Intestinal metastases from gastric adenocarcinoma: Helical CT findings

Hyun Jung Jang, Hyo Keun Lim, Hee Sung Kim, Eun Youn Cho, Soon Jin Lee, Kyeong Ah Kim, Dongil Choi

Research output: Contribution to journalArticle

27 Citations (Scopus)

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 languageEnglish
Pages (from-to)61-67
Number of pages7
JournalJournal of Computer Assisted Tomography
Volume25
Issue number1
DOIs
Publication statusPublished - 2001 Feb 6
Externally publishedYes

Fingerprint

Spiral Computed Tomography
Stomach
Adenocarcinoma
Linitis Plastica
Neoplasm Metastasis
Ascending Colon
Rectum
Cell Differentiation
Carcinoma

Keywords

  • Adenocarcinoma
  • Colon, neoplasms
  • Computed tomography, helical
  • Gastrointestinal tract, neoplasms

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

Jang, H. J., Lim, H. K., Kim, H. S., Cho, E. Y., Lee, S. J., Kim, K. A., & Choi, D. (2001). Intestinal metastases from gastric adenocarcinoma: Helical CT findings. Journal of Computer Assisted Tomography, 25(1), 61-67. https://doi.org/10.1097/00004728-200101000-00011

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 journalArticle

Jang, Hyun Jung ; Lim, Hyo Keun ; Kim, Hee Sung ; Cho, Eun Youn ; Lee, Soon Jin ; Kim, Kyeong Ah ; Choi, Dongil. / Intestinal metastases from gastric adenocarcinoma : Helical CT findings. In: Journal of Computer Assisted Tomography. 2001 ; Vol. 25, No. 1. pp. 61-67.
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