Skip to main content
Log in

Experience with local rectal cancer excision in light of two recent preoperative diagnostic methods

  • Published:
Diseases of the Colon & Rectum

Abstract

This study analyzes the usefulness of two diagnostic methods: endorectal echotomography and adenolymphoscintigraphy. Echotomography is an important means for determining the extent of a tumor beyond the rectal wall, whereas lymphoscintigraphy is useful in demonstrating the metastatic locations in lymph nodes. These two modes of evaluation may permit an evaluation of the extent of the tumor and the possible involvement of regional lymph nodes before a surgical operation. Although the case material is limited, the statistical data can lead one to believe that, in the near future, a reasoned choice will be possible between local excision and abdominoperineal resection. The study include 60 endorectal echotomographies and 26 lymphoscintigraphies (20 with99mTc colloid and six with 201-T1 colloid).

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Goligher JC. Surgery of the anus, rectum, and colon. London: Bailliere Tindall, 1980.

    Google Scholar 

  2. Grigg M, McDermott FT, Pihl EA, Hughes ES. Curative local excision in the treatment of carcinoma of the rectum. Dis Colon Rectum 1984;27:81–3.

    Article  PubMed  CAS  Google Scholar 

  3. Papillon J. New prospects in the conservative treatment of rectal cancer. Dis Colon Rectum 1984;27:695–700.

    PubMed  CAS  Google Scholar 

  4. Hager TH, Gall FP, Hermanek P. Local excision of cancer of the rectum. Dis Colon Rectum 1983;26:149–51.

    PubMed  CAS  Google Scholar 

  5. Bucci L, Salfi R, Meraviglia F, Mazzeo F. Rectal lymphoscintigraphy. Dis Colon Rectum 1984;27:370–5.

    PubMed  CAS  Google Scholar 

  6. Gianola FJ, Dwyer A, Jones AE, Sugarbaker PH. Prospective studies of laboratory and radiologic tests in the management of colon and rectal cancer patients: I. Selection of useful preoperative tests through an analysis of surgically occult metastases. Dis Colon Rectum 1984;27:811–8.

    Article  PubMed  CAS  Google Scholar 

  7. Meyniel G, Plagne R, Veyre A. Systeme lymphatique. In: Traité de Medicine nucleaire, Flammarion Medicine Sciences, 1975:394–408.

  8. Pihl E, Hughes ES, McDermott FT, Milne BJ, Korner JM, Price AB. Carcinoma of the rectum and rectosigmoid: cancer specific long-term survival: a series of 1061 cases treated by one surgeon. Cancer 1980;45:2902–7.

    Article  PubMed  CAS  Google Scholar 

  9. Dragsted J, Gammelgaard J. Endoluminal ultrasonic scanning in the evaluation of rectal cancer: a preliminary report of 13 cases. Gastrointest Radiol 1983;8:367–9.

    Article  PubMed  CAS  Google Scholar 

  10. Alzin HH, Kohlberger R, Schxaiger R, Alloussi S. Valeur de l'echographie endorectale dans la chirurgie du rectum. Ann Radiol (Paris) 1983: 334–6.

  11. P»hlman L, Adalsteinsson B, Glimelius B, Lindgren PG, Scheibenpflug L. Ultrasound in preoperative staging of rectal tumours. Acta Radiol [Diagn] (Stockh) 1984;25:489–94.

    Google Scholar 

  12. Konishi et al. Transrectal ultrasonography for the assessment of invasion in rectal carcinomas. Coloproctology 1984;6:279.

    Google Scholar 

  13. Monitori et al. Transrectal echography and perendoscopic lymphoscintigraphy in the preoperative study of patients with rectal cancer. Coloproctology 1984;6:277.

    Google Scholar 

  14. Ito Y, Otsuka N, Nagai K, et al. Lymphoscintigraphy by SC injection of67Ga-citrate. Eur J Nucl Med 1982;7:260–5.

    Article  PubMed  CAS  Google Scholar 

  15. Bergqvist L, Strand S-E, Persson BR. Particle sizing and biokinetics of interstitial lymphoscintigraphic agents. Semin Nucl Med 1983;13:9–19.

    Article  PubMed  CAS  Google Scholar 

  16. Reasbeck PG, Manktelow A, McArthur AM, Packer SG, Berkeley BB. On evaluation of pelvic lymphoscintigraphy in the staging of colorectal carcinoma. Br J Surg 1984;71:936–40.

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

About this article

Cite this article

Accarpio, G., Scopinaro, G., Claudiani, F. et al. Experience with local rectal cancer excision in light of two recent preoperative diagnostic methods. Dis Colon Rectum 30, 296–298 (1987). https://doi.org/10.1007/BF02556179

Download citation

  • Received:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02556179

Key words

Navigation