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Water enema transvaginal ultrasound for local staging of stenotic rectal carcinoma
M Scialpi1, A Rotondo, G Angelelli
1Department of Radiology, Santissima Annunziata General Hospital, Via Bruno, 74100 Taranto, Italy.
Background:
To increase the value of ultrasound in the staging of stenotic rectal carcinoma.
Methods:
Water enema transvaginal ultrasound (WE-TVUS) was performed in 21 consecutive female patients with severely stenotic rectal tumor (adenocarcinoma histologically proved) who were selected on the basis of clinical and double-contrast barium enema study. All patients underwent surgery, and histopathologic correlation was possible.
Results:
Rectal tumors were well demonstrated in all cases, and a good correlation between perirectal neoplastic infiltration, and lymph node involvement at WE-TVUS and histologic data were observed. Compared with histologic results, WE-TVUS correctly staged 19 of 21 tumors (overall accuracy = 90%); one case was understaged (T4 as T3) and one case was overstaged (T3 as T4). In the detection of lymph node involvement, the sensitivity was 50% and specificity was 78%.
Conclusion:
WE-TVUS is a potentially valuable technique for defining the local extension of severely stenotic rectal tumors in women.
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