Letter to the Editor on "Radiologic serosal invasion sign as a new criterion of T4a gastric cancer on computed tomography: diagnostic performance and prognostic significance in patients with advanced gastric cancer"

Abdom Radiol (NY). 2024 Nov;49(11):4185-4186. doi: 10.1007/s00261-024-04488-1. Epub 2024 Jul 11.

Abstract

We provide commentary on the paper by You et al., which proposed the 'serosal invasion sign' as a new criterion for T4a gastric cancer on CT. We clarify the anatomical relationship between the perigastric vessels and the serosa, correcting for an anatomical oversight in the original figures. We affirm the significance of this diagnostic sign in the T-staging of gastric cancer. Our insights aim to enhance the understanding and clinical application of this criterion in staging advanced gastric cancer.

Keywords: Anatomy; CT; Gastric cancer; Pathology; Staging.

Publication types

  • Letter
  • Comment

MeSH terms

  • Humans
  • Neoplasm Invasiveness*
  • Neoplasm Staging*
  • Prognosis
  • Serous Membrane / diagnostic imaging
  • Serous Membrane / pathology
  • Stomach Neoplasms* / diagnostic imaging
  • Stomach Neoplasms* / pathology
  • Tomography, X-Ray Computed* / methods