The application value of multislice spiral CT in preoperative staging eval-uation of esophageal carcinoma
- VernacularTitle:多层螺旋CT扫描在食管癌术前分期评估中的应用价值
- Author:
Wenping XIA
1
;
Kunjie XU
Author Information
1. 宁波市鄞州区第二医院放射科
- Keywords:
Spiral CT;
Esophageal cancer;
Preoperative staging
- From:
China Modern Doctor
2015;(11):132-134,138
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the application value of multislice spiral CT in preoperative staging evaluation of esophageal carcinoma. Methods Retrospective analyzed the clinical data in our hospital from January 2011 to January 2014 of 38 cases of esophageal cancer patients, analyzed 38 cases of esophageal cancer patients underwent MSCT ex-amination and showed that the pipe wall thickness, tumor invasion degree, lymph node and distant organ metastasis. In 38 cases of esophageal carcinoma and CT staging of preoperative and postoperative pathology were analyzed. Results 32 cases of squamous cell carcinoma of 38 esophagus cancer patients, CT showed 6 cases of esophageal wall thicken-ing, 4 cases of esophageal intraluminal masses, irregular eccentric tube wall thickening in 22 cases (esophageal partial thickness was 5-55 mm, the tube wall thickening in 0.5-1.0 cm three cases, 1.1-2.0 cm in 16 cases, 2.1-3.0 cm in 2 cases, >3.0 cm one case), 2 cases of early esophageal cancer, no CT positive expression, 4 patients had no obvious enhancement features. In 21 cases the lumen appeared stenosis, esophageal wall edge stiff narrow and irregular, annu-lar stenosis, 4 cases of occlusion of the lumen. In 18 cases of esophageal surrounding fat space disappeared. 4 cases of tracheal compression deformation, left main bronchial narrowing, transposition in 3 cases, including 1 case of esophageal and bronchial fistula. In 38 patients with carcinoma of esophagus CT examination before operation, accord-ing to the Moss staging for stage Ⅰ 3 cases, stage II 6 cases, stage Ⅲ 25 cases, stage Ⅳ 4 cases. The cancer invad-ing aorta in 1 case, 2 cases with tracheal invasion, 2 cases complicated with hepatic metastasis, lung metastasis in 1 case. 10 cases of lymph node metastasis, most of enlarged lymph nodes were strengthened, few lymph node necrosis in the center, edge enhancement. Lymph node size of 15-30 mm. Conclusion Multi slice spiral CT scanning in staging e-valuation has an important value in esophageal carcinoma before operation, helps to select the suitable operation scheme.
