Valutazione radiologica dell'estensione transpilorica del carcinoma gastrico

Translated title of the contribution: Radiologic assessment of gastric carcinoma transpyloric spread

Orlando Catalano, Antonio Nunziata, Francesco Altei, Gaetano Lapiccirella

Research output: Contribution to journalArticle


Purpose. We report on our personal experience with the radiologic and CT demonstration of the traspyloric duodenal spread of gastric carcinoma, whose relative frequency and prognostic value are recent literature data. Material and methods. In the last 4 years we submitted to double contrast studies of the upper gastrointestinal (GI) tract 49 gastric carcinoma patients with antrum involvement. Twenty-one cases were staged with CT performed with gastric water distension, pharmacological hypotonia and dynamic contrast agent perfusion. Finally, 41 patients underwent surgical treatment. Results. Radiologic evidence of transpyloric gastric carcinoma spread was found in 6 cases; CT, performed in 5 of them, was always in agreement. Five of 6 positive cases had surgical confirmation while one lesion was unresectable. No radiologic or CT false negatives were found among the remaining 36 surgical patients. Barium studies showed irregular antral lumen narrowing, rigid, open and eccentric pyloric channel, duodenal bulb deformity and irregular thickening. CT demonstrated antrum infiltration along the two gastric curvatures and the tumor spread to the duodenal cap. Conclusion. Antral cancer transpyloric spread is more frequent than previously reported and its presence should not exclude a carcinomatous process. Double contrast barium studies are a valuable tool in the demonstration of this spread, showing good correlation with CT staging findings.

Translated title of the contributionRadiologic assessment of gastric carcinoma transpyloric spread
Original languageItalian
Pages (from-to)174-176
Number of pages3
JournalRadiologia Medica
Issue number3
Publication statusPublished - Mar 1998

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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    Catalano, O., Nunziata, A., Altei, F., & Lapiccirella, G. (1998). Valutazione radiologica dell'estensione transpilorica del carcinoma gastrico. Radiologia Medica, 95(3), 174-176.