Salonen O, Kivisaari L, Standertskjöld-Nordenstam C G, Somer K, Virkkunen P
Scand J Gastroenterol. 1987 Jan;22(1):65-8. doi: 10.3109/00365528708991858.
The computed tomographic (CT) findings in 45 patients with histologically proved oesophageal carcinoma are reviewed. In 20 of these patients the CT findings were correlated with findings at surgery (19 patients) or autopsy (1 patient). Correlation analysis showed that the accuracy of CT in assessing both invasion of adjacent organs and mediastinal and abdominal lymph node involvement is limited. Twenty-five patients were considered inoperable; in 15 of these the conclusion was based on CT findings of distant metastases (14 patients) or definite local invasion (1 patient). Ten patients were inoperable for other reasons (general health condition). We found the value of CT to be in detecting distant metastases, thus avoiding unnecessary radical surgery; it is not a reliable way of defining the primary tumour.
回顾了45例经组织学证实为食管癌患者的计算机断层扫描（CT）结果。其中20例患者的CT结果与手术（19例患者）或尸检（1例患者）结果相关。相关性分析表明，CT在评估邻近器官侵犯以及纵隔和腹部淋巴结受累方面的准确性有限。25例患者被认为无法手术；其中15例的结论是基于CT发现远处转移（14例患者）或明确的局部侵犯（1例患者）。10例患者因其他原因（一般健康状况）无法手术。我们发现CT的价值在于检测远处转移，从而避免不必要的根治性手术；它不是确定原发肿瘤的可靠方法。
