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Detection of unrecognized liver metastases from colorectal cancers by routine use of operative ultrasonography

 

作者: Junji,   Machi Hiroharu,   Isomoto Toshihiko,   Kurohiji Kazuo,   Shirouzu Yuichi,   Yamashita Teruo,   Kakegawa Bernard,  

 

期刊: Diseases of the Colon & Rectum  (OVID Available online 1986)
卷期: Volume 29, issue 6  

页码: 405-409

 

ISSN:0012-3706

 

年代: 1986

 

出版商: OVID

 

关键词: Liver metastasis;Colorectal cancer;Operative ultrasonography;High‐resolution ultrasound;Liver scanning

 

数据来源: OVID

 

摘要:

&NA;The importance of diagnosis and detection of liver metastases cannot be overemphasized for the treatment and prognosis of colorectal cancers. As a new diagnostic technique, operative ultrasonography has been performed during 33 operations for colorectal cancers including three operations for metachronous liver metastases. Of these, in five patients (15.2 percent) ultrasonography using 5‐ or 7.5‐MHz instruments identified metastatic tumors that had not been diagnosed during preoperative imaging studies or at exploration. Most of these tumors were approximately 1 cm in size and nonpalpable. Cases of these five patients are presented in this report. High‐resolution operative ultrasonography is considered to be a valuable method for detection of unrecognized metastatic tumors and for precise localization and spatial assessment of these hepatic lesions. Because it is safe, simple, and highly sensitive, the routine use of operative ultrasound is encouraged during surgery upon colorectal cancers for systematic screening of metastatic liver tumors.

 

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