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Consequences of CT colonography in stenosing colorectal cancer

Consequences of CT colonography in stenosing colorectal cancer Background In patients with stenosing colorectal cancer were included. Nine (5.6 %) synchronous cancers proximal to (CRC), visualization of the entire colon prior to surgery is the stenosing tumor were suspected with CTC. In four of nine recommended to exclude synchronous tumors. Therefore, patients, the CTC did not change the primary surgical plan most centers combine computed tomographic colonography because the tumors were located in the same surgical segment. (CTC) with staging CT. The aims of this study were to eval- In five of nine patients, CTC changed the surgical treatment uate the yield and clinical implications of CTC. plan. Three of these five patients underwent an extended re- Methods In this multicenter retrospective study, patients with section and the presence of the tumors was confirmed. Two of stenosing CRC that underwent CTC and subsequent surgery these three synchronous CRCs were also visible on abdominal between April 2013 and November 2015 were included. staging CT. In the other two patients, the result of CTC was Result of the CTC, its influence on the surgical treatment plan, false positive which led to an unnecessary extended resection and final histology report were evaluated. in one patient. Conclusion The yield of CTC http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png International Journal of Colorectal Disease Springer Journals

Consequences of CT colonography in stenosing colorectal cancer

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References (26)

Publisher
Springer Journals
Copyright
Copyright © 2016 by Springer-Verlag Berlin Heidelberg
Subject
Medicine & Public Health; Surgery; Internal Medicine; Gastroenterology; Hepatology; Proctology
ISSN
0179-1958
eISSN
1432-1262
DOI
10.1007/s00384-016-2683-6
pmid
27783161
Publisher site
See Article on Publisher Site

Abstract

Background In patients with stenosing colorectal cancer were included. Nine (5.6 %) synchronous cancers proximal to (CRC), visualization of the entire colon prior to surgery is the stenosing tumor were suspected with CTC. In four of nine recommended to exclude synchronous tumors. Therefore, patients, the CTC did not change the primary surgical plan most centers combine computed tomographic colonography because the tumors were located in the same surgical segment. (CTC) with staging CT. The aims of this study were to eval- In five of nine patients, CTC changed the surgical treatment uate the yield and clinical implications of CTC. plan. Three of these five patients underwent an extended re- Methods In this multicenter retrospective study, patients with section and the presence of the tumors was confirmed. Two of stenosing CRC that underwent CTC and subsequent surgery these three synchronous CRCs were also visible on abdominal between April 2013 and November 2015 were included. staging CT. In the other two patients, the result of CTC was Result of the CTC, its influence on the surgical treatment plan, false positive which led to an unnecessary extended resection and final histology report were evaluated. in one patient. Conclusion The yield of CTC

Journal

International Journal of Colorectal Disease – Springer Journals

Published: Oct 25, 2016

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