2025, Vol. 8, Issue 3, Part C

Author(s)
Romil Rameshbhai Patel and Hardik Patel

Abstract
Introduction: The Gastrointestinal tract tumors are one of commonest cancers accounting for 11% of all cancer. Carcinoma of upper GI tract remains one of the most lethal of all cancers. The use of CT scanning has empowered the modern surgeon to treat patients more effectively, facilitating reduced morbidity and complications. This dissertation emphasizes the radiological findings for proper diagnosis and staging of upper GI malignancy based upon the revised international system classification scheme TNM. Methods: 72 patients referred to the radiology department with chief complain of dysphagia, odynophagia, hematemesis, upper abdominal pain was evaluated by CTscan, referred from both IPD and OPD departments of Dhiraj Hospital. A follow up study of the diagnosis made by the CT scan was thence correlated with the histopathological diagnosis. Results: The present study on 72 patients of upper GI malignancy with various risk factors were evaluated by CT scan. Staging was done to determine which patients may be suitable for surgical resection and finally the subtype of the carcinoma was confirmed by histopathological diagnosis. The most common site for Ca oesophagus is middle oesophagus (31.94%). Carcinoma lower one third of oesophagus was most commonly adenocarcinoma (94.1%), whereas carcinoma upper and middle one third of oesophagus was most commonly squamous cell carcinoma (78.3%). Upper GI malignancy, involving the stomach, comprises majority of the cases in fundal region (85.7 %).Upper GI malignancy involving duodenum is very less. Involvement of the adjacent structure was seen in 25%; Mediastinal nodes were seen in 6.94% Distant metastasis is present in 26%, most commonly involving the liver (19.4%). Conclusion: CT is a useful diagnostic modality in the evaluation of the staging of carcinoma of upper GI tract and also for surgical planning to create Intra-operative road maps.

DOI: https://doi.org/10.33545/26644436.2025.v8.i3c.488

Pages: 150-163 | Views: 57 | Downloads: 33