The diagnostic value of CT imaging evaluation for lymph node metastasis in gallbladder cancer and its correlation with prognosis
10.3760/cma.j.cn113855-20240311-00178
- VernacularTitle:CT影像评估对胆囊癌淋巴结转移的诊断价值及与预后的相关性分析
- Author:
Sen YANG
1
;
Shuai YAN
1
;
Feilong TAN
1
;
Yihan WANG
1
;
Bingbing LIU
1
;
Xueliang YUE
1
;
Hongshan LIU
1
Author Information
1. 河南省人民医院肝胆胰外科 郑州大学人民医院 河南大学临床医学院，郑州 450003
- Publication Type:Journal Article
- Keywords:
Gallbladder neoplasms;
Lymphatic metastasis;
Tomography, X-Ray computed;
Prognosis
- From:
Chinese Journal of General Surgery
2025;40(4):290-294
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To assess the accuracy of preoperative enhanced CT in evaluating the degree of lymph node metastasis in gallbladder cancer.Methods:A retrospective analysis was performed on the enhanced CT imaging data of 124 gallbladder cancer patients who underwent surgical treatment at Henan Provincial People's Hospital from Jan 2017 to Dec 2018. Imaging staging was used to classify lymph node metastasis. Pathological and imaging data of 70 patients with confirmed postoperative lymph node pathology were compared to evaluate the accuracy of imaging methods in detecting lymph node involvement.Results:Lymph node metastasis in the 124 surgical patients was categorized into three groups using imaging evaluation methods. The overall accuracy of determining lymph node positivity and negativity was 63%, with a sensitivity of 64% and specificity of 62%. The accuracy of detecting lymph node metastasis in gallbladder cancer was higher when lymph node fusion and internal necrosis were observed. The overall survival rate differed significantly among gallbladder cancer patients at different lymph node imaging stages ( P<0.05). Conclusion:CT imaging evaluation has diagnostic value for lymph node metastasis in gallbladder cancer and has a certain predictive effect on the prognosis of patients.
