CT prediction of irresectability in esophageal carcinoma: value of additional patient positions and relation to patient outcome
| Autor: | T. van Dalen, H. Obertop, P. W. de Graaf, M. S. van Leeuwen, R. D. van den Hoed, M. A. M. Feldberg, Y. T. van der Schouw, C. D. Kooyman |
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| Rok vydání: | 1997 |
| Předmět: |
Adult
Male medicine.medical_specialty Supine position Esophageal Neoplasms Urology Posture Aorta Thoracic Adenocarcinoma medicine.artery Internal medicine medicine Carcinoma Humans Neoplasm Invasiveness Radiology Nuclear Medicine and imaging Esophagus Aged Aged 80 and over Aorta Radiological and Ultrasound Technology Esophageal disease business.industry Gastroenterology General Medicine Middle Aged Hepatology Neoplastic Cells Circulating medicine.disease Esophagectomy Survival Rate medicine.anatomical_structure Carcinoma Squamous Cell Female Radiology Tomography X-Ray Computed Complication business Airway Follow-Up Studies |
| Zdroj: | Abdominal Imaging. 22:132-137 |
| ISSN: | 1432-0509 0942-8925 |
| Popis: | Background: To improve computed tomographic (CT) prediction of local irresectability and to correlate preoperative CT findings with patient outcome. Methods: Eighty-five patients with esophageal carcinoma underwent CT in supine, left lateral decubitus, and prone positions. CT signs that were indicative of local irresectability included (1) an angle of contact >45° with the aorta; (2) obliteration of triangular fat pad between the tumor, aorta, and spine; (3) tumor contiguous with the aorta in all three positions; and (4) indentation of the airway in all three positions. Results: All CT signs indicative for local irresectability concerning the aorta had comparable percentages of false-positive scans (75%) when correlated with surgical findings. When correlated with pathologic findings, >45° angle of contact with the aorta yielded the fewest false-positive cases (9%). Concerning the airway, additional positions changed the staging correctly in 1 of 18 cases. Median survival was 21 and 8 months, respectively, for tumors considered CT resectable or irresectable. Conclusion: Additional patient positions do not improve the CT prediction of aortic invasion. Predicted resectability correlates with a significant longer life expectancy. |
| Databáze: | OpenAIRE |
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