Journal of Saitama Medical University
Online ISSN : 1347-1031
Print ISSN : 0385-5074
ISSN-L : 1347-1031
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Preoperative local staging of colorectal cancer using a CT: investigation of imaging data for CT colonography
Yusuke Watanabe Yoshitaka Okada
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2015 Volume 41 Issue 2 Pages 135-138

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Abstract
 Serosal invasion is one of the adverse prognostic factors of colorectal cancer, but it is difficult to evaluate the presence of serosal invasion accurately before surgery. This study was performed to explore the useful findings for evaluating the presence of serosal invasion using a CT. We retrospectively assessed 152 lesions of subserosal invasion and 19 lesions of serosal invasion. The presence of nodular advancing margin was the only significant factor predicting serosal invasion. The accuracy rate for diagnose serosal invasion was 84.2%. Results of this study demonstrated that a CT is useful in differentiating serosal invasion from subserosal invasion by using nodular advancing margin as a criterion.
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2015 The Medical Society of Saitama Medical University
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