J Korean Radiol Soc.  1987 Oct;23(5):814-817. 10.3348/jkrs.1987.23.5.814.

Ultrasonic diagnosis of hepatic metastases in patients with stomach cancer and colon cancer

• Kye JS
• Lim JH
• Ko YT
• Ahn CY

• KMID: 2359407
• DOI: http://doi.org/10.3348/jkrs.1987.23.5.814

Abstract

To assess the value of hepatic ultrasound in cancer patients, a prospective evaluation was performed bycomparing the preoperative ultrasound report and surgeon's diagnosis at the time of operation in 86% patients withstomach cancer and 26 patients with colon cancer. In a total of 112 patients considered to have a metastasis freeliver on ultrasound scanning, 10 patients were turned out to have had heptic metastasis at the time of laparotomy.Among these, 4 patients had miliary metastasis, 4 patients had nodular metastasis at the dome of the right hepaticlove, and 2 patients had surface metastasis or direct invasion from the primary tumor . These observations suggest that false negative preoperative hepatic ultrasound scanning is 9% and this is considered due to small size of themetastatic lesions, and lesions roundabout the dome of the right hepatic lobe or surface metastasis, Thus oneshould keep in mind the possibility of mailiary memtastasis in cancer patient who has coarse hepatic echotexture.In addition, the hepatic dome as well as hepatic surfaces shold be searched carefully as the lesions in theseareas tend to be easily neglected by ultrasound.

MeSH Terms

Colon*
Colonic Neoplasms*
Diagnosis
Humans
Neoplasm Metastasis*
Prospective Studies
Stomach Neoplasms*
Stomach*
Ultrasonics*
Ultrasonography*