Imaging Report Form for Gastric Carcinoma (additional版)
Following image staging due to
Tissue proof of gastric cancer
Image highly suspicion of gastric cancer
1. Imaging Modality
Imaging by
CT scan
MRI
Imaging Protocol:
2. Tumor location / Size
Location:
Cardia
Fundus
Body: Lesser/Greater curvature
Antrum
Pylorus
Other:
Size:
Non-measurable
Measurable:
(greatest diameter)
3. Tumor invasion depth
Not assessable
Assessable, tumor invasion to:
Tumor confined in the gastric wall and with preservation of lucent line.
Tumor confined in the gastric wall, but with loss of lucent line.
Tumor extension beyond the gastric wall but not to adjacent organs or structures
Tumor invasion to adjacent organs or structure, location:
4. Regional nodal metastasis
No or Equivocal
Yes, if yes:
Number of suspicious lymph node:
Location (specified as below):
Right paracardial (1)
Left paracardial (2)
Lesser curvature (3)
Greater curvature (4)
Suprapyloric (5)
Infrapyloric (6)
Left gastric artery (7)
Common hepatic artery (8)
Celiac artery (9)
Splenic hilum (10)
Splenic artery (11)
Hepatic pedicle (12)
Middle colic artery (15)
Others:
5. Distant metastasis (In this study)
No or Equivocal
Yes
If yes:
Non-regional lymph nodes:
Retropancreatic (13)
Mesenteric root (14)
Para-aortic (16)
Distant organs: location
6. Other findings: