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Langenbeck's Archives of Surgery
Published in: Langenbeck's Archives of Surgery 5/2006

01-09-2006 | Original article

Preoperative evaluation of pelvic lateral lymph node of patients with lower rectal cancer: comparison study of MR imaging and CT in 53 patients

Authors: Kazuo Arii, Katsunari Takifuji, Shozo Yokoyama, Kenji Matsuda, Takashi Higashiguchi, Toshiji Tominaga, Yoshimasa Oku, Masaji Tani, Hiroki Yamaue

Published in: Langenbeck's Archives of Surgery | Issue 5/2006

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Abstract

Background

Preoperative assessment of the lateral pelvic lymph nodes is important for treatment strategy to patients with lower rectal cancer.

Materials and methods

Fifty-three patients with primary lower rectal cancer were preoperatively assessed by spiral computed tomography (CT) and magnetic resonance imaging (MRI) at 1.5 T with a phased-array coil. Preoperative tumor and lymph node stages were compared with the final histological findings.

Results

The MRI tumor stage coincided with the histological stage in 36 of 53 patients (68%). The MRI and CT lymph node stage coincided with the histological stage in 33 (62%) and 26 (49%) of 53 patients, respectively. However the accuracy of MRI in detecting the lateral pelvic lymph node involvement was 83%, compared to 77% of CT (p<0.05).

Conclusions

With the use of MRI, the lateral pelvic lymph node involvement can be predicted with high accuracy, allowing preoperative identification of patients who need radiotherapy or extensive surgery to escape recurrence.
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Metadata
Title
Preoperative evaluation of pelvic lateral lymph node of patients with lower rectal cancer: comparison study of MR imaging and CT in 53 patients
Authors
Kazuo Arii
Katsunari Takifuji
Shozo Yokoyama
Kenji Matsuda
Takashi Higashiguchi
Toshiji Tominaga
Yoshimasa Oku
Masaji Tani
Hiroki Yamaue
Publication date
01-09-2006
Publisher
Springer-Verlag
Published in
Langenbeck's Archives of Surgery / Issue 5/2006
Print ISSN: 1435-2443
Electronic ISSN: 1435-2451
DOI
https://doi.org/10.1007/s00423-006-0066-0

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