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Spiral CT staging of gastric cancer is the main technology of preoperative staging diagnosis of gastric cancer, and it is of great significance
Lesion site: 30% located in the antrum, 30% in the stomach, 30% in the gastric base, cardia, 10% diffuse infiltrative
2010 AJCC Gastric Cancer TNM Staging (7th Edition)
T1 tumor invades the mucosal lamina or submucosal layer T1a tumor invades the mucosal lamina; T1b Tumor invades the submucosal layer
T2 Tumor invades the muscle barrier
T3 Tumor invades the subserous layer
T4 T4a Tumor penetrates the serous membrane; T4b Tumors invade adjacent organs
N1 1 to 2 lymph node metastases
N2 3 to 6 lymph node metastases
N3 N3a 7 to 15 lymph node metastases; N3b ≥ 16 lymph node metastases
Mx is removed: the new staging removes Mx (distant metastases cannot be assessed
T1: The low-density mucosal layer remains intact
T2: The stomach wall is thickened, the low-density band is interrupted, the outer contour is smooth, and the surrounding fat layer is clearly striped less than 1/3