Recurrent esophageal carcinoma: CT evaluation after esophagectomy.
Recurrent esophageal carcinoma: CT evaluation after esophagectomy.
复制标题
复发性食管癌：食管切除术后的 CT 评估。
DOI：
10.1148/radiology.189.1.8372204
复制
发表时间：
1993
期刊：
影响因子：
19.7
通讯作者：
Barry H. Gross
中科院分区：
文献类型：
--
作者：
James G. Carlisle;L E Quint;I R Francis;M. Orringer;James F. Smick;James F. Smick;Barry H. Gross
目的
回顾性审查计算机断层扫描 (CT) 扫描的证据：(a) 胃内软组织肿块或胃壁增厚，(b) 胃外软组织肿块或纵隔淋巴结肿大（局部区域疾病），(c) 腹部淋巴结肿大，以及 (d) 远处器官转移性疾病。
材料和方法
58 名临床怀疑复发性食管癌的患者接受了 CT 检查。将局部区域复发的胸部水平与原发肿瘤的水平进行比较。
结果
58 名患者中有 52 名获得了复发状态证明。在 58 名患者中，36 名（62%）CT 发现复发，16 名（28%）CT 未发现复发，6 名（10%）CT 发现可疑复发。 CT 确定复发状态的准确率为 87%。原发肿瘤的水平与复发的水平之间没有相关性。
结论
在 CT 上，肿瘤复发最常见的是局部区域疾病、远处转移和腹部淋巴结肿大的某种组合。孤立于某一区域的 CT 表现仅偶尔出现。
PURPOSE
Computed tomographic (CT) scans were retrospectively reviewed for evidence of (a) intragastric soft-tissue mass or gastric wall thickening, (b) extragastric soft-tissue mass or mediastinal lymph node enlargement (local-regional disease), (c) abdominal lymph node enlargement, and (d) metastatic disease to distant organs.
MATERIALS AND METHODS
Fifty-eight patients with a clinical suspicion of recurrent esophageal carcinoma underwent CT. The thoracic level of local-regional recurrence was compared with the level of the primary tumor.
RESULTS
Proof of recurrence status was obtained in 52 of 58 patients. Of the 58 patients, 36 (62%) had CT findings of recurrence, 16 (28%) had no CT findings of recurrence, and six (10%) had CT findings questionable for recurrence. CT accuracy for determining recurrence status was 87%. There was no correlation between the level of primary tumor and that of recurrence.
CONCLUSION
At CT, tumor recurrences were most commonly seen as some combination of local-regional disease, distant metastases, and abdominal lymph node enlargement. CT findings isolated to one region were seen only occasionally.