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Advanced Gastric Carcinoma With Signet Ring Cell Carcinoma Versus Non-Signet Ring Cell Carcinoma: Differentiation With Multidetector CT

Authors
 Jei Hee Lee  ;  Mi-Suk Park  ;  Ki Whang Kim  ;  Jeong-Sik Yu  ;  Myeong-Jin Kim  ;  Seok Woo Yang  ;  Yong Chan Lee 
Citation
 JOURNAL OF CONTINUING EDUCATION IN NURSING, Vol.30(3) : 880-884, 2006 
Journal Title
 JOURNAL OF CONTINUING EDUCATION IN NURSING 
ISSN
 0022-0124 
Issue Date
2006
MeSH
Aged ; Carcinoma, Signet Ring Cell/diagnostic imaging* ; Carcinoma, Signet Ring Cell/pathology* ; Diagnosis, Differential ; Disease Progression ; Female ; Humans ; Male ; Middle Aged ; Retrospective Studies ; Stomach Neoplasms/diagnostic imaging* ; Stomach Neoplasms/pathology* ; Tomography, X-Ray Computed*/methods
Keywords
stomach cancer ; computed tomography ; signet ring cell carcinoma
Abstract
OBJECTIVE: The purpose of this study is to assess the capability of multidetector computed tomography (MDCT) to assist in the differentiation of advanced gastric carcinoma with signet ring cell type from that with non-signet ring cell carcinoma (NSRC) with a focus on the thickened stomach wall itself. METHODS: We retrospectively reviewed MDCT results in 80 patients with pathologically proven advanced gastric carcinoma with signet ring cell carcinoma (SRC) (n = 35) and NSRC (n = 45). MDCT images of 80 patients were analyzed retrospectively on gross appearance of thickened gastric wall (polypoid/fungating/ulcerative/diffuse infiltrative), predominantly thickened layer (inner/outer), contrast-enhancement pattern (nonlayered/layered) and degree of enhancement (high/moderate/low). RESULTS: The most common type of gross appearance in both carcinomas was fungating, and the more common contrast-enhancement pattern in both carcinomas was a nonlayered pattern. The predominantly thickened layer was a high attenuation inner layer in both carcinomas. High-degree contrast enhancement was more common in SRC (37.1% of patients) than NSRC (15.6% of patients) with statistically significant difference (P = 0.01). CONCLUSIONS: Multidetector CT cannot distinguish SRC from NSRC based on the thickened stomach wall alone. But, high-degree contrast enhancement was more common in advanced gastric carcinoma with SRC than that with NSRC.
Full Text
http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00004728-200611000-00003&LSLINK=80&D=ovft
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Ki Whang(김기황)
Kim, Myeong Jin(김명진) ORCID logo https://orcid.org/0000-0001-7949-5402
Park, Mi-Suk(박미숙) ORCID logo https://orcid.org/0000-0001-5817-2444
Yu, Jeong Sik(유정식) ORCID logo https://orcid.org/0000-0002-8171-5838
Lee, Yong Chan(이용찬) ORCID logo https://orcid.org/0000-0001-8800-6906
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/109164
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