Staging chest radiography is not useful in patients with colorectal cancer

Gielen, C.C.A.M.; Sanli, Ilknur; Stroeken, L.; Botterweck, A.A.M.; Hulsewé, Karel W. E.; Hoofwijk, A. G. M.

doi:10.1016/j.ejso.2009.02.012

Cited by 7 publications

(7 citation statements)

References 20 publications

(21 reference statements)

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“…Two studies have reported the usefulness of CXR in the pulmonary staging of patients with CRC [8,9]. Griffiths et al.…”

Section: Resultsmentioning

confidence: 99%

“…Gielen et al. [8], in a retrospective review of prospectively collected data, looked at 1410 patients referred with CRC. Out of 1057 patients who had a preoperative staging CXR, 24 were suggestive of malignancy and only nine actually had pulmonary metastases.…”

Section: Resultsmentioning

confidence: 99%

“…Two studies have reported the usefulness of CXR in the pulmonary staging of patients with CRC [8,9]. Griffiths et al [9] evaluated the preoperative staging protocol for 239 elective patients presenting with colorectal carcinoma.…”

Section: Usefulness Of Cxr In the Staging Of Patients With Crcmentioning

confidence: 99%

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Pulmonary staging in colorectal cancer: a review

et al. 2012

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“…Two studies have reported the usefulness of CXR in the pulmonary staging of patients with CRC [8,9]. Griffiths et al.…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Pulmonary staging in colorectal cancer: a review

et al. 2012

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“…Their data indicate 0,86% finding ability of the pulmonary neoplastic lesions with confidence interval 0,3-1,4 %. In accordance with numerous examinations, the authors do not support the routine usage of the conventional X-ray of the thorax in patients with colorectal cancer (22). Other publications report that this method for establishing of pulmonary metastases is effective in 33% to 40% of the cases (10,23,24).…”

mentioning

confidence: 83%

“…Chest X-ray -C. Gielen et al (22) claim that the X-ray of the lungs has low percentage of finding of the pulmonary metastases and insignificant influence on the treatment of the patient. Their data indicate 0,86% finding ability of the pulmonary neoplastic lesions with confidence interval 0,3-1,4 %.…”

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confidence: 99%

Diagnostics of intrapulmonary metastases from colorectal cancer (literature survey)

Obretenov¹,

Georgieva²

2015

TJS

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The colon cancer is on the first place as etiologic cause for performing pulmonary resection due to pulmonary metastases. The low effectiveness of chemotherapy in case of metastatic progression from colorectal carcinoma is established. Accordingly, the surgical resection is commonly accepted as the only potential therapeutic option. In favour of the good results from surgical treatment is the trend of earlier finding of pulmonary metastases. The metastases diagnostics has important meaning for differentiation from other lung diseases and for the choice of the therapeutic method. The benefits and disadvantages of non-invasive (chest X-ray, CT, lung perfusion scintigraphy, PET and PET/CT, tumor markers) and invasive (bronchoscopy, mediastinoscopy, VATS (video-assisted thoracic surgery, TTNB (trans-thoracic needle biopsy)) methods for diagnosis of intrapulmonary metastases are analyzed. Key words: colorectal cancer, pulmonary metastasesThere are different reports in the scientific literature about the incidence of colorectal carcinoma. According to some authors it is the third most often diagnosed cancer in the world (1-4). The data from P. J Villeneuve and R. S. Sundaresan (5) show that over one million new patients get sick from this insidious disease every year. H. Meulendeld at al. (6) report that 40% of the patients with colorectal carcinoma in Europe are over 75 years of age at the moment of first diagnosis and there are expectations that this number would significantly increase in the next two decades.The colorectal carcinoma in Bulgaria according to the data from 2012 for prevalence is on third place in men and on second place in women and represents 8.6% from all malignant diseases totally for both sexes. The registered new cases are 2772, and 52,7% of them in men. The diagnosis in 42,4% of the patients is set in advanced III and IV stages. The relative 5 -year survival in Bulgaria is 45,0% for men, 45,3% for women and 45,2% totally for both sexes. It is lower than the average for Europe-55,6%. (7). According to summed statistics A. ___________________________

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