Routine chest computed tomography as a preoperative work-up for primary colorectal cancer: is there any benefit in short-term outcome?.
10.4174/jkss.2011.80.5.327
- Author:
Yong Kwon CHO
1
;
Woo Yong LEE
;
Loo Ji YI
;
Jun Ho PARK
;
Hae Ran YUN
;
Yong Beom CHO
;
Seong Hyeon YUN
;
Hee Cheol KIM
;
Ho Kyung CHUN
Author Information
1. Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. cyk1010@lycos.co.kr
- Publication Type:Original Article
- Keywords:
Colorectal neoplasm;
Metastases;
Computed tomography;
Chest X-ray
- MeSH:
Colorectal Neoplasms;
Humans;
Lung;
Lung Neoplasms;
Neoplasm Metastasis;
Retrospective Studies;
Thorax
- From:Journal of the Korean Surgical Society
2011;80(5):327-333
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: The aim of this study was to assess the role of pre-operative chest computed tomography (CT) compared with abdominopelvic CT (AP-CT) and chest radiography (CXR) for detecting pulmonary metastasis in patients with primary colorectal cancer (CRC). METHODS: We retrospectively analyzed the data of 619 patients with primary CRC who simultaneously received a preoperative chest CT (chest CT group), AP-CT with hilar extension, and CXR (CXR group). RESULTS: In the chest CT group, there were 297 (48.0%) normal, 198 (32%) benign, 96 (15.5%) indeterminate, 26 (4.2%) metastasis, and two lung cancers. Eighteen patients (2.9%) in the CXR group who had no pulmonary metastasis were diagnosed with pulmonary metastasis on a chest CT. The sensitivity and accuracy were 83.9% and 99.0% in the chest CT group, respectively, and 29.0% and 91.5% in the CXR group, respectively (P < 0.0001 and P = 0.0003). CONCLUSION: Chest CT appears to improve the accuracy of pre-operative staging in patients with CRC and is useful for the early detection of pulmonary metastasis as a baseline study for abnormal lung nodules.
