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Transanorectal Ultrasonography in the Staging of Anal Epidermoid Carcinoma by Sven Goldman; Ulf Norming; Christer Svensson; Bengt Glimelius is a Medicine article available to read on EtoBox.

What is Transanorectal Ultrasonography in the Staging of Anal Epidermoid Carcinoma about?

Fifty consecutive patients with anal canal epidermoid carcinoma were evaluated by transanorectal ultrasonography (TRUS) at diagnosis. Forty-six patients were treated with primary radiotherapy plus bleomycin. Twenty-eight of the last 30 patients underwent, in addition, planimetric volume determination. The ultrasound findings were compared with clinical stage as assessed by digital palpation. Tumours in clinical stages T1-2 showed evidence of penetration through the anorectal muscular wall at ultrasound (UT3-4) in two-thirds of the cases. This was the case in all tumours in clinical stages T3-4. A clear correlation between tumour size, depth of invasion, and tumour volume, respectively, and residual tumour after a "pre-operative" dose of 40 Gy plus bleomycin was found. When combining clinical stage with TRUS, all tumours classified as T1-2/UT1-2 had a complete response (CR) after the first radiotherapy period, whereas the corresponding figures for those with deep invasion ultrasonographically (T1-2/UT3-4 and T3-4/UT3-4) were 64 percent and 0 percent, respectively. It thus appears that TRUS could complement digital palpation in staging anal canal carcinoma.

Who reads Transanorectal Ultrasonography in the Staging of Anal Epidermoid Carcinoma?

Author

Sven Goldman; Ulf Norming; Christer Svensson; Bengt Glimelius

Publisher

Springer; Springer-Verlag; Springer Verlag; Springer Science and Business Media LLC (ISSN 0179-1958)

Published

1991

Language

EN

Field

Medicine (Health Sciences)