Abstract
Purpose: The purpose of this work was to describe the helical CT findings of intestinal metastasis from gastric adenocarcinoma. Method: Twenty-three patients with intestinal metastasis from gastric adenocarcinoma found at helical CT were included. CT findings and clinical and pathologic data were reviewed. Results: The most common characteristic finding was target-like concentric bowel wall thickening (thick inner high-outer low, n = 18) involving multiple long segments with progressive thickening of the enhancing inner layer. Fifteen cases (65%) involved multiple sites, and the ascending colon (n = 12) and rectum (n = 11) were the two most common sites. Peritoneal carcinomatosis (n = 15, 65%) and bowel obstruction (n = 14, 61%) were common associated findings. Regarding the primary lesion, the majority was linitis plastica (n = 16) and poorly differentiated adenocarcinoma with or without signet-ring cell differentiation (n = 14). Conclusion: Intestinal metastasis from gastric adenocarcinoma, especially of the linitis plastica type, most commonly showed target-like long segmental wall thickening with a characteristically thick inner enhancing layer on helical CT.
| Original language | English |
|---|---|
| Pages (from-to) | 61-67 |
| Number of pages | 7 |
| Journal | Journal of Computer Assisted Tomography |
| Volume | 25 |
| Issue number | 1 |
| DOIs | |
| Publication status | Published - 2001 Feb 6 |
| Externally published | Yes |
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Keywords
- Adenocarcinoma
- Colon, neoplasms
- Computed tomography, helical
- Gastrointestinal tract, neoplasms
ASJC Scopus subject areas
- Radiology Nuclear Medicine and imaging
Cite this
Intestinal metastases from gastric adenocarcinoma : Helical CT findings. / Jang, Hyun Jung; Lim, Hyo Keun; Kim, Hee Sung; Cho, Eun Youn; Lee, Soon Jin; Kim, Kyeong Ah; Choi, Dongil.
In: Journal of Computer Assisted Tomography, Vol. 25, No. 1, 06.02.2001, p. 61-67.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Intestinal metastases from gastric adenocarcinoma
T2 - Helical CT findings
AU - Jang, Hyun Jung
AU - Lim, Hyo Keun
AU - Kim, Hee Sung
AU - Cho, Eun Youn
AU - Lee, Soon Jin
AU - Kim, Kyeong Ah
AU - Choi, Dongil
PY - 2001/2/6
Y1 - 2001/2/6
N2 - Purpose: The purpose of this work was to describe the helical CT findings of intestinal metastasis from gastric adenocarcinoma. Method: Twenty-three patients with intestinal metastasis from gastric adenocarcinoma found at helical CT were included. CT findings and clinical and pathologic data were reviewed. Results: The most common characteristic finding was target-like concentric bowel wall thickening (thick inner high-outer low, n = 18) involving multiple long segments with progressive thickening of the enhancing inner layer. Fifteen cases (65%) involved multiple sites, and the ascending colon (n = 12) and rectum (n = 11) were the two most common sites. Peritoneal carcinomatosis (n = 15, 65%) and bowel obstruction (n = 14, 61%) were common associated findings. Regarding the primary lesion, the majority was linitis plastica (n = 16) and poorly differentiated adenocarcinoma with or without signet-ring cell differentiation (n = 14). Conclusion: Intestinal metastasis from gastric adenocarcinoma, especially of the linitis plastica type, most commonly showed target-like long segmental wall thickening with a characteristically thick inner enhancing layer on helical CT.
AB - Purpose: The purpose of this work was to describe the helical CT findings of intestinal metastasis from gastric adenocarcinoma. Method: Twenty-three patients with intestinal metastasis from gastric adenocarcinoma found at helical CT were included. CT findings and clinical and pathologic data were reviewed. Results: The most common characteristic finding was target-like concentric bowel wall thickening (thick inner high-outer low, n = 18) involving multiple long segments with progressive thickening of the enhancing inner layer. Fifteen cases (65%) involved multiple sites, and the ascending colon (n = 12) and rectum (n = 11) were the two most common sites. Peritoneal carcinomatosis (n = 15, 65%) and bowel obstruction (n = 14, 61%) were common associated findings. Regarding the primary lesion, the majority was linitis plastica (n = 16) and poorly differentiated adenocarcinoma with or without signet-ring cell differentiation (n = 14). Conclusion: Intestinal metastasis from gastric adenocarcinoma, especially of the linitis plastica type, most commonly showed target-like long segmental wall thickening with a characteristically thick inner enhancing layer on helical CT.
KW - Adenocarcinoma
KW - Colon, neoplasms
KW - Computed tomography, helical
KW - Gastrointestinal tract, neoplasms
UR - http://www.scopus.com/inward/record.url?scp=0035140065&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0035140065&partnerID=8YFLogxK
U2 - 10.1097/00004728-200101000-00011
DO - 10.1097/00004728-200101000-00011
M3 - Article
VL - 25
SP - 61
EP - 67
JO - Journal of Computer Assisted Tomography
JF - Journal of Computer Assisted Tomography
SN - 0363-8715
IS - 1
ER -