Journal of Gastric Cancer
- 제3권4호
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- Pages.182-185
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- 2003
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- 2093-582X(pISSN)
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- 2093-5641(eISSN)
위암에서 EUS 및 CT에 의한 T-병기의 정확도
The Diagnostic Accuracy of Preoperative Tstaging of Gastric Cancer Using EUS and CT
- 김기한 (동아대학교 의료원 외과학교실) ;
- 김민찬 (동아대학교 의료원 외과학교실) ;
- 최석렬 (동아대학교 의료원 내과학교실) ;
- 정갑중 (동아대학교 의료원 외과학교실) ;
- 김형호 (분당 서울대학교병원 외과)
- Kim, Ki-Han (Departments of Surgery Dong-A University Medical Center) ;
- Kim, Min-Chan (Departments of Surgery Dong-A University Medical Center) ;
- Choi, Seok-Reyol (Departments of Internal Medicine, Dong-A University Medical Center) ;
- Jung, Ghap-Joong (Departments of Surgery Dong-A University Medical Center) ;
- Kim, Hyung-Ho (Department of Surgery, Seoul National University Bundang Hospital)
- 발행 : 2003.12.01
초록
Purpose: Preoperative staging of gastric cancer is crucial because the treatment modality and the prognosis depend upon the stage of gastric cancer. Current treatment modalities for early gastric cancer have focused on the quality of life. Endoscopic ultrasonography (EUS) and abdominal computed tomography (CT) are commonly used diagnostic tools to evaluate the invasiveness (T stage) of the primary tumor. The purpose of this paper is to evaluate the sensitivity and the specificity of preoperative EUS and CT in comparison with postoperative pathology. Materials and Methods: From October 2001 to October 2002, EUS and abdominal CT were performed simultaneously on 75 patients who underwent radical gastric surgery for the treatment of gastric cancer. Through analyzing the clinical T stage and the pathologic T stage, We evaluated the diagnostic sensitivities and specificities of endoscopic ultrasonography and abdominal computed tomography. Results: The male-to-female sex ratio was 1 : 0.6 (males: 47, females: 28). The mean age was 55.4 years in males (range: