Recurrent colorectal carcinoma: evaluation with barium enema examination and CT.

Chen, Yu Men; Ott, Daniel; Wolfman, Neil T.; Gelfand, David W.; Karsteadt, N.; Bechtold, Robert E.

doi:10.1148/radiology.163.2.3562810

Cited by 51 publications

(14 citation statements)

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“…Tumour markers, although useful, have only a 59% sensitivity and an 84% specificity for recun'ences [138]. Barium enema detects local recurrence but is insensitive (49%) for overall recurrence detection [139]. Similar results are reported for colonoscopy.…”

Section: Colorectal Carcinomamentioning

confidence: 65%

Oncological applications of positron emission tomography with fluorine-18 fluorodeoxyglucose

Rigo¹,

Paulus²,

et al. 1996

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Abstract. Positron emission tomography (PET) is now primarily used in oncological indication owing to the successful application of fluorine-18 fluorodeoxyglucose (FDG) in an increasing number of clinical indications at different stages of diagnosis, and for staging and followup. This review first considers the biological characteristics of FDG and then discusses methodological considerations regarding its use. Clinical indications are considered, and the results achieved in respect of various organs and tumour types are reviewed in depth. The review concludes with a brief consideration of the ways in which clinical PET might be improved.

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Section: Colorectal Carcinomamentioning

confidence: 65%

Oncological applications of positron emission tomography with fluorine-18 fluorodeoxyglucose

Rigo¹,

Paulus²,

et al. 1996

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“…pelvic mass following an abdominoperitoneal resection), or distal (i.e. metastases) [1,2,4]. Although the barium enema or colonoscopy can be used to assess for recurrent or metachronous neoplasms, endoluminal involvement of a colonic anastomosis is uncommon.…”

Section: Postoperative Evaluationmentioning

confidence: 99%

“…The barium enema and endoscopy are used primarily for initial detection of CRC and its adenomatous precursors [1][2][3][4]. We will focus on the role of radiologic imaging, excluding the barium enema, for staging and post-treatment evaluation of patients with this disease.…”

mentioning

confidence: 99%

“…For the modified Dukes' staging systems, the respective 5-year survivals are stage A 81-85%, stage B 64-78%, stage C 27-33%, and stage D 5-14% [11,14]. Dig Dis 1998;16:175-182 Ott/Wolfman/Scharling/Zagoria 1 Stage Description tumor confined to mucosa B 1 tumor spread into muscularis propria only B 2 tumor spread through muscularis propria; no node metastases C 1 tumor confined to muscularis propria; node metastases present C 2 tumor spread beyond muscularis propria; node metastases present D distant metastases 1 Astler-Coller staging modification. The depth of wall invasion and the presence or absence of lymph node metastases are major factors that influence prognosis in this disease.…”

mentioning

confidence: 99%

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Overview of Imaging in Colorectal Cancer

Ott

Wolfman²,

Scharling³

et al. 1998

Dig Dis

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Accurate staging of colorectal carcinoma (CRC) at initial diagnosis is critical for proper management of this disease. Computed tomography (CT) is often used for preoperative staging and is complementary to the clinical assessment of the patient and to the use of other imaging techniques, such as endoluminal ultrasound (US). CT can identify those patients who may benefit from local radiation therapy, hepatic resection or cryoablation, or intra-arterial chemotherapy. Endoluminal US may detect patients with early disease and alter their course of therapy, especially in those with rectal carcinoma in which limited surgery might be performed. CT is generally the modality of choice for imaging the postoperative patient. CT clearly depicts the operative area, particularly after abdominoperitoneal resection, and can be used to guide percutaneous biopsy of masses. The role of magnetic resonance imaging in CRC remains to be defined. In this review, we discuss the current roles of these various imaging modalities in the management of this disease.

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“…The overall sensitivity of barium enema in detection of locally recurrent carcinoma has been 88% [38].…”

Section: Postoperative Evaluation Of Local Recurrence With Trus and Tvusmentioning

confidence: 99%

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

et al. 1993

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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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Recurrent colorectal carcinoma: evaluation with barium enema examination and CT.

Cited by 51 publications

References 0 publications

Oncological applications of positron emission tomography with fluorine-18 fluorodeoxyglucose

Oncological applications of positron emission tomography with fluorine-18 fluorodeoxyglucose

Overview of Imaging in Colorectal Cancer

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

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