Computed tomography of epithelial neoplasms of the anal canal
Twenty-five patients with squamous-cell or cloacogenic carcinomas of the rectum were evaluated by computed tomography (CT). CT provided excellent definition of tumor extent, including local spread, lymph node involvement and distant metastases. In one of seven pretherapy studies, CT findings significantly altered patient management. Tumor recurrence was correctly identified in 14 or 19 patients having post-therapy scans, although CT-guided biopsy was required to confirm the presence of malignancy in three cases. Extensive soft-tissue stranding in the ischiorectal fossa and/or perirectal fat associated with a large focal mass occurred in all patients with local tumor recurrence. Stranding was also seen in all patients treated with radiation. CT is an excellent method for preliminary evaluation and follow-up of patients with anal epithelial neoplasms, facilitating rapid and effective management.
- Research Organization:
- Duke Univ. Medical Center, Durham, NC
- OSTI ID:
- 5178291
- Report Number(s):
- CONF-860416-
- Journal Information:
- AJR, Am. J. Roentgenol.; (United States), Journal Name: AJR, Am. J. Roentgenol.; (United States) Vol. 145:3; ISSN AAJRD
- Country of Publication:
- United States
- Language:
- English
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62 RADIOLOGY AND NUCLEAR MEDICINE
BIOPSY
BODY
CARCINOMAS
COMPUTERIZED TOMOGRAPHY
DIAGNOSIS
DIAGNOSTIC TECHNIQUES
DIGESTIVE SYSTEM
DISEASES
GASTROINTESTINAL TRACT
INTESTINES
LARGE INTESTINE
LYMPH NODES
LYMPHATIC SYSTEM
MEDICINE
METASTASES
MORPHOLOGY
NEOPLASMS
NUCLEAR MEDICINE
ORGANS
PATIENTS
RADIOLOGY
RADIOTHERAPY
RECTUM
SURGERY
THERAPY
TOMOGRAPHY