martin-benson - Royal Marsden Hospital

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The Royal MarsdenStaging• Prognosis• Triage to appropriate therapyStage 0 /IStage II /III*Stage III*/IVUnimodalMultimodalEndoscopy(EMR/ESD)SurgeryNeo-adjuvanttherapyAdvanced diseaseprotocolEndoscopic palliationSurgery
The Royal MarsdenOesophageal cancer - TNM stagingPrimary Tumour (T)TX Unable to assess primaryT0 No evidence primaryTis Carcinoma in situT1 Invasion lamina propria/submucosaT2 Invasion muscularis propriaT3 Invasion adventitiaT4 Invasion of adjacent structuresRegional Lymph Nodes (N)NX Unable to assessN0 No metastasisN1 Nodal metastasisDistant metastasis (M)MX Unable to assessM0 No metastasisLower oesophagusM1a Metastasis in coeliac nodesM1b Other distant metastasisMid oesophagusM1a Not applicableM1b Non-regional lymph node orother distant metastasisUpper oesophagusM1a Metastasis to cervical nodesM1b Other distant metastasisAmerican Joint Commission on Cancer 2002
Page 3: The Royal MarsdenOesophago-gastric
Page 7 and 8: The Royal MarsdenOesophageal cancer
Page 9 and 10: The Royal MarsdenGastric cancer - s
Page 11 and 12: The Royal MarsdenStaging - laparosc
Page 13 and 14: The Royal MarsdenStaging - endoscop
Page 15 and 16: The Royal MarsdenFDG-PETCompared to
Page 17 and 18: The Royal MarsdenOesophago-gastric
Page 19 and 20: The Royal MarsdenDyspepsia - Endosc
Page 21 and 22: The Royal MarsdenDyspepsia - New
Page 23 and 24: The Royal MarsdenDyspepsia.....Rx s
Page 25 and 26: The Royal MarsdenOpen gastroscopy -
Page 27 and 28: The Royal MarsdenEffect of anti-sec
Page 29 and 30: The Royal MarsdenDyspepsia.....NICE

martin-benson - Royal Marsden Hospital

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