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British Journal of Radiology (2003) 76, 611-616
© 2003 British Institute of Radiology
doi: 10.1259/bjr/63403347

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Accuracy of radiographic assessment for the diagnosis of invasion depth in small invasive colorectal cancer

T Matsumoto, MD1, M Esaki, MD2, K Hizawa, MD1, K Kurahara, MD1, K Hirakawa, MD1, T Yao, MD3 and M Iida, MD1

1 Departments of Medicine & Clinical Science and 3 Anatomic Pathology, Graduate School of Medical Sciences, Kyushu University, Maidashi 3-1-1, Higashi-ku, Fukuoka 812-8582 and 2 Department of Endoscopic Diagnostics & Therapeutics, Kyushu University Hospital, Fukuoka, Japan



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Figure 1. Examples of determination in surface features and fold convergency. (a) A 1.5 cm cancer with deep submucosal invasion in the transverse colon. The surface of the lesion is determined to be nodular. There is a fold convergency towards the protrusion (arrows). (b) A 0.9 cm cancer with deep submucosal invasion in the sigmoid colon. There is a smooth protrusion with fold convergency (arrows).

 


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Figure 2. An example of smooth surface feature and central barium fleck. A 0.8 cm cancer with deep invasion in the sigmoid colon. There is a smooth protrusion with an obvious barium fleck in the centre.

 


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Figure 3. Examples of positive central barium fleck and eccentric deformity. A 1.2 cm cancer with deep submucosal invasion in the transverse colon. (a) There is a barium fleck accompanied by nodular protrusion. (b) On lateral view, eccentric deformity is also seen (arrow).

 





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