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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
1990-9-12
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pubmed:abstractText |
Refined surgical treatment of carcinoma of the rectum, such as sphincter-preserving operations, pouch anal anastomosis, and pre-operative irradation require exact assessment of tumor and lymph-node involvement before therapy. To improve pre-operative staging we used endorectal ultrasound to determine the depth of tumor infiltration and the presence of lymph-node metastases. A 7.0 MHz transducer (Bruel and Kjaer, Denmark) was used in the pre-operative staging of 110 patients with rectal carcinomas. In 90% of the cases it was possible to perform a correct tumor staging pre-operatively in comparison with histopathology. Sensitivity for detection of perirectal fat infiltration was 96% and the negative predictive value was 96%. Lymph-node involvement was accurately identified in approximately 80% of the cases. Endorectal ultrasound is a highly accurate tool in the pre-operative staging of rectal carcinoma, as well as in the detection of lymph-node involvement. It will identify patients suitable for sphincter-saving procedures or local treatment and define those with a considerable risk of local recurrence, where combined surgery and radiotherapy may be considered.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Aug
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pubmed:issn |
0748-7983
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
16
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
304-11
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pubmed:dateRevised |
2007-7-2
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pubmed:meshHeading |
pubmed-meshheading:2199222-Humans,
pubmed-meshheading:2199222-Lymphatic Metastasis,
pubmed-meshheading:2199222-Neoplasm Staging,
pubmed-meshheading:2199222-Predictive Value of Tests,
pubmed-meshheading:2199222-Preoperative Care,
pubmed-meshheading:2199222-Rectal Neoplasms,
pubmed-meshheading:2199222-Ultrasonography
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pubmed:year |
1990
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pubmed:articleTitle |
Influence of endorectal ultrasound on surgical treatment of rectal cancer.
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pubmed:affiliation |
Department of Surgery, University of Heidelberg.
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pubmed:publicationType |
Journal Article
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