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Trial Title:
Endoscopic Ultrasound in Detailed T-staging of Upper GI Malignancies in Vitro
NCT ID:
NCT02226224
Condition:
Gastrointestinal Neoplasms
Conditions: Official terms:
Gastrointestinal Neoplasms
Digestive System Neoplasms
Conditions: Keywords:
gastrointestinal neoplasms
endosonography
in vitro
Staging
Study type:
Observational
Overall status:
Unknown status
Study design:
Time perspective:
Prospective
Summary:
In our era of personalized treatment, both the prognosis and the choice of therapy for
upper GI malignancies depend on the staging before any treatment. Most experts recommend
EUS (Endoscopic Ultrasound) as the first line for T-staging but the diagnostic accuracy
in clinical practice varies in different centers according to the published data. Neither
the discrepancy between EUS and histological findings nor the variation between centers
well explained. So the investigators designed this prospective study. In the present
study, the investigators performed EUS on the resected specimen after surgery before
fixation in formalin, evaluated the invasion of the GI wall, and marked the deepest
location with sutures. And try to determine the exact accuracy of EUS staging , find the
discrepancy between EUS and histologic findings.
Detailed description:
- EUS Examination After the surgery, the specimen is filled with 0.9%NS (normal saline
) without cut open,and put into a container filled with 0.9%NS before fixation in
formalin. EUS will be performed on the resected specimen.The endoscopy move from the
distal to proximal side along the longitudinal axis of stomach, evaluate the
invasion of gastric wall, and mark the deepest point with sutures under the EUS
guided. The images were stored .
EUS images the are reviewed by two endoscopists. They are asked to stage the tumor
according to the AJCC(American Joint Committee on Cancer) staging system (7th edition) ,
assign a level of confidence to the staging, and score the quality of the EUS image .
- Histologic Preparations and Examination Carcinoma invasion into each layer of the
gastric wall is diagnosed by an experienced pathologist (L.ZW) who is unaware of the
findings of the EUS imaging. The marked section will be assessed separately.
- Data analysis The diagnosis between the pathologic findings and EUS prediction will
be compared. Whether the marked point was the deepest in pathologic findings is
recorded. And the histological section and the EUS image of the marked point is
compared.
Criteria for eligibility:
Study pop:
Patients with locally advanced upper GI carcinoma receive surgery as first treatment no
previous surgery involved the upper GI tract
Sampling method:
Probability Sample
Criteria:
Inclusion Criteria:
- Patients with upper GI carcinoma
- Receive surgery as first treatment
Exclusion Criteria:
- previous surgery involved the upper GI tract
Gender:
All
Minimum age:
18 Years
Maximum age:
N/A
Healthy volunteers:
No
Locations:
Facility:
Name:
Beijing Cancer Hospital
Address:
City:
Beijing
Zip:
100142
Country:
China
Status:
Recruiting
Contact:
Last name:
Yan Yan, Doctor
Phone:
861088196168
Email:
dr.yan@outlook.com
Investigator:
Last name:
Yan Yan, Doctor
Email:
Principal Investigator
Start date:
June 2014
Completion date:
October 2020
Lead sponsor:
Agency:
Peking University Cancer Hospital & Institute
Agency class:
Other
Source:
Peking University Cancer Hospital & Institute
Record processing date:
ClinicalTrials.gov processed this data on November 12, 2024
Source: ClinicalTrials.gov page:
https://clinicaltrials.gov/ct2/show/NCT02226224