Imaging Evaluation of Upper Gastro-Intestinal Tract Malignancy
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 12
Abstract
Aim: The aim of our study was to evaluate the role of computerized tomography and USG in detecting various findings of upper GI malignancy and validate the results with histopathological diagnosis. Material and Method: A prospective study of 60 patients with diagnosed or suspected cases of upper GI malignancy was conducted at VIMSAR, Burla (Odisha). All the patients were subjected to USG and noncontrast and contrast enhanced CT. Endoscopy and histopathology reports were obtained. Observation: Most patients were in the age group of 51 to70 years with male dominance (M:F ratio 1.8). Dysphagia was the most common presenting symptom in esophageal malignancy where as weight loss and abdominal pain were the predominant in gastric malignancy. Mid esophagus was the mostcommon site of esophageal malignancy and antrum in case of gastric malignancy. On imaging, maximum patients show wall thickening with luminal narrowing and homogenous or heterogenous mild to moderate contrast enhancement. Conclusion: In our study, we found CECT and USG are highly helpful for detection of upper GI malignancy. CECT is more efficient for detection of lymph node spread than USG where as both modalities are equally effective for detection of distant abdominal organ metastasis. The imaging modalities are more effective to detect exophytic growth such as GIST and malignancy with diffuse involvement of stomach such as Linitis Plastica and Lymphoma which can be often missed in upper GI endoscopy.
Authors and Affiliations
Dr Keshaba Panigrahy
Keywords
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