title: [Progress in the evaluation of lymphatic involvement in cancer of the rectum: endoscopic rectal lymphoscintigraphy].
abstract: The preoperative evaluation of lymphatic spread in rectal cancer constitutes a considerable problem. A prospective study including 45 patients operated for rectal cancer, was carried out in order to assess the diagnostic value of a new technique: endoscopic rectal lymphoscintigraphy. The results of the preoperative assessment were compared with histological data according to Dukes' classification (Dukes A/B: 22 cases, Dukes C: 23 cases). Analysis of these results revealed the sensitivity (80%), specificity (73%) and accuracy (80%) of this new technique. If, combined with endorectal ultrasonography, rectal lymphoscintigraphy might play highly significant role in identifying the indications for local excisions of small tumours; similarly, the effect of preoperative radiotherapy might be more thoroughly assessed.
authors.affiliation: CMCO, Service de Chirurgie, Schiltigheim, France.
authors.forename: J P
authors.initials: JP
authors.lastname: Arnaud
authors.forename: M
authors.initials: M
authors.lastname: Gavioli
authors.forename: M
authors.initials: M
authors.lastname: Adloff
authors.forename: P
authors.initials: P
authors.lastname: Haegele
authors.forename: J G
authors.initials: JG
authors.lastname: Crob
mesh_terms: D002288:Adenocarcinoma, Mucinous / Q000473:pathology*; D005260:Female; D006801:Humans; D008198:Lymph Nodes / Q000000981:diagnostic imaging*; D008207:Lymphatic Metastasis / Q000000981:diagnostic imaging*; D008297:Male; D008875:Middle Aged; D011237:Predictive Value of Tests; D011446:Prospective Studies; D011877:Radionuclide Imaging; D012004:Rectal Neoplasms / Q000473:pathology*; D012007:Rectum
vernacular_title: Un passo avanti nella valutazione dell'estensione linfonodale del cancro del retto: la linfoscintigrafia rettale endoscopica.