Transit endoscopic ultrasound of colorectal cancer using a 12 MHz catheter probe.
The objective of this study was to examine the accuracy of a 12 MHz ultrasound catheter probe in the pre-operative staging of colorectal cancer by assessing the depth of tumour infiltration and involvement of pericolonic lymph nodes. 159 patients with colorectal cancer who underwent ultrasound examination with a 12 MHz catheter probe were studied prospectively. The results of this imaging procedure were compared with the histological findings of the resected specimens. The accuracy of the 12 MHz ultrasound catheter probe for depth of invasion (T category) was 85% (131/154) for all tumours, 87% (46/53) for pT1 tumours, 60% (9/15) for pT2 tumours, 89% (74/83) for pT3 tumours and 67% (2/3) for pT4 tumours. The accuracy for tumours of the rectum and colon was 81% and 89%, respectively. The accuracy of the probe for nodal staging (N category) was 67% (76/114) overall. The sensitivity was 70% (33/47), the specificity 64% (43/67), the positive predictive value 58% (33/57) and the negative predictive value 75% (43/57). Endoscopic ultrasound using a 12 MHz catheter probe accurately assessed tumour stage, although nodal staging remained suboptimal. This method may aid in the selection of treatment for patients with colorectal cancer.
Akahoshi
K
K
Department of Gastroenterology, Aso Iizuka Hospital, Iizuka 820-8505, Japan.
Yoshinaga
S
S
Soejima
A
A
Nagaie
T
T
Koyanagi
N
N
Nakanishi
K
K
Harada
N
N
Nawata
H
H
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003106:Colon; D015179:Colorectal Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology; D019160:Endosonography / Q000295:instrumentation* / Q000379:methods; D005260:Female; D006801:Humans; D008207:Lymphatic Metastasis; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D011237:Predictive Value of Tests; D011446:Prospective Studies