The assessment of advanced esophageal cancer with a 5-MHz steerable no
n-optic ultrasound probe is described. Non-optic endosonography was pe
rformed on 80 occasions in 50 patients; the probe could be passed succ
essfully on 75 occasions. In all cases, good visualization of the exte
nt of esophageal tumor was obtained and discrimination between the tum
or mass and discrete peri-esophageal lymph nodes was possible. The tec
hnique was valuable in monitoring tumor response to laser therapy and
radiotherapy, and in guiding the laser endoscopist away from areas of
minimal thickening.