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Staging cecal and ascending colon carcinoma with computed tomography
A Solomon1, J Bar-Ziv, D Stern
1Department of Radiology, Tel-Aviv Medical Center Ichilov Hospital, Israel.
Gastrointestinal Radiology
|January 1, 1988
Summary
Computed tomography (CT) can differentiate operable and inoperable cecal and ascending colon cancers. Tumor invasion into the posterior peritoneal reflection on CT indicates nonoperability, aiding surgical planning.
Area of Science:
- Radiology
- Oncology
- Surgical Oncology
Background:
- Accurate preoperative staging of colorectal cancer is crucial for treatment planning.
- Distinguishing between operable and inoperable tumors impacts surgical approach and patient outcomes.
Purpose of the Study:
- To evaluate the utility of computed tomography (CT) in differentiating operable from inoperable cecal and ascending colon carcinomas.
- To identify specific CT findings indicative of tumor nonoperability.
Main Methods:
- Retrospective analysis of computed tomography (CT) scans from patients with cecal and ascending colon carcinomas.
- Correlation of CT findings with surgical and pathological data.
Main Results:
- Computed tomography (CT) demonstrated ability to differentiate between operable subserosal/transserosal and inoperable cecal and ascending colon carcinomas.
- Invasion of the posterior peritoneal reflection on CT, with or without adjacent muscle invasion, was a reliable indicator of tumor nonoperability.
Conclusions:
- Computed tomography (CT) is a valuable tool for assessing the resectability of cecal and ascending colon cancers.
- Identification of posterior peritoneal reflection invasion on CT can preclude surgery, optimizing patient management.