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内脏型肥胖与结直肠癌有关吗?使用所有 CT 切片的首次容积研究。

Is visceral obesity associated with colorectal cancer? The first volumetric study using all CT slices.

机构信息

Department of Radiology, University of Health Sciences, Gülhane Training and Research Hospital, Ankara, Turkey.

Department of General Surgery, University of Health Sciences, Gülhane Training and Research Hospital, Ankara, Turkey.

出版信息

Diagn Interv Radiol. 2019 Sep;25(5):338-345. doi: 10.5152/dir.2019.18350.


DOI:10.5152/dir.2019.18350
PMID:31287430
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6727813/
Abstract

PURPOSE: We aimed to examine the possible relationship between abdominal adiposity parameters and the presence of colorectal cancer (CRC) and between these adiposity parameters and various histopathologic findings of the tumor. METHODS: A total of 60 control subjects and 111 CRC patients, 63 with early-stage and 48 with advanced-stage disease, were enrolled. Medical data and abdominopelvic computed tomography (CT) examinations of each study group were retrospectively reviewed. Abdominal adiposity parameters, including visceral adipose tissue (VAT) volume, subcutaneous adipose tissue (SAT) volume, and total adipose tissue (TAT) volume, were calculated on all slices of the CT examinations with specialized software, and results for each study group were compared. Adiposity parameters were also compared with tumor histopathologic findings. RESULTS: We found lower VAT and higher SAT volumes in advanced-stage CRC patients, compared with the early-stage group. However, this relationship was not statistically significant (P = 0.721 for VAT and P = 0.432 for SAT volumes). We detected significantly lower VAT and SAT volumes in the early-stage CRC group compared with the control group (P = 0.014 for both). There was no significant relationship between TAT volumes and the study groups (P = 0.06). No statistically significant relationship was detected between adipose tissue parameters and histopathologic features of the CRC group (P > 0.05). CONCLUSION: We found statistically significant lower VAT and SAT volumes in patients with early-stage CRC compared with the control group. Volumetric adipose tissue measurements may be more accurate than area measurements and can easily be performed on abdominopelvic CT examination, which is the routine imaging modality for CRC patients.

摘要

目的:本研究旨在探讨腹部肥胖参数与结直肠癌(CRC)之间的可能关系,以及这些肥胖参数与肿瘤的各种组织病理学发现之间的关系。

方法:共纳入 60 名对照组和 111 名 CRC 患者,其中 63 例为早期疾病患者,48 例为晚期疾病患者。回顾性分析了每个研究组的医学数据和腹部盆腔 CT 检查。使用专用软件计算 CT 检查的所有切片上的腹部肥胖参数,包括内脏脂肪组织(VAT)体积、皮下脂肪组织(SAT)体积和总脂肪组织(TAT)体积,并比较每个研究组的结果。还比较了肥胖参数与肿瘤组织病理学发现之间的关系。

结果:与早期 CRC 组相比,晚期 CRC 患者的 VAT 和 SAT 体积较低,但差异无统计学意义(VAT:P = 0.721;SAT:P = 0.432)。与对照组相比,早期 CRC 组的 VAT 和 SAT 体积显著降低(均为 P = 0.014)。TAT 体积与研究组之间无显著相关性(P = 0.06)。CRC 组的脂肪组织参数与组织病理学特征之间未发现统计学显著关系(P > 0.05)。

结论:与对照组相比,早期 CRC 患者的 VAT 和 SAT 体积明显较低。与面积测量相比,体积脂肪组织测量可能更准确,并且可以很容易地在腹部盆腔 CT 检查上进行,CT 检查是 CRC 患者的常规影像学检查方法。

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引用本文的文献

[1]
Adiposity associations with risk of colorectal cancer: a systematic review.

Obesity (Silver Spring). 2025-8

[2]
Implication of Obesity and Gut Microbiome Dysbiosis in the Etiology of Colorectal Cancer.

Cancers (Basel). 2023-3-22

[3]
Abdominal fat and muscle distributions in different stages of colorectal cancer.

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[4]
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本文引用的文献

[1]
Abdominal fat distribution measured using computed tomography is associated with an increased risk of colorectal adenoma in men.

Medicine (Baltimore). 2017-9

[2]
Subcutaneous adiposity is an independent predictor of mortality in cancer patients.

Br J Cancer. 2017-6-27

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J Gastrointest Surg. 2017-3

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Inverse Correlation between Cancer Size and Abdominal Obesity in Colorectal Cancer Cases.

Asian Pac J Cancer Prev. 2016

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A Simplified Whole-Organ CT Perfusion Technique with Biphasic Acquisition: Preliminary Investigation of Accuracy and Protocol Feasibility in Kidneys.

Radiology. 2015-11-4

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Visceral Obesity Predicts Fewer Lymph Node Metastases and Better Overall Survival in Colon Cancer.

J Gastrointest Surg. 2015-8

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Visceral Adiposity is a Risk Factor for Poor Prognosis in Colorectal Cancer Patients Receiving Adjuvant Chemotherapy.

J Gastrointest Cancer. 2015-9

[9]
Visceral obesity determined by CT scan and outcomes after colorectal surgery; a systematic review and meta-analysis.

Int J Colorectal Dis. 2015-7

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Visceral fat accumulation is associated with colorectal cancer in postmenopausal women.

PLoS One. 2014-11-17

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