ENDORECTAL SONOGRAPHY IN THE MANAGEMENT OF RECTAL VILLOUS TUMORS

被引：25

作者：

MOSNIER, H

GUIVARCH, M

MEDURI, B

FRITSCH, J

OUTTERS, F

机构：

[1] Department of Digestive Surgery, Hôpital Foch, Suresnes

来源：

INTERNATIONAL JOURNAL OF COLORECTAL DISEASE | 1990年 / 5卷 / 02期

关键词：

D O I：

10.1007/BF00298476

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Thirty-seven patients with rectal villous tumours were investigated by endorectal sonography to assess the integrity of the rectal muscularis propria at the tumour level. In four cases assessment of invasion was impossible. In 24 patients, endosonography revealed an ultrasonically superficial lesion not infiltrating the muscular layer. This was confirmed either, in the case of laser treatment, by the absence of malignant recurrence during the follow-up period or by histological examination after surgical resection. In nine patients, endosonography showed infiltration of the muscular layer. This was histologically confirmed in five operated patients. In the remaining four, laser destruction was performed: in two, a rectal adenocarcinoma was present 3 and 6 months later, respectively. These findings show that endosonography has a place in the management of rectal villous tumours, demonstrating invasive cancer in cases where other forms of assessment were wrongly reassuring. © 1990 Springer-Verlag.

引用

页码：90 / 93

页数：4

共 30 条

[11]

Shinya H., Wolff W.I., Morphology, anatomic distribution and cancer potential of colonic polyps, Ann Surg, 190, pp. 679-683, (1979)

[12]

Stulc J.P., Petrelli N.J., Herrera L., Mittelman A., Colorectal villous and tubuvillous adenomas equal or greater than four centimeters, Ann Surg, 207, pp. 65-71, (1988)

[13]

Welch J.P., Welch C.E., Villous adenomas of the colorectum, Am J Surg, 131, pp. 185-191, (1976)

[14]

Fischer E.R., Castro A.F., Diffuse papillomatous polyps (villous tumors) of the colon and rectum. Pathologic and clinical observations, The American Journal of Surgery, 85, pp. 146-151, (1953)

[15]

Nivatvongs S., Nicholson J.D., Rothenberger D.A., Balcos E.G., Christenson C.E., Nemer F.D., Schottler J.L., Goldberg S.L., Villous adenomas of the rectum. The accuracy of clinical assessment, Surgery, 87, pp. 549-551, (1980)

[16]

Adolff J., Kohler J.J., Abord sacré de certaines tumeurs villeuses de l'ampoule rectale, J Chir (Paris), 98, pp. 19-26, (1969)

[17]

Parks A.G., Stuart A.E., The management of villous tumours of the large bowel, Br J Surg, 60, pp. 688-695, (1973)

[18]

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

[19]

Butch R.J., Stark D.D., Wittenberg J., Tepper J.E., Saini S., Simeone S.F., Mueller P.R., Ferucci J.F., Staging rectal cancer by MR and CT, Am J Rad, 146, pp. 1155-1160, (1986)

[20]

Hodgman C.G., MacCarty R.L., Wolf B.G., May G.R., Berquist T.H., Sheedy P.F., Beart R.W., Spencer R.J., Preoperative staging of rectal carcinoma by computed tomography and 0.15 T magnetic resonance imaging, Dis Colon Rectum, 29, pp. 446-450, (1986)

← 1 2 3 →