Metrika članka

  • citati u SCindeksu: 0
  • citati u CrossRef-u:0
  • citati u Google Scholaru:[=>]
  • posete u poslednjih 30 dana:15
  • preuzimanja u poslednjih 30 dana:2
članak: 2 od 85  
Back povratak na rezultate
Vojnosanitetski pregled
2019, vol. 76, br. 1, str. 67-71
jezik rada: engleski
vrsta rada: kratki članak
doi:10.2298/VSP170301140P

Creative Commons License 4.0
Efikasnost transrektalne ultrasonografije (TRUS) u preoperativnoj proceni stadijuma rektalnog karcinoma
aClinical Centre of Serbia, Clinic for Gastroenterology, Belgrade + University of Belgrade, Faculty of Medicine, Belgrade
bUniversity of Belgrade, Faculty of Medicine, Belgrade + Clinical Centre of Serbia, First Surgical Clinic, Belgrade
cUniversity of Belgrade, Faculty of Medicine, Belgrade + Clinic for Gynecology and Obstetrics 'Narodni front', Belgrade

e-adresa: scpy@beotel.net

Sažetak

Uvod/Cilj: Ishod lečenja rektalnog karcinoma zavisi od stadijuma u kome je otkriven. Postoji više klasifikacionih sistema koji se primenjuju u cilju određivanja proširenosti karcinoma. Cilj ovog istraživanja bio je upoređivanje efikasnosti transrektalne ultrasonografije (TRUS) u preoperativnoj lokalnoj proceni stadijuma rektalnog karcinoma uz pomoć različitih endosonografskih sondi (180° vs. 360°), kao i uticaj iskustva endoksopiste na izvođenje TRUS. Metode. Istraživanje je sprovedeno na 127 bolesnika tokom perioda od šest godina. Pregledan je 71 bolesnik uz pomoć 180° endosonografske sonde (grupa A) i 56 bolesnika uz pomoć 360° rotirajuće sonde (grupa B). Svi nalazi su komparirani sa patohistološkim izveštajima. Rezultati. TRUS je pokazao ukupnu dijagnostičku senzitivnost od 91,3% za tumor (T) kategoriju (k = 0.866, SE (k) = 0.038, p < 0.0001), i 71,7% za nodus (N) kategoriju (ϰ = 0.374, SE (k) = 0.082, p < 0.0001). U grupi A, TRUS je pokazao senzitivnost od 88,7% za T kategoriju (ϰ= 0.805, SE (k) = 0.063, p < 0.0001), i 70,4% za N kategoriju (ϰ = 0.376, SE (k) = 0.101, p < 0.0001). U grupi B, TRUS je pokazao senzitivnost od 94.6% za T kategoriju (ϰ = 0.920, SE (k) = 0.044, p < 0.0001), i 73,2% za N kategoriju (ϰ = 0.379, SE (k) = 0.131, p = 0.004). Iskustvo endoskopiste u izvođenju TRUS nije imalo značajniji uticaj na preoperativnu procenu stadijuma rektalnog karcinoma. Zaključak. Efikasnost i tačnost TRUS u preoperativnoj lokalnoj proceni stadijuma rektalnog karcinoma je visoka. Naši rezultati ukazuju da ne postoji značajna razlika u dijagnostici rektalnog karcinoma uz pomoć različitih endosonografskih sondi (180° vs. 360°). Takođe, pokazano je da iskustvo endoskopiste u izvođenju TRUS ne utiče značano na procenu stadijuma rektalnog karcinoma.rektalnog karcinoma.

Ključne reči

Reference

Al-Sukhni, E., Milot, L., Fruitman, M., Beyene, J., Victor, J. C., Schmocker, S., Brown, G., McLeod, R., Kennedy, E. (2012) Diagnostic Accuracy of MRI for Assessment of T Category, Lymph Node Metastases, and Circumferential Resection Margin Involvement in Patients with Rectal Cancer: A Systematic Review and Meta-analysis. Annals of Surgical Oncology, 19(7): 2212-2223
Bipat, S., Glas, A.S., Slors, F.J. M., Zwinderman, A.H., Bossuyt, P.M. M., Stoker, J. (2004) Rectal Cancer: Local Staging and Assessment of Lymph Node Involvement with Endoluminal US, CT, and MR Imaging-A Meta-Analysis. Radiology, 232(3): 773-783
Colaiácovo, R., Assef, M.S., Ganc, R.L., Carbonari, A.P., Silva, F.A., Bin, F.C., i dr. (2014) Rectal cancer staging: Correlation between the evaluation with radial echoendoscope and rigid linear probe. Endosc Ultrasound, 3(3): 161-6
Dworak, O. (1989) Number and size of lymph nodes and node metastases in rectal carcinomas. Surg Endosc, 3(2): 96-9
Ferlay, J., Autier, P., Boniol, M., Heanue, M., Colombet, M., Boyle, P. (2007) Estimates of the cancer incidence and mortality in Europe in 2006. Annals of oncology, 18(3): 581-92
Garcia-Aguilar, J., Pollack, J., Lee, S., Hernandez, de A.E., Mellgren, A., Wong, D.W., Finne, C.O., Rothenberger, D.A., Madoff, R.D. (2002) Accuracy of Endorectal Ultrasonography in Preoperative Staging of Rectal Tumors. Diseases of the Colon & Rectum, 45(1): 10-15
Guinet, C. (1990) Comparison of Magnetic Resonance Imaging and Computed Tomography in the Preoperative Staging of Rectal Cancer. Archives of Surgery, 125(3): 385
Harewood, G.C. (2005) Assessment of Publication Bias in the Reporting of EUS Performance in Staging Rectal Cancer. American Journal of Gastroenterology, 100(4): 808-816
Herzog, U., von Flüe, M., Tondelli, P., Schuppisser, J.P. (1993) How accurate is endorectal ultrasound in the preoperative staging of rectal cancer?. Dis Colon Rectum, 36(2): 127-34
Hildebrandt, U., Feifel, G. (1985) Preoperative staging of rectal cancer by intrarectal ultrasound. Dis Colon Rectum, 28(1): 42-6
Hildebrandt, U., Feifel, G., Schwarz, H. P., Scherr, O. (1986) Endorectal ultrasound: instrumentation and clinical aspects. International Journal of Colorectal Disease, 1(4): 203-207
Kim, M.J. (2014) Transrectal ultrasonography of anorectal diseases: advantages and disadvantages. Ultrasonography, 34(1): 19-31
Lahaye, M.J., Engelen, S.M.E., Nelemans, P.J., Beets, G.L., van de Velde, C.J.H., van Engelshoven, J.M.A., Beets-Tan, R.G.H. (2005) Imaging for Predicting the Risk Factors-the Circumferential Resection Margin and Nodal Disease-of Local Recurrence in Rectal Cancer: A Meta-Analysis. Seminars in Ultrasound, CT and MRI, 26(4): 259-268
McKeown, E., Nelson, D.W., Johnson, E.K., Maykel, J.A., Stojadinovic, A., Nissan, A., Avital, I., Brücher, B.L., Steele, S.R. (2014) Current Approaches and Challenges for Monitoring Treatment Response in Colon and Rectal Cancer. Journal of Cancer, 5(1): 31-43
Muthusamy, V. R., Chang, K. J. (2007) Optimal Methods for Staging Rectal Cancer. Clinical Cancer Research, 13(22): 6877s-6884s
Orrom, W.J., Wong, W.D., Rothenberger, D.A., Jensen, L.L., Goldberg, S.M. (1990) Endorectal ultrasound in the preoperative staging of rectal tumors. A learning experience. Dis Colon Rectum, 33(8): 654-9
Rifkin, M.D., Ehrlich, S.M., Marks, G. (1989) Staging of rectal carcinoma: Prospective comparison of endorectal US and CT. Radiology, 170(2): 319-22
Schaffzin, D.M., Wong, W. D. (2004) Endorectal Ultrasound in the Preoperative Evaluation of Rectal Cancer. Clinical Colorectal Cancer, 4(2): 124-132
Siddiqui, A.A., Fayiga, Y., Huerta, S. (2006) The role of endoscopic ultrasound in the evaluation of rectal cancer. International Seminars in Surgical Oncology, 3(1):
Siegel, R., Ward, E., Brawley, O., Jemal, A. (2011) Cancer statistics, 2011. CA: A Cancer Journal for Clinicians, 61(4): 212-236
Solomon, M.J., McLeod, R.S. (1993) Endoluminal transrectal ultrasonography. Diseases of the Colon & Rectum, 36(2): 200-205
Stepansky, A., Halevy, A., Ziv, Y. (2010) Preoperative staging using transrectal ultrasound in high and low rectal cancer. Isr Med Assoc J, 12(5): 270-2
Valentini, V., Beets-Tan, R., Borras, J.M., Krivokapić, Z., Leer, J.W., Påhlman, L., Rödel, C., Schmoll, H.J., Scott, N., van de Velde, C., Verfaillie, C. (2008) Evidence and research in rectal cancer. Radiotherapy and Oncology, 87(3): 449-474
Wild, J.J., Reid, J.M. (1956) Diagnostic use of ultrasound. Brit Phys Med, 11: 248-57
Xu, D., Ju, H.-X., Qian, C.-W., Jiang, F. (2014) The value of TRUS in the staging of rectal carcinoma before and after radiotherapy and comparison with the staging postoperative pathology. Clinical Radiology, 69(5): 481-484