The role of transrectal ultrasound-guided biopsy in the postoperative follow-up of patients with rectal cancer

Hünerbein, M.; Totkas, S.; Moesta, K. T.; Ulmer, Christoph; Handke, T.; Schlag, Peter M.

doi:10.1067/msy.2001.110428

Cited by 101 publications

(67 citation statements)

References 20 publications

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“…ERUS is more accurate to distinguish between benign tumors and invasive carcinomas and between tumors localized to the rectal wall versus tumors with transmural invasion [28]. FNA especially improves the accuracy of endorectal ultrasound in the diagnosis of recurrent rectal cancer [29,30,31,32]. Restaging after neoadjuvant chemoradiation therapy is compromised by the effects of chemoradiation such as inflammation, edema, necrosis, and fibrosis.…”

Section: Discussionmentioning

confidence: 99%

Endorectal Ultrasound-Guided Fine-Needle Aspiration: A Useful Diagnostic Tool for Perirectal and Intraluminal Lesions

et al. 2012

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Objectives: Endorectal endoscopic ultrasound (ERUS) allows highly detailed assessment of the rectal wall layers and visualization of the extraluminal structures. Herein, we study the utility of ERUS fine-needle aspiration (FNA) to evaluate perirectal lesions. Study Design: Forty-nine ERUS-FNAs were retrieved from the cytopathology archives of The Johns Hopkins Hospital. The cytology slides, corresponding histology, immunohistochemistry when available, and clinical data were reviewed. Results: The aspirated material showed malignant (n = 24), benign (n = 19), atypical (n = 3), carcinoid tumor (n = 1), and nondiagnostic conditions (n = 2). The past medical history of 36 cases was significant for carcinomas. The primary site of the tumors included colorectal, urinary bladder, prostate, pancreas, gallbladder, ovary, and female lower genital tract. Statistical analysis for endoscopic ultrasonography FNA showed 87% sensitivity, 100% specificity, diagnostic accuracy of 90%, and a positive predictive value of 100% and a negative predictive value of 77%. Conclusion: ERUS-FNA can be utilized for: (1) accurate staging of colorectal adenocarcinomas by evaluation of nodal metastasis, depth of transmural tumor invasion and local tumor spread to perirectal fat, (2) prevention of aggressive surgical intervention in benign conditions, (3) providing diagnostic material for ancillary studies, and (4) evaluation of perirectal lesions with a more accurate method by combining imaging and histology.

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Section: Discussionmentioning

confidence: 99%

Endorectal Ultrasound-Guided Fine-Needle Aspiration: A Useful Diagnostic Tool for Perirectal and Intraluminal Lesions

et al. 2012

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“…Quellen: [1275] Starker Konsens Hintergrund Endosonografische Nachsorgeuntersuchungen beim Rektumkarzinom erwiesen sich in einer Studie zur Erkennung von lokoregionären Rezidiven nach Sphinkter-erhaltender Rektumresektion als hilfreich, wenn dieses Verfahren mit einer EUS-gesteuerten Biopsie kombiniert wurde [1275]. 68 Empfehlungsgrad 0…”

Section: Level Of Evidence 3bunclassified

S3-Leitlinie – Kolorektales Karzinom

Schmiegel

Buchberger

Follmann³

et al. 2017

Z Gastroenterol

147

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“…Two prospective studies reported that EUS has a higher accuracy (93–100%) compared with CT (83–85%) in detecting recurrences [34, 35]. The accuracy of EUS in detecting recurrent rectal cancer has been shown to be improved with the addition of FNA [36, 37]. …”

Section: Cancer Staging Using Eusmentioning

confidence: 99%

Clinical Applications of Endoscopic Ultrasound to Oncology

Early

Azar

2005

Oncology

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Endoscopic ultrasound (EUS) is a useful imaging modality in patients with certain gastrointestinal malignancies as well as lung cancer. In many cases, EUS has been shown to have superior staging accuracy compared with other imaging techniques such as computed tomography, magnetic resonance imaging and positron emission tomography. This article will review the role of EUS in diagnosing and staging esophageal, rectal, pancreatic and lung cancers as well as subepithelial lesions. Newer therapeutic applications of EUS, namely endoscopic mucosal resection for removal of localized lesions as well as celiac plexus neurolysis for pain control, will also be discussed.

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The role of transrectal ultrasound-guided biopsy in the postoperative follow-up of patients with rectal cancer

Cited by 101 publications

References 20 publications

Endorectal Ultrasound-Guided Fine-Needle Aspiration: A Useful Diagnostic Tool for Perirectal and Intraluminal Lesions

Endorectal Ultrasound-Guided Fine-Needle Aspiration: A Useful Diagnostic Tool for Perirectal and Intraluminal Lesions

S3-Leitlinie – Kolorektales Karzinom

Clinical Applications of Endoscopic Ultrasound to Oncology

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