TRANSANORECTAL ULTRASONOGRAPHY IN THE STAGING OF ANAL EPIDERMOID CARCINOMA

被引：27

作者：

GOLDMAN, S

NORMING, U

SVENSSON, C

GLIMELIUS, B

机构：

[1] Department of Surgery, Södersjukhuset, Stockholm

[2] Department of Urology, Södersjukhuset, Stockholm

[3] Department of Oncology, Södersjukhuset, Stockholm

[4] Department of Oncology, University of Uppsala, Akademiska sjukhuset, Uppsala

来源：

INTERNATIONAL JOURNAL OF COLORECTAL DISEASE | 1991年 / 6卷 / 03期

关键词：

D O I：

10.1007/BF00341236

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Fifty consecutive patients with anal canal epidermoid carcinoma were evaluated by transanorectal ultrasonography (TRUS) at diagnosis. Forty-six patients were treated with primary radiotherapy plus bleomycin. Twenty-eight of the last 30 patients underwent, in addition, planimetric volume determination. The ultrasound findings were compared with clinical stage as assessed by digital palpation. Tumours in clinical stages T1-2 showed evidence of penetration through the anorectal muscular wall at ultrasound (UT3-4) in two-thirds of the cases. This was the case in all tumours in clinical stages T3-4. A clear correlation between tumour size, depth of invasion, and tumour volume, respectively, and residual tumour after a "pre-operative" dose of 40 Gy plus bleomycin was found. When combining clinical stage with TRUS, all tumours classified as T1-2/UT1-2 had a complete response (CR) after the first radiotherapy period, whereas the corresponding figures for those with deep invasion ultrasonographically (T1-2/UT3-4 and T3-4/UT3-4) were 64 percent and 0 percent, respectively. It thus appears that TRUS could complement digital palpation in staging anal canal carcinoma.

引用

页码：152 / 157

页数：6

共 20 条

[1]

Cummings B.J., The place of radiation therapy in the treatment of carcinoma of the anal canal, Cancer Treat Rev, 9, pp. 125-147, (1982)

[2]

Sischy B., The use of radiation therapy combined with chemotherapy in the management of squamous cell carcinoma of the anus and marginally resectable adenocarcinoma of the rectum, Int J Radiat Oncol Biol Phys, 11, pp. 1587-1593, (1985)

[3]

Nigro N.D., Multidisciplinary management of cancer of the anus, World J Surg, 11, pp. 446-451, (1987)

[4]

Papillon J., Montbarbon J.F., Epidermoid carcinoma of the anal canal, Dis Colon Rectum, 30, pp. 324-333, (1987)

[5]

Goldman S., Glimelius B., Glas U., Lundell G., Pahlman L., Stahle E., Management of anal epidermoid carcinoma —an evaluation of treatment results in two population — based series, Int J Colorect Dis, 4, pp. 234-243, (1989)

[6]

Nicholls R.J., York Mason A., Morson B.C., Dixon A.K., Kelsey Fry J., The clinical staging of rectal cancer, Br J Surg, 69, pp. 404-409, (1982)

[7]

Cohan R., Silverman P., Thoon W., Halvorsen R., Baker M., Computed tomography of epithelial neoplasms of the anal canal, Amer J Roentgenol, 145, pp. 569-573, (1985)

[8]

Dixon A.K., Kelsey Fry J., Morson B.C., Nicholls R.J., York Mason A., Pre-operative computed tomography of the rectum, Brit J Radiol, 54, pp. 655-659, (1981)

[9]

Adalsteinsson B., Glimelius B., Graffman S., Hemmingsson A., Pahlman L., Computed tomography in staging of rectal carcinoma, Acta Radiol Diagnosis, 26, pp. 45-55, (1985)

[10]

Hildebrandt U., Feifel G., Preoperative staging of rectal cancer by intrarectal ultrasound, Dis Colon Rectum, 28, pp. 42-46, (1985)

← 1 2 →