Local recurrence after sphincter-saving resection for rectal and rectosigmoid carcinoma: Value of various diagnostic methods

Conference · Wed May 01 00:00:00 EDT 1985 · Radiology; (United States)

OSTI ID:5551923

Grabbe, E; Winkler, R

The authors reviewed 51 cases of local recurrence after sphincter-saving resection for rectal and rectosigmoid carcinoma to assess the sensitivity of current diagnostic procedures. A combination of followup serum CEA levels and rectoscopy was found to be most efficient during the first two years after surgery in terms of the time frequency, and location of the recurrence as well as the cost-benefit ratio. On the other hand, almost all recurrent lesions developed extraluminally, infiltrating the suture line secondarily; moreover, one fourth extended outside the bowel wall. Thus in addition to endoscopy, CT is useful as a means of defining the entire mass at the anastomosis as well as detecting pericolic recurrence and is essential if repeat resection is contemplated.

• Research Organization: Universitaetskrankenhaus Eppendorf, Hamburg, West Germany
• OSTI ID: 5551923
• Report Number(s): CONF-851152-; TRN: 85-016789
• Journal Information: Radiology; (United States), Vol. 155:2; Conference: 71. scientific assembly and annual meeting, Chicago, IL, USA, 17 Nov 1985
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
CARCINOMAS
DIAGNOSIS
DIAGNOSTIC TECHNIQUES
COMPARATIVE EVALUATIONS
INTESTINES
COMPUTERIZED TOMOGRAPHY
RECTUM
CEA
PATIENTS
SURGERY
BODY
DIGESTIVE SYSTEM
DISEASES
FRENCH ORGANIZATIONS
GASTROINTESTINAL TRACT
LARGE INTESTINE
MEDICINE
NATIONAL ORGANIZATIONS
NEOPLASMS
ORGANS
TOMOGRAPHY
550602* - Medicine- External Radiation in Diagnostics- (1980-)