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Fig. 6 | Cancer Imaging

Fig. 6

From: A prospective analysis of the diagnostic accuracy of 3 T MRI, CT and endoscopic ultrasound for preoperative T staging of potentially resectable esophageal cancer

Fig. 6

A 65-year-old man with esophageal squamous cell carcinoma, and late stage (T3) case wrongly diagnosed as early stage (T2) by EUS and correctly diagnosed by CT and MRI. (A) Arterial phase CT shows the muscularis mucosae and muscularis propria are interrupted and blurred, and the lesion (red arrow) is staged as T3. (B)T2WI-msTSE shows the lesion (red arrow) invades the adventitia. (C) On DWI, b = 700 the lesion (red arrow) is hyperintense. (D) 3D-GRE shows enhanced muscularis mucosae (blue arrow) and the muscularis propria of hypointensity (yellow arrow) almost disappear, and MRI shows (red arrow) lesion in T3 staging. (E) EUS shows tumor (red arrow) invading muscularis propria with intact adventitia (white arrow) and consistent with T2 staging on EUS. (F) H&E stained section at × 40 microscopy confirm that the tumor (red arrow) invades adventitia (white arrow), consistent with T3 stage

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Cancer Imaging

ISSN: 1470-7330

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