Abdominal ultrasonography in the diagnosis of colonic cancer
Background Colonic cancer is normally diagnosed by barium enema or colonoscopy. Neither investigation is ideal, especially in the elderly patient. This study investigates the potential role of abdominal ultrasonography in the diagnosis of colorectal carcinoma. Methods Fifty‐four patients with known...
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| Published in: | British journal of surgery Vol. 85; no. 4; pp. 530 - 533 |
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| Main Authors: | , , , |
| Format: | Journal Article Conference Proceeding |
| Language: | English |
| Published: |
Oxford, UK
Blackwell Science Ltd
01-04-1998
Wiley |
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| Abstract | Background
Colonic cancer is normally diagnosed by barium enema or colonoscopy. Neither investigation is ideal, especially in the elderly patient. This study investigates the potential role of abdominal ultrasonography in the diagnosis of colorectal carcinoma.
Methods
Fifty‐four patients with known or suspected colonic carcinoma were referred for abdominal ultrasonography. A single radiologist performed scans on these patients and the site of any colonic mass or wall thickening considered to be consistent with a colonic carcinoma was reported. All carcinomas were confirmed by histology on tissue obtained at colonoscopy or surgery against which the ultrasonographic diagnosis was compared. Colonic masses detected in patients undergoing routine abdominal ultrasonography for abdominal symptoms were also reported.
Results
Forty‐five of the 54 patients referred had colonic carcinoma and abdominal ultrasonography detected 43 of the tumours and correctly identified the site of 41. The sensitivity, specificity and accuracy of abdominal ultrasonography in the detection of colonic tumours considered to be consistent with a colonic carcinoma was 96, 67 and 91 per cent respectively. Seven tumours were identified in patients referred before any other investigation had been carried out.
Conclusion
Abdominal ultrasonography may detect a colonic mass or wall thickening consistent with a colonic carcinoma with a high degree of accuracy and may be useful when barium enema or colonoscopy is not possible. © 1998 British Journal of Surgery Society Ltd |
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| AbstractList | BACKGROUNDColonic cancer is normally diagnosed by barium enema or colonoscopy. Neither investigation is ideal, especially in the elderly patient. This study investigates the potential role of abdominal ultrasonography in the diagnosis of colorectal carcinoma.METHODSFifty-four patients with known or suspected colonic carcinoma were referred for abdominal ultrasonography. A single radiologist performed scans on these patients and the site of any colonic mass or wall thickening considered to be consistent with a colonic carcinoma was reported. All carcinomas were confirmed by histology on tissue obtained at colonoscopy or surgery against which the ultrasonographic diagnosis was compared. Colonic masses detected in patients undergoing routine abdominal ultrasonography for abdominal symptoms were also reported.RESULTSForty-five of the 54 patients referred had colonic carcinoma and abdominal ultrasonography detected 43 of the tumours and correctly identified the site of 41. The sensitivity, specificity and accuracy of abdominal ultrasonography in the detection of colonic tumours considered to be consistent with a colonic carcinoma was 96, 67 and 91 per cent respectively. Seven tumours were identified in patients referred before any other investigation had been carried out.CONCLUSIONAbdominal ultrasonography may detect a colonic mass or wall thickening consistent with a colonic carcinoma with a high degree of accuracy and may be useful when barium enema or colonoscopy is not possible. Colonic cancer is normally diagnosed by barium enema or colonoscopy. Neither investigation is ideal, especially in the elderly patient. This study investigates the potential role of abdominal ultrasonography in the diagnosis of colorectal carcinoma. Fifty-four patients with known or suspected colonic carcinoma were referred for abdominal ultrasonography. A single radiologist performed scans on these patients and the site of any colonic mass or wall thickening considered to be consistent with a colonic carcinoma was reported. All carcinomas were confirmed by histology on tissue obtained at colonoscopy or surgery against which the ultrasonographic diagnosis was compared. Colonic masses detected in patients undergoing routine abdominal ultrasonography for abdominal symptoms were also reported. Forty-five of the 54 patients referred had colonic carcinoma and abdominal ultrasonography detected 43 of the tumours and correctly identified the site of 41. The sensitivity, specificity and accuracy of abdominal ultrasonography in the detection of colonic tumours considered to be consistent with a colonic carcinoma was 96, 67 and 91 per cent respectively. Seven tumours were identified in patients referred before any other investigation had been carried out. Abdominal ultrasonography may detect a colonic mass or wall thickening consistent with a colonic carcinoma with a high degree of accuracy and may be useful when barium enema or colonoscopy is not possible. Background Colonic cancer is normally diagnosed by barium enema or colonoscopy. Neither investigation is ideal, especially in the elderly patient. This study investigates the potential role of abdominal ultrasonography in the diagnosis of colorectal carcinoma. Methods Fifty‐four patients with known or suspected colonic carcinoma were referred for abdominal ultrasonography. A single radiologist performed scans on these patients and the site of any colonic mass or wall thickening considered to be consistent with a colonic carcinoma was reported. All carcinomas were confirmed by histology on tissue obtained at colonoscopy or surgery against which the ultrasonographic diagnosis was compared. Colonic masses detected in patients undergoing routine abdominal ultrasonography for abdominal symptoms were also reported. Results Forty‐five of the 54 patients referred had colonic carcinoma and abdominal ultrasonography detected 43 of the tumours and correctly identified the site of 41. The sensitivity, specificity and accuracy of abdominal ultrasonography in the detection of colonic tumours considered to be consistent with a colonic carcinoma was 96, 67 and 91 per cent respectively. Seven tumours were identified in patients referred before any other investigation had been carried out. Conclusion Abdominal ultrasonography may detect a colonic mass or wall thickening consistent with a colonic carcinoma with a high degree of accuracy and may be useful when barium enema or colonoscopy is not possible. © 1998 British Journal of Surgery Society Ltd |
| Author | Joseph, A. E. A. Kumar, D. Richardson, N. G. B. Heriot, A. G. |
| Author_xml | – sequence: 1 givenname: N. G. B. surname: Richardson fullname: Richardson, N. G. B. organization: Department of Colorectal Surgery, St George's Hospital, Blackshaw Road, London SW17 0QT, UK – sequence: 2 givenname: A. G. surname: Heriot fullname: Heriot, A. G. organization: Department of Colorectal Surgery, St George's Hospital, Blackshaw Road, London SW17 0QT, UK – sequence: 3 givenname: D. surname: Kumar fullname: Kumar, D. organization: Department of Colorectal Surgery, St George's Hospital, Blackshaw Road, London SW17 0QT, UK – sequence: 4 givenname: A. E. A. surname: Joseph fullname: Joseph, A. E. A. organization: Department of Radiology, St George's Hospital, Blackshaw Road, London SW17 0QT, UK |
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| Keywords | Sonography Human Carcinoma Exploration Malignant tumor Abdomen Colonic disease Echography Digestive diseases Intestinal disease Colon Diagnosis Detection |
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| References_xml | – year: 1982 – volume: 71 start-page: 85 year: 1990 end-page: 92 article-title: Interet de l'echographie abdominale en pathologie colique publication-title: J Radiol – volume: 349 start-page: 1288 year: 1997 end-page: 91 article-title: Preliminary assessment of three‐dimensional magnetic resonance imaging for various colonic disorders publication-title: Lancet – volume: 308 start-page: 1018 year: 1994 article-title: Computed tomography of the colon in elderly people publication-title: BMJ – volume: 74 start-page: 11 year: 1991 end-page: 13 article-title: Detection of colorectal cancer by routine ultrasound publication-title: J Belge Radiol – volume: 331 start-page: 1685 year: 1994 end-page: 8 article-title: Hydrocolonic ultrasonography in the detection of colonic polyps and tumors publication-title: N Engl J Med – volume: 50 start-page: 647 year: 1995 end-page: 50 article-title: Wessex regional radiology audit: barium enema in colo‐rectal carcinoma publication-title: Clin Radiol – volume: 24 start-page: 376 year: 1983 end-page: 83 article-title: Towards safer colonoscopy: a report on the complications of 5000 diagnostic and therapeutic colonoscopies publication-title: Gut – volume: 335 start-page: 144 year: 1990 end-page: 6 article-title: Diagnosis of large bowel tumours by colonic sonography publication-title: Lancet – volume: 22 start-page: 359 year: 1994 end-page: 65 article-title: Sonographic features of colon carcinoma seen with high‐frequency transabdominal ultrasound publication-title: J Clin Ultrasound – volume: 43 start-page: 171 year: 1991 end-page: 5 article-title: Ultrasonic patterns in inflammatory bowel disease publication-title: Clin Radiol – start-page: 55 year: 1994 end-page: 73 – volume: 163 start-page: 1113 year: 1994 end-page: 17 article-title: Determining the site and causes of colonic obstruction with sonography publication-title: AJR Am J Roentgenol – volume: 61 start-page: 190 year: 1988 end-page: 5 article-title: Ultrasonographic diagnosis of clinically non‐palpable primary colonic neoplasms publication-title: Br J Radiol – volume: 35 start-page: 1077 year: 1992 end-page: 84 article-title: Sonography in acute diverticulitis. A prospective study publication-title: Dis Colon Rectum |
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| Snippet | Background
Colonic cancer is normally diagnosed by barium enema or colonoscopy. Neither investigation is ideal, especially in the elderly patient. This study... Colonic cancer is normally diagnosed by barium enema or colonoscopy. Neither investigation is ideal, especially in the elderly patient. This study investigates... BACKGROUNDColonic cancer is normally diagnosed by barium enema or colonoscopy. Neither investigation is ideal, especially in the elderly patient. This study... |
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| SubjectTerms | Biological and medical sciences Colonic Neoplasms - diagnostic imaging Digestive system. Abdomen Female Humans Investigative techniques, diagnostic techniques (general aspects) Male Medical sciences Sensitivity and Specificity Ultrasonic investigative techniques Ultrasonography |
| Title | Abdominal ultrasonography in the diagnosis of colonic cancer |
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