Abstract
The preoperative computed tomographic (CT) scans of 14 patients with biopsy-proven primary adenocarcinoma of the cecum were reviewed to assess clinical presentation, CT findings, and value of staging by CT. The correlation of CT evidence for tumor invasion beyond the bowel wall with histopathology had predictive value of negative examination of 33% with sensitivity of 78%. More importantly, the correlation of metastatic nodal involvement by CT had predictive value of negative examination of 22% with sensitivity of only 12%. Of chief concern was the involvement of pericolic and mesenteric nodal chains that were not discernible by CT. Computed tomographic tumor staging was accurate in 57% of cases and upgraded in 43%. This study concludes that, although predictive values of positive CT examination are high, CT tends to underestimate disease extent.
Similar content being viewed by others
References
Actell LM, Chiazze L: Changing relative frequency of cancers of the colon and rectum in the United States.Cancer 19:750–754, 1966
Cutler SJ: Trends in cancers of the digestive tract.Surgery 65:740–752, 1969
Rhodes JB: Changing distribution of primary carcinoma of the large bowel.JAMA 238:1641–1643, 1977
Bresnick E: Colon carcinogenesis: an overview.Cancer 45(suppl):1047–1051, 1980
Sherlock P: Etiology of colorectal cancer. InColorectal Tumors. O.H. Beahrs G.A. Higgins and J.J. Weinstein (eds), J.B. Lippincott Company, Philadelphia, 1986, pp 29–36
Ellert J, Kreel Z: The value of CT in malignant colonic tumors.Comput Tomogr 4:225–240, 1980
Mayes GB, Zornoza J: Computerized tomography of colon carcinoma.AJR 135:43–46, 1980
Theoni RF, Moss AA, Schnyder P, Margulis AR: Detection and staging of primary rectal and rectosigmoid cancer by computed tomography.Radiology 141:135–138, 1981
Moss AA: Computed tomography in the staging of gastrointestinal carcinoma.Radiol Clin North Am 20:761–780, 1982
Meyer JE, Dosorety DE, Gunderson LL, Stark P, Kopana DB: CT evaluation of locally advanced carcinoma of the distal colon and rectum.J Comput Assist Tomogr 7:265–267, 1983
Freeny PC, Marks WM, Ryan JA, Bolen JW: Colorectal carcinoma evaluation with CT: preoperative staging and detection of postoperative recurrence.Radiology 158:347–353, 1986
Coscina WF, Arger PH, Levine MS, Herlinger H, Cohen S, Coleman BG, Mintz MC: Gastrointestinal tract focal mass lesions: role of CT and barium evaluations.Radiology 158:581–587, 1986
Thompson WM, Kelvin FM: More to colorectal imaging than just the barium study.Diagn Imaging 130–135, 1987
Thompson WM: Imaging strategies for tumors of the gastrointestinal system.CA-A Cancer J Clin 37(3):165–185, 1987
Herrera-Ornelas L, Justiniano J, Castillo N, Petrelli NJ, Stule JP, Mittelman A: Metastases in small lymph nodes from colon cancer.Arch Surg 122:1253–1256, 1987
Scatarige JC, Fishman EK, Crist DW, Cameron JL, Siegelman SS: Diverticulitis of the right colon: CT observations.AJR 148:737–739, 1987
Balthazar EJ, Megibow AJ, Hulnick D, Gordon RB, Nadich DP, Beranbaum ER: CT of appendicitis.AJR 147:705–710, 1986
Gore RM, Goldberg HI: Computed tomographic evaluation of the gastrointestinal tract in diseases other than primary adenocarcinoma.Radiol Clin North Am 20(4):781–796, 1982
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Keeney, G., Jafri, S.Z.H. & Mezwa, D.G. Computed tomographic evaluation and staging of cecal carcinoma. Gastrointest Radiol 14, 65–69 (1989). https://doi.org/10.1007/BF01889158
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF01889158