Revisiting the potential signs of colorectal cancer on contrast-enhanced computed tomography without bowel preparation

Verfasser / Beitragende:
[Jawad Naqvi, Sharath Hosmane, Snehal Lapsia]
Ort, Verlag, Jahr:
2015
Enthalten in:
Abdominal Imaging, 40/8(2015-10-01), 2993-3001
Format:
Artikel (online)
ID: 60549469X
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024 7 0 |a 10.1007/s00261-015-0505-x  |2 doi 
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245 0 0 |a Revisiting the potential signs of colorectal cancer on contrast-enhanced computed tomography without bowel preparation  |h [Elektronische Daten]  |c [Jawad Naqvi, Sharath Hosmane, Snehal Lapsia] 
520 3 |a Colorectal cancer (CRC) is the second most common cause of cancer death in the US. Earlier detection can allow treatment with curative intent and improve prognosis. Optical and virtual colonoscopy are widely used in screening for colonic polyps and in the investigation of suspected CRC. However, contrast-enhanced computed tomography (CT) is still performed to investigate various non-specific abdominal complaints. Hence, a significant number of CRC are identified on contrast-enhanced CT without bowel preparation. We describe several signs, which when present in tandem, raise suspicion of CRC, and may warrant further investigation with optical colonoscopy. These include an intraluminal mass, eccentric or circumferential wall thickening >3mm, focal wall enhancement, pericolic fat stranding, a cluster of >3 local lymph nodes, and enlarged lymph nodes >10mm in short axis. Multiplanar evaluation of the bowel should be performed on all CT abdominal studies, including those without bowel preparation, to identify subtle features of CRC. 
540 |a Springer Science+Business Media New York, 2015 
690 7 |a Colorectal cancer  |2 nationallicence 
690 7 |a Colonic neoplasms  |2 nationallicence 
690 7 |a Multi-detector computed tomography  |2 nationallicence 
700 1 |a Naqvi  |D Jawad  |u Royal Blackburn Hospital, East Lancashire Hospitals NHS Trust, Haslingden Road, BB2 3HH, Blackburn, Lancashire, United Kingdom  |4 aut 
700 1 |a Hosmane  |D Sharath  |u Royal Blackburn Hospital, East Lancashire Hospitals NHS Trust, Haslingden Road, BB2 3HH, Blackburn, Lancashire, United Kingdom  |4 aut 
700 1 |a Lapsia  |D Snehal  |u Royal Blackburn Hospital, East Lancashire Hospitals NHS Trust, Haslingden Road, BB2 3HH, Blackburn, Lancashire, United Kingdom  |4 aut 
773 0 |t Abdominal Imaging  |d Springer US; http://www.springer-ny.com  |g 40/8(2015-10-01), 2993-3001  |x 0942-8925  |q 40:8<2993  |1 2015  |2 40  |o 261 
856 4 0 |u https://doi.org/10.1007/s00261-015-0505-x  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a review-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00261-015-0505-x  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Naqvi  |D Jawad  |u Royal Blackburn Hospital, East Lancashire Hospitals NHS Trust, Haslingden Road, BB2 3HH, Blackburn, Lancashire, United Kingdom  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Hosmane  |D Sharath  |u Royal Blackburn Hospital, East Lancashire Hospitals NHS Trust, Haslingden Road, BB2 3HH, Blackburn, Lancashire, United Kingdom  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Lapsia  |D Snehal  |u Royal Blackburn Hospital, East Lancashire Hospitals NHS Trust, Haslingden Road, BB2 3HH, Blackburn, Lancashire, United Kingdom  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Abdominal Imaging  |d Springer US; http://www.springer-ny.com  |g 40/8(2015-10-01), 2993-3001  |x 0942-8925  |q 40:8<2993  |1 2015  |2 40  |o 261