J Korean Radiol Soc.  1995 Mar;32(3):435-439. 10.3348/jkrs.1995.32.3.435.

CT Measurement of Wall Thickness of Early Gastric Cancer: Correlation with Upper GI Series

• Joh JH
• Ahn IO
• Lee G
• Kim HS
• Chung SH

• KMID: 2465319
• DOI: http://doi.org/10.3348/jkrs.1995.32.3.435

Abstract

Purpose
The purpose of this study is to determine the detection rate of early gastric cancer and to measure the focal gastric wall thickening in computed tomography.
Materials and Methods
From November 1991 to November 1993, 19 patients (age ; 33 - 76 years, male; female= 4; 5) with surgically proven early gastric cancer were examined by upper gastrointestinal series and abdominal computed tomography. Twenty lesions in these patients were included in this study. Computed tomography was performed with conventional technique using gastrografinR (17 cases) or water filling (2 cases) method in supine position. Additional scans were obtained either in right down decubitus (15 cases) or supine position (4 cases) with an ingestion of gasforming agent. We determined the detection rate of early gastric cancer at computed tomography and measured the maximum thickness of the lesion.
Results
The pathologic types of the early gastric cancer were type IIb + IIc in 5 cases, type IIc in 6, type 111 in 3 and type 1, 1 + IIc, lI a, IIb, IIb + 111 and IIc + 111 in one, respectively. Seventy-five percent (15 cases) of early gastric cancer was detected at upper gastrointestinal series and fifty percent (10 cases) at computed tomography. Computed tomography could detect 100% of elevated carcinomas (3 /3) and 41 % of depressed carcinomas (7/17). The maximum thickness of the lesion ranged from 7 mm to 11 mm (mean ; 8 mm).
Conclusion
In a well-distended stomach, CT could detect focal gastric wall thickening (mostly, less than 1 cm) caused by early gastric cancer in half of the cases.

MeSH Terms

Eating
Humans
Male
Methods
Stomach
Stomach Neoplasms*
Supine Position
Water
Water