The role of multispiral computed tomography in detecting and the assessment of the degree of damage of esophago-gastric junction cancer

Purpose of the study. To find out abilities multispiral computed tomography (MSCT) using intravenous bolus injection in detecting and preoperative esophago-gastric junction cancer staging order to improve diagnosis this pathological condition. Materials methods . The patients, diagnosed (n1 = 76), esophagus (n2 27) medically fit people’s (n3 30) findings investigating have been analyzed. All patients went through on Light Speed VEX Plus RT 16 ("GE", USA). MSCT compared with anatomical data, which were got after histomorphologic study post-operation endoscopic recruitment material. Results Characteristic signs wall esophageal-gastric (EGJ) revealed healthy individuals, esophagitis cancer. thickness paries normal conditions case EGJ is: 5.4 ± 1.01 mm, 10.36 1.85 22.53 8.19 mm (p < 0.001). external diameter abdominal part condition is 14.2 1.68 17.96 3.7 27.9 9.48 main statistically significant 0.001) qualitative character canser were: non-visualization mucic afflicted areas (96.8 %), bosselated upper lower contours narrowing (75.2 dissymmetric parries pachymenia (70.4 blunt-edged outer (58.4 cotyloid suprastenotic esophageal distensibility (45.6 %). delicacy depended degree damage was at stage Т1 – 66.7 %, Т2 76.5 Т3 77.8 Т4а 86.2 Т4b –100.0 general, diagnostic accuracy method Т-staging 81.6 %. Conclusion results work showed that inclusion contrast algorithm suspected tumor pathology will EGJ.