The value of transabdominal ultrasonography in small intestine and colon tumors

Year 1988, Volume: 41 Issue: 2, 327 - 340, 30.06.1988

Ayşe Dökmeci

Abstract

The purpose of this prospective study is to evaluate the potential role of transabdominal ultrasonographic examination in the diagnosis of small intestine and colon tumors. Sonography was used as an initial screening procedure for all the patients who were hospitalised in our clinic. During 1986-1988, 38 patients were included in this study having either a pseudokidney sign (29/38) or a hypoechogenic mass (9/38) unrelated to the stomach. Water enema was done and masses demonstrating a close relation with water was considered to be originating from the colon (24/28). Later to confirm our diagnosis radiologic and/or endoscopic examinations were performed. For those beyond the reach of endoscopy percutaneous fine needle aspiration, under the guidance of sonography, was done for sitological diagnosis. All the colon tumors and only 4 cases with small bowel tumor were diagnosed to have adenocarcinoma while the rest were malignant lymphoma and leiomyoma (1 case). Additional sonographic findings (16/38 liver metastasis, 16/38 abdominal lymphe node enlargement, 5/38 ascites, 2/38 abscess and 1/38 bile duct obstruction) were observed in 23/38 patients. These results indicate that sonography is a valuable imaging technique for diagnosing and defining the extend of abdominal spread of bowel tumors.

Keywords

leiomyoma , potential , masses , endoscopy

Ethical Statement

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İnce Ve Kalın Barsak Tümörlerinde Transabdominal Ultrasonografinin Değeri

Abstract

Transabdominal ultrasonografinin ince ve kalın barsak tümörlerinin teşhisindeki değerini tesbit etmek için yapılan çalışmada 3& hasta değerlendirildi. Barsak ile ilgili atipik hedef belirtisinin (29-38) görülmesi veya, abdomende hipoekoik solid yapı (9/38) tesbiti ile tanıya gidilirken patolojik görüntü içine rektal yoldan verilen suyun dolması kolon tümörü için tipikti. Bu şekilde değerlendirildiğinde barsak tümörü tanısında % 11 oranında false negatif sonuç vermekteydi. lnce barsak tümörlerinde eşliğinde perkütan yol ile elde edilen materyel preoperatif tanıda çok değerliydi. Karaciğer metastazı (17/38), intraabdominal lenf bezi (16/24), asit (5/38), ileus (/38), apse (2/38) ve ekstrahepatik kolestaz (1/38) sonografide tesbit edilen ek bulgulardı. Bundan dolayı sonografinin barsak tümörü tanı ve tedavisinin yönlendirilmesinde radyoloji ve endosköpi ile birlikte uygulanması gereken değerli bir yöntem olduğu vurgulandı.

Keywords

barsak tümörü , intraabdominal lenf bezi , rektal , perkütan

Ethical Statement

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Supporting Institution

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Project Number

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Thanks

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