Esophageal Cancer
Conditions
Keywords
Esophageal cancer, 18F-FDG PET, staging, therapy planning, therapy response monitoring, prognosis
Brief summary
This study is aimed to evaluate the effectiveness of 18F-FDG PET in the initial staging, therapy planning, and therapeutic response monitoring for esophageal cancer patients. Purpose: 1. The incremental staging information by using 18F-FDG PET 2. The impact of the PET results on the patients' subsequent therapy planning 3. To compare treatment response using RECIST criteria and FDG PET results.
Detailed description
Background: Esophageal cancer is one of the leading malignancies in Taiwan. Accuracy tumor staging can direct to appropriate therapy planning and provide prognostic implications. Positron emission tomography (PET) with \[18F\]-fluoro-2-deoxy-D-glucose (FDG) has been shown to have better N staging and prognostic stratification abilities than conventional imaging modalities, such as endoscopic ultrasonography (EUS) and CT. Purpose: This study is aimed to evaluate the effectiveness of 18F-FDG PET in the initial staging, therapy planning, and therapeutic response monitoring for esophageal cancer patients. Method: Patients with pathological proven esophageal cancer, age 20-90 year-old, will be included in this study. Each patient will receive a baseline PET study. For those patients who received pre-operative CCRT, another PET will be performed 1-4 weeks after completion of CCRT. Primary outcome: 1. The incremental staging information by using 18F-FDG PET 2. The impact of the PET results on the patients' subsequent therapy planning 3. To compare treatment response using RECIST criteria and FDG PET results. Secondary outcome: To correlate the PET response rate and the patients' disease free survival and overall survival.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
1. Age:20-90 years old 2. Histological proved esophageal cancer 3. ECOG performance status 0-2 4. written informed consent signed
Exclusion criteria
1. prior chemotherapy or treatment for other systemic anti-cancer agent(s) 2. pregnant or intend to be pregnant 3. other malignancies known 4. other concurrent cancer treatment
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The effectiveness of 18F-FDG PET in the initial staging, therapy planning, and therapeutic response monitoring for esophageal cancer patients. | 2 hours |
Countries
Taiwan