The Histopathological Evaluation of the Reliability of Lugol Staining, in Determining the Resection Line, in Esophagectomy Performed Cases of Esophagus Carcinomas

Alpay SARPER, Işınsu KUZU, Adem GÜNGÖR, Necati ÖRMECİ, İlker ÖKTEN

Ankara Üniversitesi Tıp Fakültesi Göğüs Cerrahisi Anabilim Dalı, Ankara

Between June 1993 and June 1995 at our clinic a group of 20 patients were underwent resections of esophageal cancer, selected at random. Lugol staining gueses done with preoperative endoscopic and in-vitro and postoperative histopathogologic researches were evaluated comparisingly. Not only microscopic mucousal spreading of tumor but also other lesions like displasmic mucous skip metastases, multiple lesions and leiomyomas vvcre fixed firmly by lugol staining. As a result, spreading of lesion by endoscopic lugol staining as preoperative and other pathological symptoms which accompanies it were fixed. And according to the gueses it was decided that the resection was widely spread. During the operation the boundaries of resections were controlled by lugol staining. When the histopathplogic examinations which were done postoperatively were compared, it was seen that the results which were reached by lugol staining were right.

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