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64860

Agreements between CT, Intra-operative Inspection and Pathology Regarding Staging Local Cancer Colon

Article

Last updated: 22 Jan 2023

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Abstract

Colorectal carcinoma is the most common gastrointestinal malignancy, accurate staging is very important for proper treatment, Continuous advances in CT machines, continuous change in disease process and its pathogenicity will change the accuracy of this modality and weather it can be relied on in local staging. Our aim is to evaluate the accuracy of contrast enhanced computed tomography (CT) in local staging of colorectal cancer by comparing it to operative findings and whether surgeon can depend on its results in planning surgery, also comparing CT and intraoperative results to pathology reports. so we can see the strength points and weakness points of CT regarding macroscopic eye inspection and compare it to microscopic pathologic way. Results regarding the T-staging, the CT accurately diagnosed 83 cases correctly, while the intraoperative examination of the specimen diagnosed only 81 cases correctly, a difference which is not statistically significant, regarding N stage, the intraoperative examination was more accurate than the CT as it correctly diagnosed 61 cases while the CT diagnosed only 56 cases correctly, a difference which is also not statistically significant. Our conclusion is that CT is an accurate method in staging regarding stage III and IV, the accuracy is still not reliable in stage I and II. Regarding N- staging system CT has low accuracy regarding pathology, this accuracy increases if compared with operative data.

DOI

10.21608/ejrsa.2019.19724.1086

Keywords

Colon cancer, Local staging, MDCT

Authors

First Name

Eman

Last Name

Sabek

MiddleName

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Affiliation

Health Radiation Research Department, National Centre of Radiation Research and Technology. Atomic Energy Authority. Cairo, Egypt

Email

hi_eman2308@yahoo.com

City

-

Orcid

0000-0003-4003-6967

First Name

Gihan

Last Name

Saleh

MiddleName

-

Affiliation

Health Radiation Research Department, National Centre of Radiation Research and Technology. Atomic Energy Authority. Egypt

Email

gihansaleh_nmz@yahoo.com

City

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Orcid

-

First Name

Ehab

Last Name

El-esseily

MiddleName

-

Affiliation

Health Radiation Research Department, National Centre of Radiation Research and Technology. Atomic Energy Authority. cairo Egypt

Email

egyphar1999@yahoo.com

City

-

Orcid

-

Volume

32

Article Issue

2

Related Issue

11290

Issue Date

2019-12-01

Receive Date

2019-11-23

Publish Date

2019-12-01

Page Start

211

Page End

218

Print ISSN

1110-0303

Online ISSN

2314-8527

Link

https://ejrsa.journals.ekb.eg/article_64860.html

Detail API

https://ejrsa.journals.ekb.eg/service?article_code=64860

Order

9

Type

Original Article

Type Code

136

Publication Type

Journal

Publication Title

Egyptian Journal of Radiation Sciences and Applications

Publication Link

https://ejrsa.journals.ekb.eg/

MainTitle

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Details

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Article

Created At

22 Jan 2023