CT colonography in detection of colorectal carcinoma

Sofić, Amela; Beslić, S; Kocijančič, Igor; Šehović, Nedžad

doi:10.2478/v10019-010-0012-1

Cited by 5 publications

(9 citation statements)

References 19 publications

(24 reference statements)

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“…Both of these methods have their limitations, particularly with older generation CT and MRI scans, in assessing the stage of the tumor (TU) in the area of the bowel wall and the invasion to regional lymph nodes. MSCT colongraphy remains the method of choice after the proven insufficiency of colonoscopy (7)(8)(9)(10)(11). In 2004, a 64-slice CT scan was introduced in the diagnostic process.…”

Section: Introductionmentioning

confidence: 99%

Radiological imaging of rectal cancer

Lincender-Cvijetić

Banjin-Čardžić²,

Vegar-Zubović³

et al. 2012

AMA

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This article discusses the possibilities of diagnosing abdominal imaging in patients with rectal cancer, detecting lesions and assessing the stage of the lesions, in order to select the appropriate therapy. Before the introduction of imaging technologies, the diagnosis of colorectal pathology was based on conventional methods of inspecting intestines with a barium enema, with either a single or double contrast barium enema. Following the development of endoscopic methods and the wide use of colonoscopy, colonoscopy became the method of choice for diagnosing colorectal diseases. The improvement of Computerized Tomography (CT) and Magnetic Resonance Imaging (MRI), gave us new possibilities for diagnosing colorectal cancer. For rectal cancer, trans-rectal US (TRUS) or endo-anal US (EAUS) have a significant role. For staging rectal cancer, the Multi Slice Computed Tomography (MSCT) is not the method of choice, but Magnetic Resonance Imaging (MRI) is preferred when it comes to monitoring the rectum. The role of the MRI in the T staging of rectal cancer is crucial in preoperative assessment of: thickness - the width of the tumor, the extramural invasion, the circumference of resection margin (CRM), and the assessment of the inclusion of mesorectal fascia. For successful execution of surgical techniques, good diagnostic imaging of the cancer is necessary in order to have a low level of recurrence. According to medical studies, the sensitivity of FDG-PET in diagnosing metastatic nodals is low, but for now it is not recommended in routine diagnosis of metastatic colorectal carcinoma.

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Section: Introductionmentioning

confidence: 99%

Radiological imaging of rectal cancer

Lincender-Cvijetić

Banjin-Čardžić²,

Vegar-Zubović³

et al. 2012

AMA

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“…Endoscopy allows a direct visualization of the lesion, biopsy to rule out malignancy and the option of the endoscopic resection. Biopsies are typically indeterminate given the submucosal location of the lesion 5,6,9. In our case, all diagnostic tools including upper gastrointestinal endoscopy and endoscopic US indicated a submucosal polypoid mass.…”

Section: Discussionmentioning

confidence: 72%

“…The diagnosis of this lesion can be made like in other intestinal tumours radiologically or endoscopically 9. Before endoscopy, small bowel series were the main tool for the diagnosis.…”

Section: Discussionmentioning

confidence: 99%

Giant Brunner's gland adenoma as an unusual cause of anaemia: report of a case

Coşkun

Erkan²

2011

Radiology and Oncology

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BackgroundBrunner’s gland adenoma (BGA) is a rare benign duodenal tumour proliferating from Brunner’s glands. Here, we present a giant BGA leading to anaemia, with its clinical, endoscopic, radiological, surgical and pathological findings.Case report.A 48-year-old Turkish man complained of a six months history of vague epigastric discomfort, loss of appetite and nausea after meals without vomiting. The physical examination had no unremarkable finding. Laboratory findings, including liver function tests, were within normal limits except a hypochromic, microcytic anaemia. The upper gastrointestinal endoscopic examination revealed a lobulated, red, polypoid tumour with a smooth surface covered with normal mucosa. The tumour was located on the anterior surface of duodenal bulb and had a wide base measuring 3.5 × 4 cm in size. Endoscopic ultrasonography revealed a submucosal polypoid mass located at the anterior surface of duodenal bulb. The endoscopic excision was tried but was not successful. The patient was operated and transduodenal polypectomy was done. The postoperative period was uneventful and the pathologic diagnosis was assessed as Brunner’s gland adenoma. During the follow-up period, the endoscopic examination was normal at 12th month postoperatively.ConclusionsBGA is a rare benign cause of anaemia that can be treated with excellent results.

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“…The diagnosis of BGA relies on radiologic imaging and endoscopic examination. [ 16 – 17 ] Computed tomography is more sensitive for identifying the absence of extra-luminal extension of BGA. In addition, a barium swallow can show filling defects in the area of pathology.…”

Section: Discussionmentioning

confidence: 99%

A case report of endoscopic resection for the treatment of duodenal Brunner's gland adenoma with upper gastrointestinal bleeding

Zhang

Song

et al. 2020

Medicine

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Rationale: Gastrointestinal bleeding as the first sign of Brunner's gland adenoma (BGA) is an extremely rare, and its clinical features and treatment methods have not been well described. Patient concerns: We described a 81-year-old female patient with coronary artery disease and chronic atrial fibrillation presenting with presenting with gastrointestinal bleeding requiring blood transfusion. Diagnoses: The diagnosis of our case mainly refered to radiologic imaging and endoscopic examination. Histological result was compatible with BGA. Interventions: This mass lesion (6 × 7 cm diameter) was successfully totally removed by endoscopic submucosal dissection (ESD) for more than three hours. Outcomes: The patient was followed up for 6 months to date without recurrence. Lessons: Endoscopic removal is considered as a safe and low-risk treatment for elderly patients with severe underlying diseases presenting with gastrointestinal bleeding.

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CT colonography in detection of colorectal carcinoma

Cited by 5 publications

References 19 publications

Radiological imaging of rectal cancer

Radiological imaging of rectal cancer

Giant Brunner's gland adenoma as an unusual cause of anaemia: report of a case

A case report of endoscopic resection for the treatment of duodenal Brunner's gland adenoma with upper gastrointestinal bleeding

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