Abstract
Of 43 rectal carcinomas, initially presumed to be modified Dukes' stage A or B-1, 42 were examined with computed tomography (CT) prior to endocavitary treatment or surgery in 40 cases. The CT correctly showed 28 patients to have early stages and incorrectly showed 2 to have perirectal extension. Three patients had anal neoplasms. The remaining 10 patients had disease stage B-2 or higher and CT was not good for staging them. A CT scan can fairly accurately stage rectal carcinomas stage A and B-l grouped together, and is doing better in predicting the prognosis than digital palpation when histologic sections show well or moderately well-differentiated adenocarcinoma of the rectum.
Similar content being viewed by others
References
Papillon J: Intracavitary irradiation of early rectal cancer for cure. A series of 186 cases.Cancer 36:696–701, 1975
Sischy B, Remington JH, Sobel SH: Treatment of rectal carcinomas by means of endocavitary irradiation: a progress report.Cancer 46:1957–1961, 1980
Adalsteinsson B, Glimelius B, Graffman S, Hemmingsson A, Påhlman L: Computed tomography in staging of rectal carcinoma.Acta Radiol Diagn 26:45–55, 1985
Clark J, Bankoff M, Carter B: The use of computerized tomography scan in the staging and follow-up study of carcinoma of the rectum.Surg Gynecol Obstet 159:335–342, 1984
Cohan RH, Silvermann PM, Thompson WM, Halvorsen RA, Baker ME: Computed tomography of epithelial neoplasms of the anal canal.AJR 145:569–573, 1985
Dixon AK, Kelsey Fry I, Morson BC, Nicholls RJ, York Mason A: Preoperative computed tomography of carcinoma of the rectum.Br J Radiol 54:655–659, 1981
Grabbe E, Lierse W, Winkler R: The perirectal fascia: morphology and use in staging of rectal carcinoma.Radiology 149:241–246, 1983
Freeny PC, Marks WM, Ryan JA, Bolen JW: Colorectal carcinoma evaluation with CT: preoperative staging and detection of postoperative recurrence.Radiology 158:347–353, 1986
Koehler PR, Feldberg MAM, van Waes PFGM: Preoperative staging of rectal cancer with computerized tomography. Accuracy, efficacy, and effect on patient management.Cancer 54:512–516, 1984
Brent Mayes G, Zornoza J: Computed tomography of colon carcinoma.AJR 135:43–46, 1980
Thoeni RF, Moss AA, Schnyder P, Margulis AR: Detection and staging of primary and rectosigmoid cancer by computed tomography.Radiology 141:135–138, 1981
Zahnbauer W, Haertel M, Fuchs WA: Computed tomography in carcinoma of the rectum.Gastrointest Radiol 6:79–84, 1981
Hamlin DJ, Burgener FA: New technique to stage early rectal carcinoma by computed tomography.Radiology 141:539–540, 1981
Nicholls RJ, York Mason A, Morson BC, Dixon AK, Kelsey Fry I: The clinical staging of rectal cancer.Br J Surg 69:404–409, 1982
Morson BC: Factors influencing the prognosis of early cancers of the rectum.Proc R Soc Med 59:607–608, 1966
Grinell RS: Lymphatic and venous spread of carcinoma of the rectum.Ann Surg 116:200–216, 1942
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Göthlin, J.H., Lerner, R.M., Gadeholt, G. et al. CT staging of early rectal carcinoma. Gastrointest Radiol 12, 253–256 (1987). https://doi.org/10.1007/BF01885154
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF01885154