지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2009.3
- 수록면
- 168 - 172 (5page)
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초록· 키워드
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Purpose: The lung represents the second most metastatic site after the liver in colorectal cancer (CRC). Traditionally, pulmonary metastasis has been evaluated by means of a chest X-ray. But, recently, chest computed tomography (CT) is increasingly being performed to detect pulmonary metastasis in CRC. This study was performed to evaluate the usefulness of chest CT over chest X-ray for early detection of pulmonary metastasis in preoperative staging in CRC.
Methods: We retrospectively reviewed 108 cases of CRC patients surgically treated with a curative intent at Chonbuk National University Hospital from April, 2007 to December, 2007. All evaluated by both chest X-ray and chest CT preoperatively.
Results: Five among 108 patients had metastatic lesions of the lung. Four of these 5 patients (80%) had a positive chest CT. But one of these 5 patients (20%) had a positive chest X-ray. Chest CT provided a sensitivity of 80% and a positive predictive value of 80% for the detection of metastatic lesions of the lung. In contrast, chest X-ray provided a sensitivity of 20% and a positive predictive value of 50% for the detection of metastatic lesion of the lung. Nine of these 108 patients (8%) were diagnosed with solitary pulmonary nodule (SPN) and one of them was confirmed to have metastatic lesion of the lung.
Conclusion: There are isolated metastatic lung lesions without other organ involvement in CRC (4.6%). Chest CT is a more accurate imaging modality for detection of pulmonary metastasis in CRC. Also, we should carefully follow-up SPN detected by preoperative chest CT.
Methods: We retrospectively reviewed 108 cases of CRC patients surgically treated with a curative intent at Chonbuk National University Hospital from April, 2007 to December, 2007. All evaluated by both chest X-ray and chest CT preoperatively.
Results: Five among 108 patients had metastatic lesions of the lung. Four of these 5 patients (80%) had a positive chest CT. But one of these 5 patients (20%) had a positive chest X-ray. Chest CT provided a sensitivity of 80% and a positive predictive value of 80% for the detection of metastatic lesions of the lung. In contrast, chest X-ray provided a sensitivity of 20% and a positive predictive value of 50% for the detection of metastatic lesion of the lung. Nine of these 108 patients (8%) were diagnosed with solitary pulmonary nodule (SPN) and one of them was confirmed to have metastatic lesion of the lung.
Conclusion: There are isolated metastatic lung lesions without other organ involvement in CRC (4.6%). Chest CT is a more accurate imaging modality for detection of pulmonary metastasis in CRC. Also, we should carefully follow-up SPN detected by preoperative chest CT.
목차
서론
방법
결과
고찰
결론
REFERENCES
참고문헌 (17)
참고문헌 신청
1. [학술지(정기간행물)] - McIntosh J / 2005 / Pulmonary staging in colorectal cancer--is computerised tomography the answer? / Ann R Coll Surg Engl 87 : 331 ~ 333
2. [학술지(정기간행물)] - Simo M / 2002 / FDG-PET improves the management of patients with suspected recurrence of colorectal cancer / Nucl Med Commun 23 : 975 ~ 982
3. [학술지(정기간행물)] - Engstrom PF / 2007 / Colon cancer / J Natl Compr Canc Netw 5 : 884 ~ 925
4. [학술지(정기간행물)] - Moore KH / 2001 / Surgical resection for pulmonary metastases from colorectal cancer / ANZ J Surg 71 : 143 ~ 146
5. [학술지(정기간행물)] - Inoue M / 2000 / Surgery for pulmonary metastases from colorectal carcinoma / Ann Thorac Surg 70 : 380 ~ 383
2. [학술지(정기간행물)] - Simo M / 2002 / FDG-PET improves the management of patients with suspected recurrence of colorectal cancer / Nucl Med Commun 23 : 975 ~ 982
3. [학술지(정기간행물)] - Engstrom PF / 2007 / Colon cancer / J Natl Compr Canc Netw 5 : 884 ~ 925
4. [학술지(정기간행물)] - Moore KH / 2001 / Surgical resection for pulmonary metastases from colorectal cancer / ANZ J Surg 71 : 143 ~ 146
5. [학술지(정기간행물)] - Inoue M / 2000 / Surgery for pulmonary metastases from colorectal carcinoma / Ann Thorac Surg 70 : 380 ~ 383
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UCI(KEPA) : I410-ECN-0101-2013-514-002687898