Computed tomography in early detection of recurrent rectal carcinoma aftersurgery and radiotherapy - regular and pathological changes after surgery and radiotherapy of rectal carcinoma in a total of 956 CT-scans

Citation
Ca. Stuckle et al., Computed tomography in early detection of recurrent rectal carcinoma aftersurgery and radiotherapy - regular and pathological changes after surgery and radiotherapy of rectal carcinoma in a total of 956 CT-scans, RADIOLOGE, 41(6), 2001, pp. 491
Citations number
20
Categorie Soggetti
Radiology ,Nuclear Medicine & Imaging
Journal title
RADIOLOGE
ISSN journal
0033832X → ACNP
Volume
41
Issue
6
Year of publication
2001
Database
ISI
SICI code
0033-832X(200106)41:6<491:CTIEDO>2.0.ZU;2-2
Abstract
Colorectal carcinoma is one of the most common cancer in Germany. We want t o evaluate the most reliable CT features indicating local recurrence of rec tal cancer as early as possible. 232 patients suffering from rectal cancer being administered to our clinic from 1987-1998 were investigated. Criteria for inclusion: patients after surgery and radiotherapy of rectal cancer wi th a minimum follow up of two years and at least 3 CT examinations. All CT examinations were analyzed standardized. The main target parameters for rel apse were enlargement of a presacral mass, inhomogeneous appearance, asymme tric outlines, enlarged lymph nodes and infiltration of the surrounding str uctures. An unchanged appearance of the presacral space in more than three CT examinations after,surgery correlated with freedom of recurrence.