Colorectal carcinomas: Diagnosis and preoperative staging by hydrocolonic sonography
Background. The aim of this study was to determine the sensitivity, specificity, and predictive value of hydrocolonic sonography (HS) in the detection and preoperative staging of colonic carcinomas. Methods. One hundred four patients referred to our department for colorectal disease were examined in...
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| Veröffentlicht in: | Surgery 1995-06, Vol.117 (6), p.609-615 |
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| creator | Hernández-Socorro, Carmen Rosa Guerra, Cayetano Hernández-Romero, Juan Rey, Augustín López-Facal, Pilar Alvarez-Santullano, Victoria |
| description | Background. The aim of this study was to determine the sensitivity, specificity, and predictive value of hydrocolonic sonography (HS) in the detection and preoperative staging of colonic carcinomas.
Methods. One hundred four patients referred to our department for colorectal disease were examined in a prospective study with conventional transabdominal sonography followed by HS and other well-established means for detection of colorectal cancer. In all diagnosed colorectal carcinomas, surgical resection and histologic examination were carried out, and the histologically confirmed tumor stage was then compared with the stage predicted by HS.
Results. HS staged and made a correct diagnosis of carcinoma in 39 of 40 patients, with a sensivity of 97.5% and a specificity of 98%. Positive predictability was 97.5% and negative predictability 98%. In the evaluation of cancer depth invasion, HS staging was correct in all but one case, in which a T3 tumor was incorrectly judged to be T2. In the assessment of the presence or absence of peritumor metastatic lymph nodes, HS had a sensitivity of 50% and a specificity of 100%.
Conclusions. HS allows the diagnosis and preoperative staging of coloretal carcinomas with high sensitivity, specificity, and predictive value. We highly recommend its preoperative use because of its definitive influence on surgical approach. |
| doi_str_mv | 10.1016/S0039-6060(95)80002-6 |
| format | Article |
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Methods. One hundred four patients referred to our department for colorectal disease were examined in a prospective study with conventional transabdominal sonography followed by HS and other well-established means for detection of colorectal cancer. In all diagnosed colorectal carcinomas, surgical resection and histologic examination were carried out, and the histologically confirmed tumor stage was then compared with the stage predicted by HS.
Results. HS staged and made a correct diagnosis of carcinoma in 39 of 40 patients, with a sensivity of 97.5% and a specificity of 98%. Positive predictability was 97.5% and negative predictability 98%. In the evaluation of cancer depth invasion, HS staging was correct in all but one case, in which a T3 tumor was incorrectly judged to be T2. In the assessment of the presence or absence of peritumor metastatic lymph nodes, HS had a sensitivity of 50% and a specificity of 100%.
Conclusions. HS allows the diagnosis and preoperative staging of coloretal carcinomas with high sensitivity, specificity, and predictive value. We highly recommend its preoperative use because of its definitive influence on surgical approach.</description><identifier>ISSN: 0039-6060</identifier><identifier>EISSN: 1532-7361</identifier><identifier>DOI: 10.1016/S0039-6060(95)80002-6</identifier><identifier>PMID: 7778024</identifier><identifier>CODEN: SURGAZ</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Carcinoma - diagnostic imaging ; Carcinoma - pathology ; Carcinoma - secondary ; Carcinoma - surgery ; Colon - diagnostic imaging ; Colonic Neoplasms - diagnostic imaging ; Colonic Neoplasms - pathology ; Colonic Neoplasms - surgery ; Diagnostic Techniques, Surgical ; Digestive system. Abdomen ; Female ; Humans ; Intestinal Mucosa - diagnostic imaging ; Investigative techniques, diagnostic techniques (general aspects) ; Lymphatic Metastasis - diagnostic imaging ; Male ; Medical sciences ; Middle Aged ; Neoplasm Invasiveness ; Neoplasm Staging ; Predictive Value of Tests ; Prospective Studies ; Rectal Neoplasms - diagnostic imaging ; Rectal Neoplasms - pathology ; Rectal Neoplasms - surgery ; Rectum - diagnostic imaging ; Sensitivity and Specificity ; Ultrasonic investigative techniques ; Ultrasonography</subject><ispartof>Surgery, 1995-06, Vol.117 (6), p.609-615</ispartof><rights>1995 Mosby-Year Book, Inc.</rights><rights>1995 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c389t-66ca85a8986ea183db4966db1128a03bd4589eead101ca9f1aae7cd2b0237dda3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0039-6060(95)80002-6$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3560521$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/7778024$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hernández-Socorro, Carmen Rosa</creatorcontrib><creatorcontrib>Guerra, Cayetano</creatorcontrib><creatorcontrib>Hernández-Romero, Juan</creatorcontrib><creatorcontrib>Rey, Augustín</creatorcontrib><creatorcontrib>López-Facal, Pilar</creatorcontrib><creatorcontrib>Alvarez-Santullano, Victoria</creatorcontrib><title>Colorectal carcinomas: Diagnosis and preoperative staging by hydrocolonic sonography</title><title>Surgery</title><addtitle>Surgery</addtitle><description>Background. The aim of this study was to determine the sensitivity, specificity, and predictive value of hydrocolonic sonography (HS) in the detection and preoperative staging of colonic carcinomas.
Methods. One hundred four patients referred to our department for colorectal disease were examined in a prospective study with conventional transabdominal sonography followed by HS and other well-established means for detection of colorectal cancer. In all diagnosed colorectal carcinomas, surgical resection and histologic examination were carried out, and the histologically confirmed tumor stage was then compared with the stage predicted by HS.
Results. HS staged and made a correct diagnosis of carcinoma in 39 of 40 patients, with a sensivity of 97.5% and a specificity of 98%. Positive predictability was 97.5% and negative predictability 98%. In the evaluation of cancer depth invasion, HS staging was correct in all but one case, in which a T3 tumor was incorrectly judged to be T2. In the assessment of the presence or absence of peritumor metastatic lymph nodes, HS had a sensitivity of 50% and a specificity of 100%.
Conclusions. HS allows the diagnosis and preoperative staging of coloretal carcinomas with high sensitivity, specificity, and predictive value. We highly recommend its preoperative use because of its definitive influence on surgical approach.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Carcinoma - diagnostic imaging</subject><subject>Carcinoma - pathology</subject><subject>Carcinoma - secondary</subject><subject>Carcinoma - surgery</subject><subject>Colon - diagnostic imaging</subject><subject>Colonic Neoplasms - diagnostic imaging</subject><subject>Colonic Neoplasms - pathology</subject><subject>Colonic Neoplasms - surgery</subject><subject>Diagnostic Techniques, Surgical</subject><subject>Digestive system. Abdomen</subject><subject>Female</subject><subject>Humans</subject><subject>Intestinal Mucosa - diagnostic imaging</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Lymphatic Metastasis - diagnostic imaging</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Neoplasm Invasiveness</subject><subject>Neoplasm Staging</subject><subject>Predictive Value of Tests</subject><subject>Prospective Studies</subject><subject>Rectal Neoplasms - diagnostic imaging</subject><subject>Rectal Neoplasms - pathology</subject><subject>Rectal Neoplasms - surgery</subject><subject>Rectum - diagnostic imaging</subject><subject>Sensitivity and Specificity</subject><subject>Ultrasonic investigative techniques</subject><subject>Ultrasonography</subject><issn>0039-6060</issn><issn>1532-7361</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1995</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkDtv2zAURokiReo4_QkBNARBM6jhQ6LILEHhvgIY6NBkJq7Ia4eFTCqkbED_vnJseM10h-_c1yHkitGvjDJ595dSoUtJJf2i61tFKeWl_EBmrBa8bIRkZ2R2Qj6Ri5z_TYyumDon503TKMqrGXlaxC4mtAN0hYVkfYgbyPfFdw_rELPPBQRX9AljjwkGv8MiD7D2YV20Y_EyuhTtNCF4W-QY4jpB_zJeko8r6DJ-PtY5ef7542nxu1z--fW4-LYsrVB6KKW0oGpQWkkEpoRrKy2laxnjCqhoXVUrjQhu-teCXjEAbKzjLeWicQ7EnNwc5vYpvm4xD2bjs8Wug4Bxm03TCF5RLiewPoA2xZwTrkyf_AbSaBg1e5vmzabZqzK6Nm82zb7v6rhg227QnbqO-qb8-phDttCtEgTr8wkTtaQ1ZxP2cMBwkrHzmEy2HoNF5_fqjYv-nUP-A3hHkpM</recordid><startdate>19950601</startdate><enddate>19950601</enddate><creator>Hernández-Socorro, Carmen Rosa</creator><creator>Guerra, Cayetano</creator><creator>Hernández-Romero, Juan</creator><creator>Rey, Augustín</creator><creator>López-Facal, Pilar</creator><creator>Alvarez-Santullano, Victoria</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19950601</creationdate><title>Colorectal carcinomas: Diagnosis and preoperative staging by hydrocolonic sonography</title><author>Hernández-Socorro, Carmen Rosa ; Guerra, Cayetano ; Hernández-Romero, Juan ; Rey, Augustín ; López-Facal, Pilar ; Alvarez-Santullano, Victoria</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c389t-66ca85a8986ea183db4966db1128a03bd4589eead101ca9f1aae7cd2b0237dda3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1995</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Carcinoma - diagnostic imaging</topic><topic>Carcinoma - pathology</topic><topic>Carcinoma - secondary</topic><topic>Carcinoma - surgery</topic><topic>Colon - diagnostic imaging</topic><topic>Colonic Neoplasms - diagnostic imaging</topic><topic>Colonic Neoplasms - pathology</topic><topic>Colonic Neoplasms - surgery</topic><topic>Diagnostic Techniques, Surgical</topic><topic>Digestive system. Abdomen</topic><topic>Female</topic><topic>Humans</topic><topic>Intestinal Mucosa - diagnostic imaging</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Lymphatic Metastasis - diagnostic imaging</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Neoplasm Invasiveness</topic><topic>Neoplasm Staging</topic><topic>Predictive Value of Tests</topic><topic>Prospective Studies</topic><topic>Rectal Neoplasms - diagnostic imaging</topic><topic>Rectal Neoplasms - pathology</topic><topic>Rectal Neoplasms - surgery</topic><topic>Rectum - diagnostic imaging</topic><topic>Sensitivity and Specificity</topic><topic>Ultrasonic investigative techniques</topic><topic>Ultrasonography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hernández-Socorro, Carmen Rosa</creatorcontrib><creatorcontrib>Guerra, Cayetano</creatorcontrib><creatorcontrib>Hernández-Romero, Juan</creatorcontrib><creatorcontrib>Rey, Augustín</creatorcontrib><creatorcontrib>López-Facal, Pilar</creatorcontrib><creatorcontrib>Alvarez-Santullano, Victoria</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hernández-Socorro, Carmen Rosa</au><au>Guerra, Cayetano</au><au>Hernández-Romero, Juan</au><au>Rey, Augustín</au><au>López-Facal, Pilar</au><au>Alvarez-Santullano, Victoria</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Colorectal carcinomas: Diagnosis and preoperative staging by hydrocolonic sonography</atitle><jtitle>Surgery</jtitle><addtitle>Surgery</addtitle><date>1995-06-01</date><risdate>1995</risdate><volume>117</volume><issue>6</issue><spage>609</spage><epage>615</epage><pages>609-615</pages><issn>0039-6060</issn><eissn>1532-7361</eissn><coden>SURGAZ</coden><abstract>Background. The aim of this study was to determine the sensitivity, specificity, and predictive value of hydrocolonic sonography (HS) in the detection and preoperative staging of colonic carcinomas.
Methods. One hundred four patients referred to our department for colorectal disease were examined in a prospective study with conventional transabdominal sonography followed by HS and other well-established means for detection of colorectal cancer. In all diagnosed colorectal carcinomas, surgical resection and histologic examination were carried out, and the histologically confirmed tumor stage was then compared with the stage predicted by HS.
Results. HS staged and made a correct diagnosis of carcinoma in 39 of 40 patients, with a sensivity of 97.5% and a specificity of 98%. Positive predictability was 97.5% and negative predictability 98%. In the evaluation of cancer depth invasion, HS staging was correct in all but one case, in which a T3 tumor was incorrectly judged to be T2. In the assessment of the presence or absence of peritumor metastatic lymph nodes, HS had a sensitivity of 50% and a specificity of 100%.
Conclusions. HS allows the diagnosis and preoperative staging of coloretal carcinomas with high sensitivity, specificity, and predictive value. We highly recommend its preoperative use because of its definitive influence on surgical approach.</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>7778024</pmid><doi>10.1016/S0039-6060(95)80002-6</doi><tpages>7</tpages></addata></record> |
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| subjects | Adult Aged Aged, 80 and over Biological and medical sciences Carcinoma - diagnostic imaging Carcinoma - pathology Carcinoma - secondary Carcinoma - surgery Colon - diagnostic imaging Colonic Neoplasms - diagnostic imaging Colonic Neoplasms - pathology Colonic Neoplasms - surgery Diagnostic Techniques, Surgical Digestive system. Abdomen Female Humans Intestinal Mucosa - diagnostic imaging Investigative techniques, diagnostic techniques (general aspects) Lymphatic Metastasis - diagnostic imaging Male Medical sciences Middle Aged Neoplasm Invasiveness Neoplasm Staging Predictive Value of Tests Prospective Studies Rectal Neoplasms - diagnostic imaging Rectal Neoplasms - pathology Rectal Neoplasms - surgery Rectum - diagnostic imaging Sensitivity and Specificity Ultrasonic investigative techniques Ultrasonography |
| title | Colorectal carcinomas: Diagnosis and preoperative staging by hydrocolonic sonography |
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