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Sonographic features of colon carcinoma seen with high-frequency transabdominal ultrasound

✍ Scribed by Masafumi Shirahama; Takafumi Koga; Hiromi Ishibashi; Satoshi Uchida; Yoshiro Ohta


Publisher
John Wiley and Sons
Year
1994
Tongue
English
Weight
795 KB
Volume
22
Category
Article
ISSN
0091-2751

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✦ Synopsis


To assess the value of high-frequency ultrasonography as a diagnostic imaging procedure in patients with colon carcinoma, we first evaluated the sonograms of 37 patients who had been already diagnosed with contrast enema and/or colonoscopy as having colon carcinoma. As a result, the sonographic criteria for diagnosis of a possible colon carcinoma were (1) a localized and irregular thickening of the colonic wall with heterogenous low echogenicity, (2) an irregular contour, (3) a lack of demonstrable movement or change of configuration of the bowel on real-time scanning, and (4) absence of wall stratification. During the last 4 years, 41 consecutive patients had findings meeting our sonographic criteria. In 37 patients (go%), the presence of colon carcinoma was confirmed by contrast enema and/or colonoscopy. Our study suggests that high-frequency real-time ultrasonography may be a useful imaging technique in diagnosis of colon carcinoma.