title: [Value of the preoperative TNM staging and the longest tumor diameter measurement of gastric cancer evaluated by MSCT].
abstract: OBJECTIVE
  To explore the value of MSCT in the preoperative TNM staging and the longest tumor diameter measurement (RESIST standard) of gastric cancer.
  
  
  METHODS
  Clinical data of 153 consecutive patients with biopsy-confirmed gastric carcinoma who were preoperatively evaluated with enhanced MSCT scanning in our hospital from January 2012 to March 2013 were retrospectively analyzed. Consistency comparison was performed between preoperative TNM staging and the longest tumor diameter measurement and histopathological findings.
  
  
  RESULTS
  T-staging consistency of Kappa value was 0.566, and accuracy was 71.2%. N-staging consistency of Kappa value was 0.284, and accuracy was 47.7%. The Kappa value of M-staging consistency was 0.893, and accuracy was 98.7%. The overall accuracy of TNM staging consistency was 66.7% (102/153) with a Kappa value of 0.573. Effective measurement of the longest cancer diameter was carried out in 53 patients. There was no significant difference between preoperative longest tumor diameter acquired by MSCT and postoperative tumor measurement [(68.8 ± 40.6) mm vs. (64.2 ± 36.2) mm, P=0.969].
  
  
  CONCLUSIONS
  MSCT is accurate in preoperative TNM staging and longest tumor diameter measurement of gastric cancer compared with postoperative pathological examination, and can provide reliable evidence for preoperative staging and neoadjuvant therapy evaluation of gastric cancer, but it is unfavorable to evaluate the lymph node metastasis.
authors: Department of Surgery, The Fourth Affiliated Hospital, Hebei Medical University, Shijiazhuang 050011, China. li_yong_hbth@126.com.
authors: Qun
authors: Q
authors: Zhao
authors: Yong
authors: Y
authors: Li
authors: Zilong
authors: Z
authors: Hu
authors: Bibo
authors: B
authors: Tan
authors: Peigang
authors: P
authors: Yang
authors: Yuan
authors: Y
authors: Tian
mesh_terms: D006801:Humans; D008207:Lymphatic Metastasis; D020360:Neoadjuvant Therapy; D009367:Neoplasm Staging; D012189:Retrospective Studies; D013274:Stomach Neoplasms; D014057:Tomography, X-Ray Computed