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Colorectal Cancer

  • Hirofumi Shibata
  • Ukihide Tateishi
  • Tomio Inoue
Chapter

Abstract

Approximately 13 % new cases of colorectal cancer are diagnosed in the US every year, and approximately 70 % of these patients undergo a radical surgical resection of primary lesions, but only two thirds are cured. About one third of patients who undergo curative surgical resection of the primary lesion have a recurrence after the initial treatment (August TA, Ottow RT, Sugarbaker PH. Cancer Metastasis 3:303–324, 1984). After the initial surgical colorectal cancer resection, the accurate and early detection of potentially respectable metastatic tumors localized in the liver and lung is important in patient management. In cases of rectal cancer and sigmoid colon cancer, important also is the detection of pelvic recurrence that is amenable to resection with curative intent during the course of clinical follow-up after initial surgical treatment (Turk PS, Wanebo HJ. Cancer 72:4267–4277, 1993). Diagnosis of recurrence and the appropriate selection of patients for surgery are difficult because of the low sensitivity of computed tomography (CT) for early metastasis. Scar formation after resection of rectal cancer, which mimics local recurrence on CT and magnetic resonance imaging (MRI) can make it difficult to accurately diagnose local recurrence. More accurate preoperative restaging using fluorodeoxyglucose (FDG) positron emission tomography (PET) would reduce the frequency of surgery for nonresectable recurrence, and a more sensitive form of detecting tumor recurrence may increase the rate of resectability at restaging.

Keywords

Positron Emission Tomography Rectal Cancer Colon Wall Lateral Pelvic Node Positron Emission Tomography Finding 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Hirofumi Shibata
    • 1
  • Ukihide Tateishi
    • 1
  • Tomio Inoue
    • 2
  1. 1.Department of RadiologyYokohama City University School of MedicineYokohamaJapan
  2. 2.Department of RadiologyYokohama City University School of MedicineYokohamaJapan

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