Imaging Report Form for
Colorectal Carcinoma (additional版)
Following image staging due to
Tissue proof of colon cancer
Image highly suspicion of colon cancer
1. Imaging Modality
Imaging by
CT scan
MRI
Imaging Protocol:
2. Tumor location / Size
Location:
Cecum
Ascending
Hepatic flexure
Transverse
Splenic flexure
Descending
Sigmoid
Rectum
Other:
Size:
Non-measurable
Measurable:
(largest diameter)
3. Tumor invasion
Tx
□ Tumor cannot be visualized in this imaging study
<=T2
□ Tumor within colonic or rectal wall
T3
□ Tumor invades non-peritonealized pericolonic or perirectal tissues
T4
□ Tumor invades visceral peritoneum or adjacent organs
4. Regional nodal metastasis
No or Equivocal
Yes, if yes,
N1
N2
Number of suspicious lymph node:
And location (specified as below):
Pericolic/perirectal
Ileocolic
Right colic
Middle colic
Left colic
Superior rectal
Superior mesenteric artery
Inferior mesenteric artery
Others:
5. Distant metastasis (In this study)
No or Equivocal
Yes, location:
6. Other findings: