Mapping patterns of nodal metastases in esophageal carcinoma: rethinking the clinical target volume for supraclavicular nodal irradiation
Identifieur interne : 000E21 ( Main/Exploration ); précédent : 000E20; suivant : 000E22Mapping patterns of nodal metastases in esophageal carcinoma: rethinking the clinical target volume for supraclavicular nodal irradiation
Auteurs : Yijun Luo [République populaire de Chine] ; Yuhui Liu [République populaire de Chine] ; Xiaoli Wang [République populaire de Chine] ; Bin Zhang [République populaire de Chine] ; Jinming Yu [République populaire de Chine] ; Chengang Wang [République populaire de Chine] ; Yong Huang [République populaire de Chine] ; Minghuan Li [République populaire de Chine]Source :
- Journal of Thoracic Disease [ 2072-1439 ] ; 2016.
Abstract
To map detail distribution of metastatic supraclavicular (SCV) lymph nodes (LN) in esophageal cancer (EC) patients and determine the precise radiation therapy clinical target volume (CTV).
A total of 101 thoracic esophageal carcinoma patients after surgery experienced SCV LN metastasis were retrospectively examined. The SCV region is further divided into four subgroups. Using hand drawings registration, nodes were mapped to a template computed tomogram to provide a visual impression of nodal frequencies and anatomic distribution.
In all, 158 nodes were considered to be clinical metastatic in the SCV region in the 101 patients, 74 on the left and 84 on the right. Seven of 158 (4.4%) positive LN were located in group I, 78 of 158 (49.37%) were located in group II, 72 of 158 nodes (45.6%) were located in group III, 1 of 158 (0.63%) located in group IV.
According to our results, the SCV group II and group III are considered to be the high risk regions of esophageal squamous cell carcinoma (ESCC) LN metastasis, which were defined as elective nodal irradiation (ENI) areas.
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DOI: 10.21037/jtd.2016.11.96
PubMed: 28066592
PubMed Central: 5179466
Affiliations:
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strict</wicri:regionArea></affiliation></author><author><name sortKey="Huang, Yong" sort="Huang, Yong" uniqKey="Huang Y" first="Yong" last="Huang">Yong Huang</name><affiliation wicri:level="1"><nlm:aff id="aff3">Department of Radiology, Shandong Cancer Hospital Affiliated to Shandong University, Jinan 250117,<country>China</country>;</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Li, Minghuan" sort="Li, Minghuan" uniqKey="Li M" first="Minghuan" last="Li">Minghuan Li</name><affiliation wicri:level="1"><nlm:aff id="aff2">Department of Radiation Oncology and Radiology, Shandong Cancer Hospital Affiliated to Shandong University, Jinan 250117,<country>China</country>;</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno 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xml:lang="fr">République populaire de Chine</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Liu, Yuhui" sort="Liu, Yuhui" uniqKey="Liu Y" first="Yuhui" last="Liu">Yuhui Liu</name><affiliation wicri:level="1"><nlm:aff id="aff3">Department of Radiology, Shandong Cancer Hospital Affiliated to Shandong University, Jinan 250117,<country>China</country>;</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Wang, Xiaoli" sort="Wang, Xiaoli" uniqKey="Wang X" first="Xiaoli" last="Wang">Xiaoli Wang</name><affiliation wicri:level="1"><nlm:aff id="aff1">School of Medical and Life Sciences, University of Jinan-Shandong Academy of Medical Sciences, Jinan 250117,<country>China</country>;</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea># see nlm:aff country 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id="aff2">Department of Radiation Oncology and Radiology, Shandong Cancer Hospital Affiliated to Shandong University, Jinan 250117,<country>China</country>;</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Wang, Chengang" sort="Wang, Chengang" uniqKey="Wang C" first="Chengang" last="Wang">Chengang Wang</name><affiliation wicri:level="1"><nlm:aff id="aff1">School of Medical and Life Sciences, University of Jinan-Shandong Academy of Medical Sciences, Jinan 250117,<country>China</country>;</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff2">Department of Radiation Oncology and Radiology, Shandong Cancer Hospital Affiliated to Shandong University, Jinan 250117,<country>China</country>;</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Huang, Yong" sort="Huang, Yong" uniqKey="Huang Y" first="Yong" last="Huang">Yong Huang</name><affiliation wicri:level="1"><nlm:aff id="aff3">Department of Radiology, Shandong Cancer Hospital Affiliated to Shandong University, Jinan 250117,<country>China</country>;</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Li, Minghuan" sort="Li, Minghuan" uniqKey="Li M" first="Minghuan" last="Li">Minghuan Li</name><affiliation wicri:level="1"><nlm:aff id="aff2">Department of Radiation Oncology and Radiology, Shandong Cancer Hospital Affiliated to Shandong University, Jinan 250117,<country>China</country>;</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></analytic><series><title level="j">Journal of Thoracic Disease</title><idno type="ISSN">2072-1439</idno><idno type="eISSN">2077-6624</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>To map detail distribution of metastatic supraclavicular (SCV) lymph nodes (LN) in esophageal cancer (EC) patients and determine the precise radiation therapy clinical target volume (CTV).</p></sec><sec><title>Methods</title><p>A total of 101 thoracic esophageal carcinoma patients after surgery experienced SCV LN metastasis were retrospectively examined. The SCV region is further divided into four subgroups. Using hand drawings registration, nodes were mapped to a template computed tomogram to provide a visual impression of nodal frequencies and anatomic distribution.</p></sec><sec><title>Results</title><p>In all, 158 nodes were considered to be clinical metastatic in the SCV region in the 101 patients, 74 on the left and 84 on the right. Seven of 158 (4.4%) positive LN were located in group I, 78 of 158 (49.37%) were located in group II, 72 of 158 nodes (45.6%) were located in group III, 1 of 158 (0.63%) located in group IV.</p></sec><sec><title>Conclusions</title><p>According to our results, the SCV group II and group III are considered to be the high risk regions of esophageal squamous cell carcinoma (ESCC) LN metastasis, which were defined as elective nodal irradiation (ENI) areas.</p></sec></div></front></TEI><affiliations><list><country><li>République populaire de Chine</li></country></list><tree><country name="République populaire de Chine"><noRegion><name sortKey="Luo, Yijun" sort="Luo, Yijun" uniqKey="Luo Y" first="Yijun" last="Luo">Yijun Luo</name></noRegion><name sortKey="Huang, Yong" sort="Huang, Yong" uniqKey="Huang Y" first="Yong" last="Huang">Yong Huang</name><name sortKey="Li, Minghuan" sort="Li, Minghuan" uniqKey="Li M" first="Minghuan" last="Li">Minghuan Li</name><name sortKey="Liu, Yuhui" sort="Liu, Yuhui" uniqKey="Liu Y" first="Yuhui" last="Liu">Yuhui Liu</name><name sortKey="Luo, Yijun" sort="Luo, Yijun" uniqKey="Luo Y" first="Yijun" last="Luo">Yijun Luo</name><name sortKey="Wang, Chengang" sort="Wang, Chengang" uniqKey="Wang C" first="Chengang" last="Wang">Chengang Wang</name><name sortKey="Wang, Chengang" sort="Wang, Chengang" uniqKey="Wang C" first="Chengang" last="Wang">Chengang Wang</name><name sortKey="Wang, Xiaoli" sort="Wang, Xiaoli" uniqKey="Wang X" first="Xiaoli" last="Wang">Xiaoli Wang</name><name sortKey="Wang, Xiaoli" sort="Wang, Xiaoli" uniqKey="Wang X" first="Xiaoli" last="Wang">Xiaoli Wang</name><name sortKey="Yu, Jinming" sort="Yu, Jinming" uniqKey="Yu J" first="Jinming" last="Yu">Jinming Yu</name><name sortKey="Zhang, Bin" sort="Zhang, Bin" uniqKey="Zhang B" first="Bin" last="Zhang">Bin Zhang</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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