Arnaud J P, Adloff M, Schloegel M, Haegele P, Grobbe J C
CMCO, Service de Chirurgie, Schiltigheim.
J Chir (Paris). 1989 Mar;126(3):179-82.
The preoperative evaluation of lymphatic spread in rectal cancer constitutes a problem of difficult solution. A prospective study including 45 patients operated for rectal cancer, has been carried out in order to evaluate the diagnostic value of a new technique: The endoscopic rectal lymphoscintigraphy. The results of preoperative assessment were compared with histological date according to Dukes' classification (Dukes A/B: 22 cases, Dukes C: 23 cases). Analysis of these results allowed to accurate sensitivity (80%), specificity (73%) and accuracy (80%) of this new technique. Combined to endorectal ultrasonography, rectal lymphoscintigraphy might play an overwhelming role in characterising the indications for local excisions of small tumors; similarly, the effect of preoperative radiotherapy might be further evaluated.
直肠癌淋巴转移的术前评估是一个难以解决的问题。为了评估一种新技术——内镜直肠淋巴闪烁造影术的诊断价值，我们开展了一项针对45例接受直肠癌手术患者的前瞻性研究。根据Dukes分期（Dukes A/B期：22例，Dukes C期：23例），将术前评估结果与组织学数据进行比较。对这些结果的分析得出了该新技术的准确敏感性（80%）、特异性（73%）和准确性（80%）。结合直肠内超声检查，直肠淋巴闪烁造影术在确定小肿瘤局部切除的适应证方面可能发挥重要作用；同样，术前放疗的效果也可能得到进一步评估。
