Gastric adenocarcinoma: CT versus surgical staging.


Journal Article

Seventy-five patients with gastric carcinoma underwent preoperative staging with computed tomography (CT). In 14 patients, CT failed to demonstrate lymphadenopathy despite the presence of malignant lymph nodes at surgery. In 13 patients, CT demonstrated enlarged nodes, but no malignant involvement was found at surgery. Although spread to the pancreas was correctly predicted in three patients with lack of fat plane between tumor and pancreas, five patients lacking a fat plane had no invasion, whereas eight patients with an intact fat plane had invasion. Thirty-five patients (47%) were incorrectly staged with CT:23 (31%) were understaged and 12 (16%) were overstaged. CT does not accurately display the true extent of disease in patients with gastric carcinoma and therefore should not be used routinely for staging.

Full Text

Duke Authors

Cited Authors

  • Sussman, SK; Halvorsen, RA; Illescas, FF; Cohan, RH; Saeed, M; Silverman, PM; Thompson, WM; Meyers, WC

Published Date

  • May 1988

Published In

Volume / Issue

  • 167 / 2

Start / End Page

  • 335 - 340

PubMed ID

  • 3357941

Pubmed Central ID

  • 3357941

International Standard Serial Number (ISSN)

  • 0033-8419

Digital Object Identifier (DOI)

  • 10.1148/radiology.167.2.3357941


  • eng

Conference Location

  • United States