Hospital, Fuzhou, China[3]Department of Medical Oncology, the 180th Hospital of PLA, Quanzhou, China[4]Department of Radiation Oncology, China-Japan Friendship Hospital, Beijing, China
Objective: To investigate the diagnostic criteria of mediastinal lymph node metastasis (MLNM) in esophageal carcinoma (EC) by comparing the lymph node sizes measured by computed tomography (CT) and obtained by postoperative pathological examination. Method: A total of 305 EC patients were selected. MLNM location, shortest diameter and number were investigated one week before surgery, and then compared with their pathological findings. Results: The receiver operating characteristic (ROC) curve analysis revealed that the minimum diameters of MLNM in the thoracic cavity was 8 mm (area under curve [AUC] = 0.766, Youden index = 0.424), 5 mm in supraclavicular fossa (AUC = 0.785, Youden index = 0.494), 6 mm in tracheoesophageal groove (AUC = 0.755, Youden index = 0.405); the sensitivity was increased significantly, and the Youden index was increased significantly when compared with 10 mm. Conclusion: The shortest diameter of diagnostic criteria of lymph nodes in EC could be less than 10 mm on CT.
第一作者单位：[1]Department of Radiation Oncology, Fujian Provincial Cancer Hospital, Provincial Clinical College of Fujian Medical University, Fuzhou, China[2]Fujian Provincial Key Laboratory of Translational Cancer Medicine, Fujian Provincial Cancer Hospital, Fuzhou, China
通讯作者：
通讯机构：[4]Department of Radiation Oncology, China-Japan Friendship Hospital, Beijing, China[*1]Department of Radiation Oncology China-Japan Friendship Hospital Address: No. 2 East Street of Sakura
推荐引用方式(GB/T 7714)：
Li Jiancheng,Chen Shanshan,Zhu Guangying.Comparative study of computed tomography (CT) and pathological diagnosis toward mediastinal lymph node metastasis in esophageal carcinoma[J].REVISTA DA ASSOCIACAO MEDICA BRASILEIRA.2018,64(2):170-174.doi:10.1590/1806-9282.64.02.170.
APA：
Li, Jiancheng,Chen, Shanshan&Zhu, Guangying.(2018).Comparative study of computed tomography (CT) and pathological diagnosis toward mediastinal lymph node metastasis in esophageal carcinoma.REVISTA DA ASSOCIACAO MEDICA BRASILEIRA,64,(2)
MLA：
Li, Jiancheng,et al."Comparative study of computed tomography (CT) and pathological diagnosis toward mediastinal lymph node metastasis in esophageal carcinoma".REVISTA DA ASSOCIACAO MEDICA BRASILEIRA 64..2(2018):170-174
