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Eur Radiol：术前想知道食管癌T分期，是选MRI还是超声内镜？

2017-08-16 shaosai MedSci原创

食管癌内镜超声肿瘤分期
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食管癌T分期为Tx：原发肿瘤不能确定；T0：无原发肿瘤证据；Tis：重度不典型增生；T1：肿瘤侵犯粘膜固有层、粘膜肌层、或粘膜下层；T1a：肿瘤侵犯粘膜固有层或粘膜肌层；T1b：肿瘤侵犯粘膜下层；T2：肿瘤侵犯食管肌层；T3：肿瘤侵犯食管纤维膜；T4：肿瘤侵犯食管周围结构；T4a：肿瘤侵犯胸膜、心包或膈肌(可手术切除)；T4b：肿瘤侵犯其他邻近结构如主动脉、椎体、气管等(不能手术切除)。本研究为了

食管癌T分期为Tx：原发肿瘤不能确定；T0：无原发肿瘤证据；Tis：重度不典型增生；T1：肿瘤侵犯粘膜固有层、粘膜肌层、或粘膜下层；T1a：肿瘤侵犯粘膜固有层或粘膜肌层；T1b：肿瘤侵犯粘膜下层；T2：肿瘤侵犯食管肌层；T3：肿瘤侵犯食管纤维膜；T4：肿瘤侵犯食管周围结构；T4a：肿瘤侵犯胸膜、心包或膈肌(可手术切除)；T4b：肿瘤侵犯其他邻近结构如主动脉、椎体、气管等(不能手术切除)。本研究为了比较可切除食管癌（OC）T分期在使用VIBE序列和内镜超声（EUS）与组织病理学确认的T分期的相关性，并将结果发表在Eur Radiol上。本研究共纳入了43例经内镜证实但CT和EUS对肿瘤分期并不明确的OC的患者，行3T MRI扫描。由两名放射科医生和一名内镜医生分别独立地对肿瘤T分期进行分析，并与术后病理结果比较。利用一致性检验分析VIBE序列和EUS对T分期的一致性并与术后病理T比较。结果为，EUS与病理T分期的符合率为69.8%(30/43)，VIBE与病理T分期的符合率在两观察者分别为86.0% (37/43) and 90.7% (39/43)。对于T1/T2期肿瘤，在VIBE阅片

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  1. 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    2017-08-19 jet747

    学习了

    0

  2. 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    2017-08-18 lietome24

    好文，值得点赞！认真学习，应用于实践！谢谢分享给广大同好！

    0

  3. 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    2017-08-18 1e10c84am36(暂无匿称)

    文章很好，赞赞赞

    0

  4. 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createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyheQLjPSX3OUs5GmkyBlcCOwTPIeq3why9NGibxxUqYo6hcx8qZLHZFgNPnBK1yzWeOFpyg2OnWOt0/0, createdBy=fa4716, createdName=zhouqu_8, createdTime=Fri Aug 18 11:33:00 CST 2017, time=2017-08-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1261927, encodeId=8a59126192ec0, content=<a href='/topic/show?id=0ceb30545e0' target=_blank style='color:#2F92EE;'>#内镜#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=30545, encryptionId=0ceb30545e0, topicName=内镜)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a12645, createdName=docwu2019, createdTime=Fri Aug 18 11:33:00 CST 2017, time=2017-08-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=234673, encodeId=27042346e3a5, content=认真学习，不断进步，把经验分享给同好。, beContent=null, objectType=article, channel=null, level=null, likeNumber=76, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=30251637888, createdName=lietome15, createdTime=Fri Aug 18 08:52:42 CST 2017, time=2017-08-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=234638, encodeId=faba23463805, content=学习了，谢谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ad4c106013, createdName=Drhzm308, createdTime=Fri Aug 18 08:10:27 CST 2017, time=2017-08-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=234600, encodeId=7b8e23460029, content=学习了谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, 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createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzTetibytbqFDmFITWHyBWbxU7S9MYibgPSqvu0sYteH0N6zXqbU0Kf3Mbdb7yWM1Kud3zPgYBibE2SZ/0, createdBy=da7696924, createdName=qingfengqishi5, createdTime=Thu Aug 17 20:41:56 CST 2017, time=2017-08-17, status=1, ipAttribution=)]
    2017-08-18 zhouqu_8

    #食管#

    0

  5. 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replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=30251637888, createdName=lietome15, createdTime=Fri Aug 18 08:52:42 CST 2017, time=2017-08-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=234638, encodeId=faba23463805, content=学习了，谢谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ad4c106013, createdName=Drhzm308, createdTime=Fri Aug 18 08:10:27 CST 2017, time=2017-08-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=234600, encodeId=7b8e23460029, content=学习了谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160304/IMG56D94856B1B5D6405.jpg, createdBy=27931687771, createdName=一个字-牛, createdTime=Fri Aug 18 07:22:18 CST 2017, time=2017-08-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=234563, encodeId=6e4723456379, content=谢谢分享谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160823/IMG57BBA4F88B06B5498.jpg, createdBy=29f71719637, createdName=ffffffffff, createdTime=Fri Aug 18 06:27:21 CST 2017, time=2017-08-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=234541, encodeId=480c234541e8, content=学习了，学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzTetibytbqFDmFITWHyBWbxU7S9MYibgPSqvu0sYteH0N6zXqbU0Kf3Mbdb7yWM1Kud3zPgYBibE2SZ/0, createdBy=da7696924, createdName=qingfengqishi5, createdTime=Thu Aug 17 20:41:56 CST 2017, time=2017-08-17, status=1, ipAttribution=)]
    2017-08-18 docwu2019

    #内镜#

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=234921, encodeId=2ec623492191, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=113, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRl88IIG7mnPw9aCyiclFjtObkW7hiaPluxVnP8W0L50Zk28TB6bOUvDAyD1p9jfvTD8fLIANPtx1tK/0, createdBy=0b0779675, createdName=jet747, createdTime=Sat Aug 19 06:51:28 CST 2017, time=2017-08-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=234778, encodeId=9026234e78e6, content=好文，值得点赞！认真学习，应用于实践！谢谢分享给广大同好！, beContent=null, objectType=article, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=eb131638261, createdName=lietome24, createdTime=Fri Aug 18 15:30:09 CST 2017, time=2017-08-18, status=1, ipAttribution=), 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createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyheQLjPSX3OUs5GmkyBlcCOwTPIeq3why9NGibxxUqYo6hcx8qZLHZFgNPnBK1yzWeOFpyg2OnWOt0/0, createdBy=fa4716, createdName=zhouqu_8, createdTime=Fri Aug 18 11:33:00 CST 2017, time=2017-08-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1261927, encodeId=8a59126192ec0, content=<a href='/topic/show?id=0ceb30545e0' target=_blank style='color:#2F92EE;'>#内镜#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=30545, encryptionId=0ceb30545e0, topicName=内镜)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a12645, createdName=docwu2019, createdTime=Fri Aug 18 11:33:00 CST 2017, time=2017-08-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=234673, encodeId=27042346e3a5, content=认真学习，不断进步，把经验分享给同好。, beContent=null, objectType=article, channel=null, level=null, likeNumber=76, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=30251637888, createdName=lietome15, createdTime=Fri Aug 18 08:52:42 CST 2017, time=2017-08-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=234638, encodeId=faba23463805, content=学习了，谢谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ad4c106013, createdName=Drhzm308, createdTime=Fri Aug 18 08:10:27 CST 2017, time=2017-08-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=234600, encodeId=7b8e23460029, content=学习了谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160304/IMG56D94856B1B5D6405.jpg, createdBy=27931687771, createdName=一个字-牛, createdTime=Fri Aug 18 07:22:18 CST 2017, time=2017-08-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=234563, encodeId=6e4723456379, content=谢谢分享谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160823/IMG57BBA4F88B06B5498.jpg, createdBy=29f71719637, createdName=ffffffffff, createdTime=Fri Aug 18 06:27:21 CST 2017, time=2017-08-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=234541, encodeId=480c234541e8, content=学习了，学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzTetibytbqFDmFITWHyBWbxU7S9MYibgPSqvu0sYteH0N6zXqbU0Kf3Mbdb7yWM1Kud3zPgYBibE2SZ/0, createdBy=da7696924, createdName=qingfengqishi5, createdTime=Thu Aug 17 20:41:56 CST 2017, time=2017-08-17, status=1, ipAttribution=)]
    2017-08-18 lietome15

    认真学习，不断进步，把经验分享给同好。

    0

  7. 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createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyheQLjPSX3OUs5GmkyBlcCOwTPIeq3why9NGibxxUqYo6hcx8qZLHZFgNPnBK1yzWeOFpyg2OnWOt0/0, createdBy=fa4716, createdName=zhouqu_8, createdTime=Fri Aug 18 11:33:00 CST 2017, time=2017-08-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1261927, encodeId=8a59126192ec0, content=<a href='/topic/show?id=0ceb30545e0' target=_blank style='color:#2F92EE;'>#内镜#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=30545, encryptionId=0ceb30545e0, topicName=内镜)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a12645, createdName=docwu2019, createdTime=Fri Aug 18 11:33:00 CST 2017, time=2017-08-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=234673, encodeId=27042346e3a5, content=认真学习，不断进步，把经验分享给同好。, beContent=null, objectType=article, channel=null, level=null, likeNumber=76, 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    2017-08-18 Drhzm308

    学习了，谢谢

    0

  8. 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createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzTetibytbqFDmFITWHyBWbxU7S9MYibgPSqvu0sYteH0N6zXqbU0Kf3Mbdb7yWM1Kud3zPgYBibE2SZ/0, createdBy=da7696924, createdName=qingfengqishi5, createdTime=Thu Aug 17 20:41:56 CST 2017, time=2017-08-17, status=1, ipAttribution=)]
    2017-08-18 一个字-牛

    学习了谢谢分享

    0

  9. 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    2017-08-18 ffffffffff

    谢谢分享谢谢分享

    0

  10. 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    2017-08-17 qingfengqishi5

    学习了，学习了

    0

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CANCER EPRDEM BIOMAR：6.6万人随访8年发现，「小小」牙周病竟能让食管癌风险增加228%

他们发现：与没有牙周病的女性比，具有牙周病史的女性，患癌症的总体风险增加了14%（HR 1.14；95％CI，1.08-1.20），胆囊癌的风险增加了73%（HR， 1.73； 95% CI， 1.01–2.95）食管癌的风险更是增加了228%(HR 3.28；95% CI， 1.64–6.53)！此外，牙周病还与女性乳腺癌、肺癌和黑色素癌风险相关！

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