Assessment of spiral CT pneumocolon in preoperative colorectal carcinoma

作者：Sun, Can Hui; Li, Zi Ping^*; Meng, Quan Fei; Yu, Shen Ping; Xu, Da Sheng

来源：World Journal of Gastroenterology, 2005, 11(25): 3866-3870.

• Tomography
• X-ray compute
• Pneumocolon
• Preoperative staging
• Colorectal cancer

AIM: To investigate the value of spiral CT pneumocolon in preoperative colorectal carcinoma.
METHODS: Spiral CT pneumocolon was performed prior to surgery in 64 patients with colorectal carcinoma. Spiral CT images were compared to specimens from the resected tumor.
RESULTS: Spiral CT depicted the tumor in all patients. Comparison of spiral CT and histologic results showed that the sensitivity and specificity were 95.2%, 40.9% in detection of local invasion, and 75.0%, 90.9% in detection of lymph node metastasis. Compared to the Dukes classification, the disease was correctly staged as A in 6 of 18 patients, as B in 18 of 23, as C in 10 of 15, and as D in 7 of 8. Overall, spiral CT correctly staged 64.1% of patients.
CONCLUSION: Spiral CT pneumocolon may be useful in the preoperative assessment of patients with colorectal carcinoma as a means for assisting surgical planning.

• 出版日期2005-7-7
• 单位中山大学