Diagnostic Accuracy of Computed Tomography for Local Staging of Colon Cancer
Samir, P., Abo ElEla, M., Elseddik, M., Gerges, A., Al-Fattah, M. (2023). Diagnostic Accuracy of Computed Tomography for Local Staging of Colon Cancer. EKB Journal Management System, 1(1), 50-56. doi: 10.21608/arcmed.2023.206966.1028
Paula Lewis Samir; Mounir M. Abo ElEla; Mohamed Abobakr Elseddik; Alaa Eissa Gerges; Mohammed Abd Al-Fattah. "Diagnostic Accuracy of Computed Tomography for Local Staging of Colon Cancer". EKB Journal Management System, 1, 1, 2023, 50-56. doi: 10.21608/arcmed.2023.206966.1028
Samir, P., Abo ElEla, M., Elseddik, M., Gerges, A., Al-Fattah, M. (2023). 'Diagnostic Accuracy of Computed Tomography for Local Staging of Colon Cancer', EKB Journal Management System, 1(1), pp. 50-56. doi: 10.21608/arcmed.2023.206966.1028
Samir, P., Abo ElEla, M., Elseddik, M., Gerges, A., Al-Fattah, M. Diagnostic Accuracy of Computed Tomography for Local Staging of Colon Cancer. EKB Journal Management System, 2023; 1(1): 50-56. doi: 10.21608/arcmed.2023.206966.1028

Diagnostic Accuracy of Computed Tomography for Local Staging of Colon Cancer

ARCADEs of MEDICINE
Volume 1, Issue 1, December 2023, Page 50-56  XML PDF (292.23 K)
Document Type: Original Research
DOI: 10.21608/arcmed.2023.206966.1028
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Authors
Paula Lewis Samir email 1; Mounir M. Abo ElEla2; Mohamed Abobakr Elseddik3; Alaa Eissa Gerges4; Mohammed Abd Al-Fattah5
1General surgery department, Armed forces college of medicine, Cairo, Egypt
2General surgery department, Armed forces college of Medicine and Faculty of Medicine Ain shams university
3Radiodiagnosis department, Armed forces college of Medicine, Cairo, Egypt
4General surgery department, Military Medical Academy, Cairo, Egypt
5General surgery department, Faculty of Medicine, AL Azhar university, Cairo, Egypt
Abstract
Background:

Recent studies have demonstrated the significance of precise presurgical local staging of colon cancer for identifying patients who are ineligible for laparoscopic surgery or who will benefit from neoadjuvant chemotherapy. Although computed tomography (CT) has been widely recognized as the accepted standard for imaging, the majority of published data have focused on how well CT performs in staging liver and extrahepatic metastases and the evidence supporting the accuracy of locoregional staging is poorer. Therefore, this study was conducted to determine the diagnostic accuracy of abdominal CT with contrast in the detection of local staging of colon cancer in comparison to post-operative histopathology.

Methods:

This Diagnostic accuracy testing study included 50 colon cancer patients conducted at Kobri El-Qoba military complex and Maadi military complex in the period between October 2021 and September 2022. A CT scan was performed on each patient receiving either an emergency or elective colon cancer resection. CT findings were then compared with the eventual histopathology findings regarding T stage as the gold standard.

Results:

The radiological accuracy of CT showed a 70.58% sensitivity and 78.8% specificity in the diagnosis of T1/T2 tumors whereas T4 staging had a sensitivity of 90% and a specificity of 100%. For local colon cancer staging, CT had an overall sensitivity and specificity of 76.73% and 85.53%, respectively.

Conclusion:

The results of the current study suggested that CT would be a reasonable imaging technique for the local staging of colon cancer prior to surgery.
Keywords
Colon cancer; local staging; computed tomography; diagnostic accuracy
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