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Sep 26, 2013
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Schematic diagrams and representative images of different distribution patterns of region lymph nodes detected at CT. (A) Vascular distribution pattern: All regional lymph nodes detected at CT have regular borders and are distributed along the vessels (arrowheads). (B-E) Coronal CT images in a (B) 34-year-old woman, (C) 51-year-old man, (D) 37-year-old man, and (E) 40-year-old man with microsatellite instability-high (MSI-H) colon cancer show multiple clear lymph nodes distributed along the supplying arteries or draining veins (arrowheads). (F) Jammed cluster pattern: At least three lymph nodes with blurred margins and clustered (circle). (G-I) Coronal CT images in a (G) 29-year-old man, (H) 35-year-old man, and (I) 67-year-old man and (J) axial CT image in a 43-year-old man with MSI-H colon cancer show several lymph nodes with blurred margins and clustered (circle). Movies 1-4 provide more details. (K) Fused pattern: Several poorly defined lymph nodes clustered and fused together (arrow). (L-O) Coronal CT images in a (L) 63-year-old woman, (M) 59-year-old man, (N) 49-year-old woman, and (O) 73-year-old man with MSI-H colon cancers show several lymph nodes fused (arrow). Image courtesy of Radiology.
CT effective for tracking colon cancer lymph node distribution
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CT effective for tracking colon cancer lymph node distribution
By Kate Madden Yee
Using CT to track lymph node distribution in colon cancer patients is more effective at identifying metastasis than conventional testing.
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Schematic diagrams and representative images of different distribution patterns of region lymph nodes detected at CT. (A) Vascular distribution pattern: All regional lymph nodes detected at CT have regular borders and are distributed along the vessels (arrowheads). (B-E) Coronal CT images in a (B) 34-year-old woman, (C) 51-year-old man, (D) 37-year-old man, and (E) 40-year-old man with microsatellite instability-high (MSI-H) colon cancer show multiple clear lymph nodes distributed along the supplying arteries or draining veins (arrowheads). (F) Jammed cluster pattern: At least three lymph nodes with blurred margins and clustered (circle). (G-I) Coronal CT images in a (G) 29-year-old man, (H) 35-year-old man, and (I) 67-year-old man and (J) axial CT image in a 43-year-old man with MSI-H colon cancer show several lymph nodes with blurred margins and clustered (circle). Movies 1-4 provide more details. (K) Fused pattern: Several poorly defined lymph nodes clustered and fused together (arrow). (L-O) Coronal CT images in a (L) 63-year-old woman, (M) 59-year-old man, (N) 49-year-old woman, and (O) 73-year-old man with MSI-H colon cancers show several lymph nodes fused (arrow). Image courtesy of Radiology.
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