Imaging Assessment of Early Rectal Cancer

  • Jo Waage
  • Fiona Taylor
  • James Read
  • Gina BrownEmail author
Part of the Recent Results in Cancer Research book series (RECENTCANCER, volume 203)


Early rectal cancer (ERC) is defined as invasive adenocarcinoma spreading into, but not beyond, the submucosa or muscularis propria—that is a Dukes’A: T1N0 or T2N0 tumour in the tumour node metastasis (TNM) classification (Taylor et al. 2008). Among these tumours it is suggested that the most superficial T1 tumours least likely to metastasize to local lymph nodes than adenocarcinoma invading deeper where the rich lymphatic and venous plexuses within the submucosa provide a mechanism for tumour spread beyond the rectum. Currently, only about 10 % of patients presenting symptomatically with rectal cancer are diagnosed with early disease; however, up to 30 % of screen detected cancers are being identified as Dukes’A. Thus, the overall detection of early stage tumours is likely to increase following greater implementation in screening programs. The goal of this invited review is to provide recommendations based on the consensus discussion on the information from preoperative imaging that is of relevance for clinical decision-making for patients with early rectal cancer.


Rectal Cancer Local Excision Rectal Wall Muscularis Propria Early Stage Tumour 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer International Publishing Switzerland 2014

Authors and Affiliations

  • Jo Waage
    • 1
  • Fiona Taylor
    • 2
  • James Read
    • 2
  • Gina Brown
    • 1
    • 3
    Email author
  1. 1.Haukeland University HospitalSurgical ClinicBergenNorway
  2. 2.Department of Surgery and Academic RadiologyCroydon University and Royal Marsden NIHR BRCSurreyUK
  3. 3.Department of Academic RadiologyRoyal Marsden NIHR BRCSurreyUK

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