Chinese Journal Of Clinical Anatomy ›› 2013, Vol. 31 ›› Issue (4): 427-429.

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CT features of transverse mesocolon involvement in colonic carcinoma and the anatomic basis

WANG Wen-juan1, DING Na2, YANG Chun-bo1, CHEN Hua-cheng1, GAO Qi-min1, DONG Peng1   

  1. 1. Medical Imaging Center of Affiliated Hospital, Weifang Medical University, Weifang 261031, China;  2. Department of Gastroenterology, Affiliated Hospital, Weifang Medical University, Weifang 261031, China
    Abstract
  • Received:2012-09-28 Online:2013-07-25 Published:2013-07-24

Abstract:

Objective To evaluate multiple-slice computed tomographic (MSCT) features  of colonic carcinoma involving the transverse mesocolon (TM) and its anatomic basis.    Methods The MSCT images of 28 cases with colonic carcinoma were compared with surgical and pathological findings, retrospectively. Results Among the 28 cases, the sensitivity, specificity and accuracy of judging TM infiltration by mass forming, nodular and wedge-shaped shadow, short bars and increased fat density in the TM were 16.7%,61.1%,5.6%,33.3%; 100%,80%,30%,50%; 46.4%,67.9%,14.3 %,39.3%. Five cases showed enlarged lymph nodes in the TM. Conclusion The involvement of TM by colonic carcinoma can show some special CT features. MSCT images are helpful for preoperative imaging evaluation of TM involvement and lymphatic spread.

Key words: Transverse mesocolon, Colonic carcinoma, Tomography, X-ray computed

CLC Number: