Abstract
Penetration of gastric cancer through the wall is important because the treatment modality and prognosis are accordingly different. A prospective study was performed to assess the value of transabdominal ultrasonography in the differentiation of early gastric cancer limited within the mucosa and submucosa from advanced cancer extending into the muscle layer. Fifteen patients with early gastric cancer and 29 patients with advanced gastric cancer were evaluated preoperatively and compared with histological findings. Patients were referred after endoscopy and sonologists were informed of the site of the gastric lesions. Patients ingested 600–800 ml of boiled water and transabdominal ultrasonography of the gastric lesion was accomplished using a commercially available ultrasound equipment with 5.0 and 3.5 MHz transducers. Using the intact middle hyperechoic layer on sonogram as the criterion for early cancer, 10 of 15 patients with early gastric cancer and 27 of 29 patients with advanced gastric cancer were correctly diagnosed (84%). Fourteen of 15 cases with early gastric cancer showed a thickness of the lesion below 1.0 cm, while seven of 29 cases with advanced cancer showed a thickness 1.0 cm or less. We believe that transabdominal sonography may be a valuable method in the differentiation between early and advanced gastric cancer.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
White RM, Levine MC, Enterline HT, Laufer I. Early gastric cancer: recent experience. Radiology 1985;155:25–27
Gelfand DW, Ott DJ. Single vs. double-contrast gastrointestinal studies: critical analysis of reported statistics. AJR 1981;137:523–528
Tio TL, Coene PPLO, Schouwink MH, Tytgat GNJ. Esophago gastric carcinoma: preoperative TNM classification with endosonography. Radiology 1989;173:411–417
Bolondi L, Casanova P, Caletti GC, Grigioni W, Zani L, Barbara L. Primary gastric lymphoma versus gastric carcinoma: endoscopic US evaluation. Radiology 1987;165:821–826
Botet JF, Lightdale CJ, Zauber AG, Gerdes H, Winawer SJ, Uramacher C, Brennan MF. Preoperative staging of gastric cancer: comparison of endoscopic US and dynamic CT. Radiology 1991;181:426–432
Yasuda K, Kiyota K, Mukai H, et al. Endoscopic ultrasonography in the diagnosis of upper digestive tract disease: determination of the depth of cancer invasion. Gastroenterol Endosc 1986;28:253–259
Puylaert JB. Acute appendicitis: US evaluation using graded compression. Radiology 1986:158:355–360
Puylaert JB, van der Werf SDJ, Ulrich C, Veldhuizen RW. Crohn' s disease of the ileocecal region: US visualization of the appendix. Radiology 1988;166:741–743
Matsumoto T, Iida M, Sakai T, et al. Yersinia terminal ileitis: sonographic findings in eight patients. AJR 1991;156:965–967
Puylaert JB, Lalisang RI, van der Werf SDJ, et al. Campylobacter ileocolitis mimicking acute appendicitis: differentiation with graded compression US. Radiology 1988;166:737–740
Puylaert JB. Mesenteric adenitis and acute terminal ileitis: US evaluation using graded compression. Radiology 1986;161:691–695
Author information
Authors and Affiliations
Additional information
An editorial commentary on this article follows on pp. 532–536.
Rights and permissions
About this article
Cite this article
Lim, J.H., Ko, Y.T. & Lee, D.H. Transabdominal US staging of gastric cancer. Abdom Imaging 19, 527–531 (1994). https://doi.org/10.1007/BF00198255
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/BF00198255