Carcinoma of the stomach -: role of gastric imaging for diagnosis and preoperative tumor staging.

被引：13

作者：

Düx, M ^{[1
]}

Grenacher, L ^{[1
]}

Lubienski, A ^{[1
]}

Schipp, A ^{[1
]}

Richter, GM ^{[1
]}

Hansmann, J ^{[1
]}

机构：

[1] Univ Heidelberg, Radiol Klin, Abt Radiodiagnost, D-69120 Heidelberg, Germany

来源：

ROFO-FORTSCHRITTE AUF DEM GEBIET DER RONTGENSTRAHLEN UND DER BILDGEBENDEN VERFAHREN | 2000年 / 172卷 / 08期

关键词：

stomach; neoplasms; endoscopy; radiography; US; CT; MR;

D O I：

10.1055/s-2000-7169

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

The aim of imaging of gastric carcinoma has to be to diagnose the carcinoma as early as possible and to sort out the tumors that are resectable. At the same time imaging of gastric carcinoma should reduce the number of futile laparotomies in patients with advanced, non-resectable tumors to a minimum. Today, endoscopy is the method of choice to diagnose gastric carcinoma. Endosonography is advantageous if small carcinomas have to be judged for depth of tumor infiltration (early gastric carcinoma vs. advanced gastric carcinoma) because high resolution images of the gastric wall are obtained. Staging of large carcinomas that have grown beyond the gastric wall is best performed by hydro-CT because CT scans most accurately delineate infiltrations of surrounding organs/structures and help to plan surgery. Nowadays MRI is not suited for gastric imaging. MRI, however, has the highest potential to fundamentally improve staging of gastric carcinoma if high resolution imaging of the gastric wall is combined with screening for metastases in one examination.

引用

页码：661 / 669

页数：9

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