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Clin Colon Rectal Surg 2002; 15(1): 017-026
DOI: 10.1055/s-2002-23564
DOI: 10.1055/s-2002-23564
Preoperative Staging of Rectal Cancer
Further Information
Publication History
Publication Date:
03 April 2002 (online)
ABSTRACT
Advancements in surgical techniques and equipment, combined with the increasing use of preoperative radiation, have made sphincter-saving procedures increasingly available to patients with rectal cancer. The accurate preoperative local staging of rectal cancer, including tumor depth penetration and regional lymph node metastases, is essential in determining the most appropriate therapeutic option available and provides valuable information on prognosis in patients with rectal cancer. Although several imaging modalities such as computed tomography and magnetic resonance imaging are available for the local staging of rectal tumors, endoscopic rectal ultrasound remains the modality of choice. It provides accurate assessment of tumor penetration into the rectal wall and information on regional lymph node staging in the majority of patients. This article will review the current modalities used for the preoperative staging of patients with rectal cancer, with emphasis on the use of endorectal ultrasound.
KEYWORD
Rectal cancer - endorectal ultrasound - staging - computed tomography - magnetic resonance imaging
REFERENCES
- 1 Jemal A, Thomas A, Murray T, Thun M. Cancer statistics, 2002. CA Cancer J Clin . 2002; 52 23-47
- 2 Duke C. The classification of cancer of the rectum. J Path Bacteriol . 1932; 35 323-332
- 3 Kirklin J, Dockerty M, Waugh J. The role of the peritoneal reflection in the prognosis of carcinoma of the rectum and sigmoid colon. Surg Gynecol Obstet . 1949; 88 326-331
- 4 Astler V, Collier F. The prognostic significance of direct extension of carcinoma of the colon and rectum. Ann Surg . 1954; 139 846-851
- 5 American Joint Committee on Cancer. AJCC Cancer Staging Manual.
5th ed. Chicago: AJCC; 1997
MissingFormLabel
- 6 Mason A. Rectal cancer: the spectrum of selective surgery. Proc R Soc Med . 1976; 69 237-244
- 7 Nicholls R, Mason A, Morson B. The clinical staging of rectal cancer. Br J Surg . 1982; 69 404-409
- 8 Rifkin M, Ehrlich S, Marks G. Staging of rectal carcinoma: prospective comparison of endorectal US and CT. Radiology . 1989; 170 319-322
- 9 Goldman S. Transrectal ultrasound and computed tomography in preoperative staging of lower rectal adenocarcinoma. Gastrointest Radiol . 1991; 16 259-263
- 10 Blomqvist L, Holm T, Rubio C. Rectal tumour staging: MR imaging using pelvic phased-array and endorectal coils vs endoscopic ultrasonography. Eur Radiol . 2000; 10 653-660
- 11 Thaler W, Watzka S, Martin F. Preoperative staging of rectal cancer by endoluminal ultrasound vs magnetic resonance imaging: preliminary results of a prospective comparative study. Dis Colon Rectum . 1994; 37 1189-1193
- 12 Guillem J, Puig-La Calle J, Akhurst T. Prospective assessment of primary rectal cancer response to preoperative radiation and chemotherapy using 18-flurodeoxyglucose positron emission tomography. Dis Colon Rectum . 2000; 43 18-24
- 13 Boykin K. The use of FDG-positron emission tomography for the evaluation of colorectal metastases of the liver. Am Surg . 1999; 65 1183-1185
- 14 Bernick P, Wong W D. Staging: What makes sense?. <~>Can the pathologist help? Surg Oncol Clin N Amer . 2000; 9 703-720
- 15 Akasu T, Kondo H, Moriya Y. Endorectal ultrasonography and treatment of early stage rectal cancer. World J Surg . 2000; 24 1061-1068
- 16 Wong W, Orrom W, Jensen L. Preoperative staging of rectal cancer with endorectal ultrasonography. Perspectives Colon Rectal Surg . 1990; 3 315-334
- 17 Stoker J, Rociu E, Wiersma T G. Imaging of anorectal disease. Br J Surg . 2000; 87 10-27
- 18 Solomon M, McLeod R. Endoluminal transrectal ultrasonography: accuracy, reliability, and validity. Dis Colon Rectum . 1993; 36 200-205
- 19 Saclarides T. Surgeon-performed ultrasound. Surg Clin N Amer . 1998; 78 237-250
- 20 Mason A. Role of local surgery in carcinoma of the rectum. Proc R Soc Med . 1976; 69 869-872
- 21 Holdsworth P J, Johnston D, Chalmers A G. Endoluminal ultrasound and computed tomography in the staging of rectal cancer. Br J Surg . 1988; 75 1019-1022
- 22 Beynon J, Foy D M, Temple L N. The endoscopic appearances of normal colon and rectum. Dis Colon Rectum . 1986; 28 810-813
- 23 Kim H, Wong W D. Role of endorectal ultrasound in the conservative management of rectal cancers. Semin Surg Oncol . 2000; 19 358-366
- 24 Waizer A, Powsner E, Russo I. Comparative study for preoperative staging of rectal cancer. Dis Colon Rectum . 1989; 32 53-56
- 25 Kim N K, Kim M J, Yun S H. Comparative study of transrectal ultrasonography, pelvic computerized tomography, and magnetic resonance imaging in preoperative staging of rectal cancer. Dis Colon Rectum . 1999; 42 770-775
- 26 Osti M, Padovan F S, Pirolli C. Comparison between transrectal ultrasonography and computed tomography with rectal inflation of gas in preoperative staging of lower rectal cancer. Eur Radiol . 1997; 7 26-30
- 27 Herzog U, Von Flue M, Tondelli P. How accurate is endorectal ultrasound in the preoperative staging of rectal cancer?. Dis Colon Rectum . 1993; 36 127-134
- 28 Rivadeneira D E, Daly J M. Hepatic metastases in surgical oncology: contemporary principles and practice. Bland K, Daly J, Karakousis C, eds. New York: McGraw Hill 2000 : 1133-1147
MissingFormLabel
- 29 Starck M, Bohe M, Fork F T. Endoluminal ultrasound and low-field magnetic resonance imaging are superior to clinical examination in the preoperative staging of rectal cancer. Eur J Surg . 1995; 161 841-845
- 30 Meyenberger C, Huch-Boni R A, Bertschinger P. Endoscopic ultrasound and endorectal magnetic resonance imaging: a prospective, comparative study for preoperative staging and follow-up of rectal cancer. Endoscopy . 1995; 27 469-479
- 31 Gualdi G, Casciani E, Guadalaxara A. Local staging of rectal cancer with transrectal ultrasound and endorectal magnetic resonance imaging: comparison with histologic findings. Dis Colon Rectum . 2000; 43 338-345
- 32 Hildebrandt U, Feifel G. Preoperative staging of rectal cancer by intrarectal ultrasound. Dis Colon Rectum . 1985; 28 42-46
- 33 Blumberg D, Paty P B, Picon A I. All patients with small intramural rectal cancers are at risk for lymph node metastasis. Dis Colon Rectum . 1999; 42 881-885
- 34 Garcia-Aguilar J, Mellegren A, Sirivong P. Local excision of rectal cancer without adjuvant therapy. Ann Surg . 2000; 231 345-351
- 35 Benyon J, Mortensen N JM, Foy D MA. Preoperative assessment of mesorectal lymph node involvement in rectal cancer. Br J Surg . 1989; 76 276-279
- 36 Sunouchi K. Limitation of endorectal ultrasonography: what does a low lesion more than 5 mm in size correspond to histologically?. Dis Colon Rectum . 1998; 41 761-764
- 37 Katsura Y. Endorectal ultrasonography for the assessment of wall invasion and lymph node metastasis in rectal cancer. Dis Colon Rectum . 1992; 35 362-368
- 38 Ogunbiyi O A, Flanagan F L, Dehdashti F. Detection of recurrent and metastatic colorectal cancer: comparison of positron emission tomography and computed tomography. Ann Surg Oncol . 1997; 4 613-620
- 39 Rafaelsen S, Kronborg O, Fenger C. Digital rectal examination and transrectal ultrasonography in staging of rectal cancer. A prospective, blind study. Acta Radiol . 1994; 35 300-304
- 40 Kwok H, Bissett I, Hill G. Preoperative staging of rectal cancer. Int J Colorectal Dis . 2000; 15 9-20
- 41 Deen K, Madoff R D, Wong W D. Preoperative staging of rectal neoplasm with endorectal ultrasonography. Sem Colon Rectum Surg . 1995; 6 78-85
- 42 Pikarsky A, Wexner S, Lebensart P. The use of rectal ultrasound for the correct diagnosis and treatment of rectal villous tumors. Am J Surg . 2000; 179 261-265