Preoperative Staging of Rectal Cancer: Role of Endorectal Ultrasound

Author(s):  
Miro A.G.F. ◽  
Grobler S. ◽  
Santoro G.A.
2014 ◽  
Vol 99 (2) ◽  
pp. 106-111 ◽  
Author(s):  
Nikola Y. Kolev ◽  
Anton Y. Tonev ◽  
Valentin L. Ignatov ◽  
Aleksander K. Zlatarov ◽  
Vasil M. Bojkov ◽  
...  

Abstract In the last 20 years, endorectal ultrasound (ERUS) has been one of the main diagnostic methods for locoregional staging of rectal cancer. ERUS is accurate modality for evaluating local invasion of rectal carcinoma into the rectal wall layers (T category). Adding the three-dimensional modality (3-D) increases the capabilities of this diagnostic tool in rectal cancer patients. We review the literature and report our experience in preoperative 3-D ERUS in rectal cancer staging. In the group of 71 patients, the staging of preoperative 3-D endorectal ultrasonography was compared with the postoperative morphologic examination. Three-dimensional ERUS preoperative staging was confirmed with morphologic evaluation in 66 out of 71 cases (92.9%). The detection sensitivities of rectal cancer with 3-D ERUS were as follows: T1, 92.8%; T2, 93.1%; T3, 91.6%; and T4, 100.0%; with specificity values of T1, 98.2%; T2, 95.4%; T3, 97.8%; and T4, 98.5%. Three-dimensional ERUS correctly categorized patients with T1, 97.1%; T2, 94.3%; T3, 95.7%; and T4, 98.5%. The percentage of total overstaged cases was 2.75% and that of understaged cases was 6.87%. The metastatic status of the lymph nodes was determined with a sensitivity of 79.1% (19 of 24), specificity of 91.4% (43 of 47), and diagnostic accuracy of 87.3% (62 of 71). In our experience, 3-D ERUS has the potential to become the diagnostic modality of choice for the preoperative staging of rectal cancer.


1993 ◽  
Vol 36 (2) ◽  
pp. 127-134 ◽  
Author(s):  
U. Herzog ◽  
M. von Flüe ◽  
P. Tondelli ◽  
J. P. Schuppisser

1996 ◽  
Vol 43 (4) ◽  
pp. 417 ◽  
Author(s):  
U. Choudhry ◽  
H.W. Boyce ◽  
M. Johnson ◽  
J. Marcet ◽  
T. Yeatman

JMS SKIMS ◽  
2012 ◽  
Vol 15 (1) ◽  
pp. 4-6
Author(s):  
Ajaz Ahmad Malik

THIS ARTICLE HAS NO ABSTRACT (FIRST 100 WORDS OF THE ARTICLE ARE DISPLAYED): Staging of rectal cancer is necessary to provide the optimal treatment strategy although proctoscopy or sigmoidoscopy with biopsy are diagnostic. This is achieved by locoregional assessment of the disease by various available radiological investigations. Staging information includes extent of tumor involvement of the rectal wall and adjacent structures, presence or absence of adjacent lymphadenopathy, and determination of distant metastasis. Several modalities exist for the preoperative staging of rectal cancer, like computed tomography (CT); magnetic resonance imaging (MRI) with traditional body, endorectal, or phasedarray coils; endorectal ultrasonography (ERUS) with rigid or flexible probes; and positron emission tomography (PET) with and without. JMS 2012;15(1):4-6.


2002 ◽  
Vol 10 (1) ◽  
pp. 37-38 ◽  
Author(s):  
Tomislav Petrovic ◽  
Zoran Radovanovic ◽  
Milan Breberina

Sign in / Sign up

Export Citation Format

Share Document