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MR-DWIBS在直肠癌淋巴结转移评估中的应用 被引量：6

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摘要 目的探讨磁共振(MR)背景抑制弥散加权成像(DWIBS)在直肠癌淋巴结转移评估中的应用价值。方法对48例经手术病理检查确诊的直肠癌患者的术前盆腔MR-DWIBS检查结果作回顾性分析,记录淋巴结的位置、大小、形态以及表观弥散系数(ADC值),与术后组织病理学诊断结果进行比较。结果本组48例术前MR-DWIBS检查均诊断为直肠癌,与术后组织病理学诊断结果相符,术前诊断正确率为100%。短轴横径>1.0 cm的淋巴结MR-DWIBS均能显示,且手术证实都为转移淋巴结;短轴横径0.5～1.0 cm的转移性和非转移性淋巴结的ADC值相近(P>0.05)。结论 MR-DWIBS在直肠癌术前淋巴结转移评估中有较高的利用价值,可以在一定程度上指导手术中的淋巴结清扫范围。
作者 杨栋 段全红 任斌
机构地区 潍坊医学院 潍坊医学院附属医院
出处 《山东医药》 CAS 2012年第14期52-54,共3页 Shandong Medical Journal
关键词 直肠肿瘤 直肠癌 淋巴结转移 磁共振背景抑制弥散加权成像 磁共振成像
分类号 R735.3 [医药卫生—肿瘤]
  • 相关文献

参考文献12

  • 1Goldstein MJ,Mitchell EP. Carcinoembryonic antigen in staging and follow-up of patients with colorectal cancer[J].Cancer Investigation,2005,(04):338-351.
  • 2张菁茹.早期直肠癌经肛局部切除术与根治术临床比较分析[J].辽宁医学杂志,2008,22(3):113-114. 被引量：6
  • 3Ichikawa T,Haradome H,Hachiya J. Diffusion-weighted echo-planar MR imaging with a single-shot echo planar sequence:detection and characterization of focal hepatic lesions[J].American Journal of Roentgenology,1998,(04):397-402.
  • 4Yasui O,Sato M,Kamada A. Diffusion-weighted imaging in the detection of lymph node metastasis in colorectal cancer[J].Tohoku Journal of Experimental Medicine,2009,(03):117-183.doi:10.1620/tjem.218.177.
  • 5Balch GC,De Mco A,Guillem JG. Modern management of rectal cancer:a 2006 update[J].World Journal of Gastroenterology,2006,(20):3186-3195.
  • 6Komori T,Narabayashi I,Matsumura K. 2-[Fluorine-18]fluoro-2-deoxy-D-glucose positron emission tomography/computed tomography versus whole-body diffusion-weighted MRI for detection of malignant lesions:initial experience[J].Annals of Nuclear Medicine,2007,(04):209-215.
  • 7夏立建.直肠肿瘤局部切除技术的现状[J].中华肿瘤防治杂志,2008,15(13):961-964. 被引量：15
  • 8汪建平.中低位直肠癌诊治现状及展望[J].中国实用外科杂志,2009,29(4):287-290. 被引量：55
  • 9Ahmad NA,Kochman ML,Ginsberg GG. Endoscopic Ultrasound and endoscopic mucosal resection for rectal cancers and villous adenomas[J].Hematology/Oncology Clinics of North America,2002,(04):897-906.
  • 10Moteki T,Ishizaka H,Horikoshi H. Differentiation between hemangiomas and hepatoeellular carcinomas with the apparent diffusion coefficient calculated foom turbo FLASH MR images[J].Journal of Magnetic Resonance Imaging,1995,(01):187-191.

二级参考文献31

  • 1刘宝善,燕锦,左明,刘超,徐琳.直肠癌侧方淋巴结清扫的效果分析[J].中华外科杂志,2004,42(15):908-910. 被引量：42
  • 2周锡庚 郁宝铭 等.早期结肠直肠腺癌的外科治疗[J].中华肿瘤杂志,1982,4:283-285.
  • 3Jemal A, Murray T, Samuels A, et al. Cancer statistics 2003 [J]. CA Cancer J Clin,2003,53(1):5-26.
  • 4Young J, Jenkins M, Parry S, et al. Serrated pathway colorectal cancer in the population: genetic consideration [J]. Gut, 2007, 56 (10): 1453-1459.
  • 5Strate LL, Syngal S. Hereditary colorectal cancer syndromes [J]. Cancer Causes Control, 2005, 16 (3): 201-213.
  • 6Siddiqui AA, Fayiga Y, Huerta S. The role of endoscopic ultrasound in the evaluation of rectal cancer[J]. Int Semin Surg Oncol, 2006, 3( 1 ): 36.
  • 7Goldstein MJ, Mitchell EP.Carcinoembryonic antigen in the staging and follow-up of patients with colorectal cancer [J]. Cancer Invest, 2005,23 (4): 338-351.
  • 8Lahaye MJ, Engelen SM, Nelemans PJ, et al.lmaging for predicting the risk factors--the circumferential resection margin and nodal disease--of local recurrence in rectal cancer: a meta-analysis [J]. Semin Ultrasound CT MR, 2005, 26 (4): 259-268.
  • 9Compton CC, Greene FL. The staging of colorectal cancer: 2004 and beyond[J]. CA Cancer J Clin, 2004,54 (6): 295-308.
  • 10Schmidt CR, Gollub MJ, Weiser MR. Contemporary imaging for colorectal cancer [J]. Surg Oncol Clin N Am, 2007, 16 (2): 369-388.

共引文献90

同被引文献85

  • 1Ming Li Jin Gu.Changing patterns of colorectal cancer in China over a period of 20 years[J].World Journal of Gastroenterology,2005,11(30):4685-4688. 被引量：93
  • 2周瀚,杨志刚,闵鹏秋.消化系统肿瘤腹部淋巴结转移的病理学基础及影像学特征[J].实用放射学杂志,2006,22(11):1404-1406. 被引量：7
  • 3Shafaghi A. Askari K, Ashoobi MT, et al. Adenosquamous carcino- ma of the sigmoid colon: a ease report and review of literature[J]. lnt J Clin Exp Med, 2013,6(5):390-392.
  • 4Fu KI, Konuma H, Ueyama H, et al. Invasive rectal cancer treated with a combination of endoscopic submucosal dissection and chemoradiation[J]. Dig Endosc, 2013,Suppl 2:37-40.
  • 5Yamamoto T, Tanaka S, Nakamura Y, et al. Colorectal cancer metastasis to the thyroid[J]. Osaka City Med J, 2012,58(2):67-75.
  • 6Lee TG, Lee SJ. Unusual case of solitary, perineal subcutaneous metastasis from sigmoid colon cancer [J]. Ann Coloproctol, 2013,29 (1):34-37.
  • 7Santetffemia DA, Lumaehi F, Basso SM, et al. Cytoreductive surgery with hyperthermic intraperitoneal chemotherapy as salvage treatment fnr a late wound recurrence of endometrial cancer[J]. Anticancer Res, 2013,33(3):1041-1044.
  • 8Lezoche G, Baldarelli M, 6uerrieri M, et al. A prospective randomized study with a 5-year minimum follow-up evaluation of transanal endoscopic microsurgery versus laparoscopic total mesorectal excision after neoadjuvant therapy[J]. Surgical Endoscopy and Other Interventional Techniques, 2008, 22(2): 352-358.
  • 9Beets-Tan RG. Pretreatment MRI of lymph nodes in rectal cancer: An opinion-based review[J]. Colorectal Disease, 2013, 15(7): 781-784.
  • 10Perez RO, Pereira DD, Proscurshim I, et al. Lymph node size in rectal cancer following neoadjuvant chemoradiation-can we rely on radiologic nodal staging after chemoradiation[J]. Diseases of the Colon & Rectum, 2009, 52(7): 1278-1284.

引证文献6

二级引证文献28

山东医药
2012年 第14期

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