CT features of transverse mesocolon involvement in colonic carcinoma and the anatomic basis
WANG Wen-Juan, DING Na, YANG Chun-Bei, CHEN Hua-Cheng, GAO Qi-Min, DONG Feng
Chinese Journal of Clinical Anatomy ›› 2013, Vol. 31 ›› Issue (4) : 427-429.
CT features of transverse mesocolon involvement in colonic carcinoma and the anatomic basis
Objective To evaluate multiple-slice computed tomographic (MSCT) features of colonic carcinoma involving the transverse mesocolon (TM) and its anatomic basis. Methods The MSCT images of 28 cases with colonic carcinoma were compared with surgical and pathological findings, retrospectively. Results Among the 28 cases, the sensitivity, specificity and accuracy of judging TM infiltration by mass forming, nodular and wedge-shaped shadow, short bars and increased fat density in the TM were 16.7%，61.1%，5.6%，33.3%; 100%，80%，30%，50%; 46.4%，67.9%，14.3 %，39.3%. Five cases showed enlarged lymph nodes in the TM. Conclusion The involvement of TM by colonic carcinoma can show some special CT features. MSCT images are helpful for preoperative imaging evaluation of TM involvement and lymphatic spread.
Transverse mesocolon / Colonic carcinoma / Tomography, X-ray computed
[1] 陈松, 曾杨, 熊大芾, 等. 癌结节对72例中期/局部进展期结直肠癌预后的影响
[J]. 中华普通外科学文献, 2011, 5(3): 235-237.
[2] Goldstein NS, Turner JR. Pericolonic tumor deposits in patients with T3N+MO colon adenocarcinomas: markers of reduced disease free survival and intra-abdominal metastases and their implications for TNM classification
[J]. Cancer, 2000, 88(10):2228-2238.
[3] Solon JG, Al-Azawi D, Hill A, et al. Colonoscopy and computerized tomography scan are not sufficient to localize right-sided colonic lesions accurately
[J]. Colorectal Dis, 2010, 12(10):e267-e272.
[4] 杜渭清, 宦怡, 张劲松, 等. 螺旋CT诊断结肠癌30例
[J]. 世界华人消化杂志, 1999, 7( 11):1009-1010.
[5] Charnsangavej C, DuBrow RA, Varma DG, et al. CT of the mesocolon. Part 2. Pathologic considerations
[J]. Radiographics, 1993, 13(6):1309-1322.
[6] Gore RM, Newmark GM, Thakrar KH, et al. Pathways of abdominal tumour spread: the role of the subperitoneal space
[J]. Cancer Imaging, 2009, 24(9): 112-120.
[7] 崔慧，辛顺宝，刘凤杰, 等. 横结肠系膜腹膜下间隙与肾旁前间隙通连关系的解剖学研究
[J]. 中国临床解剖学杂志, 2010, 28(5): 504-506.
[8] 崔慧, 马桂凤, 徐敏, 等. 多层螺旋CT评价胰腺癌累及横结肠系膜腹膜下间隙的价值
[J]. 实用医学杂志, 2010, 26(16):2971-2972.
[9] 刘文娟, 董鹏, 王滨, 等. 正常横结肠系膜的多排螺旋CT表现及其解剖学基础
[J]. 中国临床医学影像杂志, 2008, 19(9):616-619.
[10] Horton KM, Fishman EK. Volume-rendered 3D CT of the mesenteric vasculature: normal anatomy, anatomic variants, and pathologic conditions
[J]. Radiographics, 2002, 22(1): 161-172.
[11]Kim YH, Lee KH, Park SH, et al. Staging of T3 and T4 gastric carcinoma with multidetector CT: added value of multiplanar reformations for prediction of adjacent organ invasion
[J]. Radiology, 2009, 250(3):767-775.
[12] Gore RM. CT of inflammatory bowel disease
[J]. Radiol Clin North Am 1989, 27(4): 717-729
[13] 周述岭, 王中秋, 李苏建. 34例盲升结肠癌的CT分期
[J]. 实用放射学杂志, 2001, 17( 3) : 197-199.
/
| 〈 |
|
〉 |
