Preoperative Lymph Node Staging of Advanced Gastric Cancer with Helical CT: Assessment of New TNMClassification
Journal of the Korean Radiological Society
; : 87-91, 1999.
Article
in Korean
| WPRIM (Western Pacific)
| ID: wpr-100981
Responsible library:
WPRO
ABSTRACT
PURPOSE:
To evaluate preoperative N staging of advanced gastric cancer(AGC) using helical CT according to thenew TNM classification. MATERIALS ANDMETHODS:
Helical CT findings of AGCs in N staging were prospectivelyevaluated and correlated with pathologic staging in 60 patients with AGCs who underwent surgery. In all patients,contrast-enhanced helical CT with 5 -7 mm silce thickness and 5 -7 mm reconstruction was performed after ingestionof 600 - 800ml of water. A total of 150ml of contrast medium was administered intravenously at a rate of 4mL/secand CT scans were obtained 60 seconds after the initiation of intravenous administration of contrast medium. CTnodal status was assessed according to the 1997 UICC/AJCC N staging system as N0, no lymph node metasta-sis; N1,1 -6 metastatic regional lymph nodes; N2, 7 -15 metastatic regional lymph nodes; N3, more than 15 metastaticregional lymph nodes. Lymph nodes at least 5mm in short-axis diameter or more than three lymph nodes in a focalarea (clustered appearance) regardless of size were interpretated as positive for metastasis.RESULTS:
Of thetotal 1,334 lymph nodes dissected, 352(26%) were positive for metastasis. The sensitivity of helical CT scans in Nstaging of AGCs was 61%, specificity was 36 %, and overall accuracy was 55% (33 of 60cases), Nine(15 %) cases wereoverstaged and 18(30 %) were understaged.CONCLUSION:
Our results indicate that the results of helical CT inpreoperative N staging of AGCs according to the new TNM classification showed no improvement despite theapplication of favorable criteria for lymph node metastasis. Further evaluation using various analytic approachesis necessary.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Stomach Neoplasms
/
Water
/
Tomography, X-Ray Computed
/
Sensitivity and Specificity
/
Classification
/
Tomography, Spiral Computed
/
Administration, Intravenous
/
Lymph Nodes
/
Neoplasm Metastasis
Type of study:
Diagnostic study
Limits:
Humans
Language:
Korean
Journal:
Journal of the Korean Radiological Society
Year:
1999
Document type:
Article