Year 2002 / Volume 94 / Number 10
Original
Helical CT evaluation in the preoperative staging of gastric adenocarcinoma

0

R. Gamón Giner, J. Escrig Sos, J. L. Salvador Sanchís, J. Ruiz del Castillo, J. H. García Vila y E. Marcote Valdivieso

Abstract
Introduction: the aim of this study is to evaluate helical CT as a basic preoperative test for the staging of gastric adenocarcinoma.

Material and method: we enrolled 50 patients with a diagnosis of gastric adenocarcinoma, evaluated helical CT scans, and compared their findings to the microscopic, pathology-confirmed ones obtained by laparotomy. UICC’s TNM classification, 5th edition
(May 1997), was used.

Results: best results regarding Sensitivity were obtained in the diagnosis of lymph node disease (83%; 69-92%); regarding specificity we obtained 92% (79-98%) for T4, and 89% (77-96%) in
metastasis detection. Accuracy was 70% for T1-T2, and 62% for T3.

Conclusions:
1. For the T category, helical CT effectively detects advanced cases classified as non-resectable.
2. For the N category, helical CT prediction is better than ever before with previous CT generations.
3. For the M category, helical CT is a useful test to identify the presence of liver metastases that would render surgery unnecessary.
Share Button
New comment
Comments
No comments for this article
Related articles
Citation tools
R. Gamón Giner, J. Escrig Sos, J. L. Salvador Sanchís, J. Ruiz del Castillo, J. H. García Vila y E. Marcote Valdivieso. Helical CT evaluation in the preoperative staging of gastric adenocarcinoma. 0


Download to a citation manager

Download the citation for this article by clicking on one of the following citation managers:

Metrics
This article has received 759 visits.
This article has been downloaded 7 times.
Share
This article has been rated by 1 readers.
Reader rating:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
Cookie policy Privacy Policy Legal Notice © Copyright 2024 y Creative Commons. The Spanish Journal of Gastroenterology