Comparison of the Diagnostic Ability of Endoscopic Ultrasonography and Abdominopelvic Computed Tomography in the Diagnosis of Gastric Subepithelial Tumors
| Autor: | Tae Oh Kim, Chung Hyun Tae, Joo Ho Lee, Ki Nam Shim, Sung Ae Jung, Sang-Yoon Kim, Hye Kyung Jung, A Reum Choe, Ji Young Lim, Chang Mo Moon, Seong Eun Kim |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
lcsh:Internal medicine Medicine (miscellaneous) Computed tomography Endoscopic ultrasonography Subepithelial tumor 03 medical and health sciences 0302 clinical medicine Diagnosis medicine Radiology Nuclear Medicine and imaging Medical diagnosis Single institution lcsh:RC799-869 lcsh:RC31-1245 medicine.diagnostic_test business.industry Abdominopelvic computed tomography Gastroenterology Laparoscopic wedge resection digestive system diseases 030220 oncology & carcinogenesis Ectopic pancreas 030211 gastroenterology & hepatology Histopathology lcsh:Diseases of the digestive system. Gastroenterology Original Article Radiology business |
| Zdroj: | Clinical Endoscopy Clinical Endoscopy, Vol 52, Iss 6, Pp 565-573 (2019) |
| ISSN: | 2234-2443 2234-2400 |
| Popis: | Background/aims Endoscopic ultrasonography (EUS) is the most efficient imaging modality for gastric subepithelial tumors (SETs). However, abdominopelvic computed tomography (APCT) has other advantages in evaluating the characteristics, local extension, or invasion of SETs to adjacent organs. This study aimed to compare the diagnostic ability of EUS and APCT based on surgical histopathology results. Methods We retrospectively reviewed data from 53 patients who underwent both EUS and APCT before laparoscopic wedge resection for gastric SETs from January 2010 to December 2017 at a single institution. On the basis of histopathology results, we assessed the diagnostic ability of the 2 tests. Results The overall accuracy of EUS and APCT was 64.2% and 50.9%, respectively. In particular, the accuracy of EUS vs. APCT for the diagnosis of gastrointestinal stromal tumors (GISTs), leiomyomas, and ectopic pancreas was 83.9% vs. 74.2%, 37.5% vs. 0.0%, and 57.1% vs. 14.3%, respectively. Most of the incorrect diagnoses with EUS involved hypoechoic lesions originating in the fourth echolayer, with the most common misdiagnosed lesions being GISTs mistaken for leiomyomas and vice versa. Conclusion APCT showed a lower overall accuracy than EUS; however, APCT remains a useful modality for malignant/potentially malignant gastric SETs. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|