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Rectal carcinoma: Preoperative staging and detection of postoperative local recurrence with transrectal and transvaginal ultrasound

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Abstract

Transrectal ultrasound (TRUS) was performed preoperatively in 35 patients with rectal carcinoma and the results were compared to histologic findings. In the same group, postoperative studies were performed in 22 patients; in women, transvaginal ultrasound (TVUS) was added to the transrectal study. According to Duke's classification modified by Astler-Coller, in relation to the “T” parameter, TRUS correctly staged 33 of 35 neoplasms (accuracy, 94.3%); one was overstaged and one was understaged. In detection of lymph node involvement, accuracy was 74% (sensitivity 69%, specificity 73.9%). Recurrent local tumors, histologically confirmed, developed in two of 22 postoperative patients who had undergone curative anterior resection. This study demonstrates that TRUS is an accurate method in preoperative staging of rectal carcinoma. In the prospective study, the role of follow-up TRUS and TVUS in detection of local recurrences is evaluated.

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Authors and Affiliations

  1. Department of Radiology, S. Chiara Regional Hospital, Largo Medaglie D'Oro, I-38100, Trento, Italy

    Michele Scialpi, Franco Zottele, Mauro Niccolini & Francesco Dalla Palma

  2. Department of Surgery, S. Chiara Regional Hospital, Largo Medaglie D'Oro, I-38100, Trento, Italy

    Rosanna Andreatta & Silvio Agugiaro

Authors
  1. Michele Scialpi
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  2. Rosanna Andreatta
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  3. Silvio Agugiaro
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  4. Franco Zottele
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  5. Mauro Niccolini
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  6. Francesco Dalla Palma
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Scialpi, M., Andreatta, R., Agugiaro, S. et al. Rectal carcinoma: Preoperative staging and detection of postoperative local recurrence with transrectal and transvaginal ultrasound. Abdom Imaging 18, 381–389 (1993). https://doi.org/10.1007/BF00201788

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  • DOI: https://doi.org/10.1007/BF00201788

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