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Published in: World Journal of Surgery 6/2005

01-06-2005

Diagnostic Value of Measuring Liver Volume for Detecting Occult Hepatic Metastases from Colorectal or Gastric Cancer

Authors: Takeaki Ishizawa, M.D., Tetsuhisa Yamamoto, M.D., Ph.D., Koichiro Nishida, M.D., Hajime Tsukui, M.D., Takayoshi Sekikawa, M.D., Ph.D.

Published in: World Journal of Surgery | Issue 6/2005

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Abstract

Some studies have shown reduced portal blood flow in patients with occult hepatic metastases, which may lead to decreased liver volume. A retrospective study was conducted in patients undergoing curative resection for colorectal (n = 63) or gastric (n = 52) cancer. The ratio of the preoperative computed tomography (CT)-estimated liver volume to the standard liver volume (CV/SV ratio) was calculated. The mean ± SD CT-estimated liver volume was 858 ±109 in 14 patients who subsequently developed hepatic metastases and 1173 ± 230 ml in 101 patients without metastases (p < 0.0001). The CV/SV ratio was smaller in patients with metachronous hepatic metastases than in those without (0.78 ± 0.08 vs. 1.02 + 0.13; p < 0.0001). The results suggest that the liver with occult metastases decreases in size before metastases develop that are detectable using conventional imaging techniques. The CV/SV ratio may be of value in detecting occult hepatic metastases from colorectal and gastric cancer.
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Metadata
Title
Diagnostic Value of Measuring Liver Volume for Detecting Occult Hepatic Metastases from Colorectal or Gastric Cancer
Authors
Takeaki Ishizawa, M.D.
Tetsuhisa Yamamoto, M.D., Ph.D.
Koichiro Nishida, M.D.
Hajime Tsukui, M.D.
Takayoshi Sekikawa, M.D., Ph.D.
Publication date
01-06-2005
Publisher
Springer-Verlag
Published in
World Journal of Surgery / Issue 6/2005
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI
https://doi.org/10.1007/s00268-005-7888-8

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