Teaching Points
- Staging of oesophageal malignancy is aimed at assessing the extent of local invasion of the primary tumour and the for the presence or absence of nodal/distal metastatic disease
- CT of the abdomen and chest are suitable initial staging modalities
- If these initial investigations demonstrate a lesion that is amenable to potential curative resection further staging should include a PET scan.
- If a PET scan shows no distal metastatic disease, Endoscopic US (EUS) is indicated for local staging
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