Colon cancer: morphology detected with barium enema examination versus histopathologic stage

Radiology. 1995 Dec;197(3):683-7. doi: 10.1148/radiology.197.3.7480739.

Abstract

Purpose: To determine the relationship between the morphology of colon carcinomas detected with barium enema examination and the cancer stage.

Materials and methods: Clinical, radiographic, endoscopic, surgical, and histopathologic findings were retrospectively reviewed in 152 patients with colon cancer detected with barium enema examination during a 2-year period.

Results: Eighty-six patients (57%) had lesions in the rectum and sigmoid and descending colon, and 66 (43%) patients had lesions more proximally in the colon. Lesions on the right side of the colon were less likely to cause symptoms than those on the left side. Eighty-one patients (53%) had annular or semiannular lesions, 57 (38%) had polypoid lesions, and 14 (9%) had plaquelike or carpet lesions. Six patients (4%) had Dukes stage A lesions; 84 (55%), Dukes stage B lesions; 42 (28%), Dukes stage C lesions; and 20 (13%), Dukes stage D lesions.

Conclusion: Annular or semiannular carcinomas had higher rates of serosal invasion and lymph node metastasis than polypoid carcinomas, but the rates of liver metastases were comparable.

MeSH terms

  • Adenocarcinoma / diagnostic imaging*
  • Adenocarcinoma / pathology*
  • Adenocarcinoma / secondary
  • Adenocarcinoma / surgery
  • Adenomatous Polyps / diagnostic imaging
  • Adenomatous Polyps / pathology
  • Adenomatous Polyps / surgery
  • Barium Sulfate*
  • Cecal Neoplasms / diagnostic imaging
  • Cecal Neoplasms / pathology
  • Cecal Neoplasms / surgery
  • Colonic Neoplasms / diagnostic imaging*
  • Colonic Neoplasms / pathology*
  • Colonic Neoplasms / surgery
  • Colonic Polyps / diagnostic imaging
  • Colonic Polyps / pathology
  • Colonic Polyps / surgery
  • Colonoscopy
  • Contrast Media*
  • Diagnostic Techniques, Surgical
  • Enema*
  • Female
  • Humans
  • Liver Neoplasms / pathology
  • Liver Neoplasms / secondary
  • Lymphatic Metastasis
  • Male
  • Neoplasm Invasiveness
  • Neoplasm Staging
  • Radiography
  • Rectal Neoplasms / diagnostic imaging
  • Rectal Neoplasms / pathology
  • Rectal Neoplasms / surgery
  • Retrospective Studies
  • Risk Factors
  • Sigmoid Neoplasms / diagnostic imaging
  • Sigmoid Neoplasms / pathology
  • Sigmoid Neoplasms / surgery

Substances

  • Contrast Media
  • Barium Sulfate