Early detection of locally recurrent rectal cancer by endosonography

G. Rotondano, P. Esposito, L. Pellecchia, A. Novi, G. Romano

Research output: Contribution to journalArticlepeer-review


After curative surgery for rectal cancer, the goal of an aggressive surveillance programme is the detection of local recurrence (LR) at an early and potentially curable stage. 62 patients (mean age 66.2 years) operated on for rectal cancer were prospectively enrolled in a follow-up study including endorectal ultrasound (EUS), serial CEA levels, digital examination, colonoscopy and pelvic CT. A total of 192 sonographic scans were performed, with a mean of three (range 2-7) for each patient. LR occurred in 11 patients; in all cases this was suggested by EUS. In two patients (18%) other techniques had failed to detect recurrent disease, which was identified solely by EUS. These two were treated radically and the remainder received radiotherapy or other palliative management. Five patients are alive at, on average, 18 months after LR (range 4-26 months). These include both cases treated with salvage surgery and who remain disease free. EUS is a valuable tool in the detection of locally recurrent rectal cancer.

Original languageEnglish
Pages (from-to)567-571
Number of pages5
JournalBritish Journal of Radiology
Issue numberJUNE
Publication statusPublished - Jun 1997

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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