Upper GI 2017

Size criteria are unreliable

Prostate cancer • 71% of nodal mets did not fulfil size criteria Cervix cancer • 80% of nodal mets < 10mm Rectal cancer • RDOG study – 322 patients • sensitivity 38%

?

Normal sized node may contain a metastasis

Harisinghani et al, NEJM, 2003 Benedetti, 1996 Zerhouni EA, Radiology, 1996