Squillaci E, Salzani M C, Grandinetti M L, Auffermann W, Marsella A, Maresca G, Colagrande C
Department of Radiology, Regina Elena Institute for Cancer Research of Rome, Italy.
Radiology. 1988 Nov;169(2):355-8. doi: 10.1148/radiology.169.2.3051111.
Twenty-one patients with clinically suspected recurrence of ovarian (n = 3) or uterine (n = 18) carcinoma were examined with suprapubic ultrasound (US) and transrectal US with high-frequency linear probes. The examinations were performed 3, 6, 9, and 15 months after surgery and radiation therapy. Eight patients underwent radiation therapy before surgery and ten after surgery; three underwent only surgery. Criteria for recurrence included increased anteroposterior diameter of the vaginal cuff (greater than 2.2 cm); structural alterations or presence of a mass in the vaginal cuff; and infiltration of the rectovaginal septum, bladder, and parametria. Transrectal US findings were true positive for recurrence in nine cases, true negative in ten, and false positive in two. US findings were true positive in three cases, true negative in seven, false positive in two, and false negative in three. In six cases results from US were technically poor, and no diagnosis could be made. Transrectal US was highly sensitive in detection of pelvic recurrent carcinomas, while US had little diagnostic value. The authors believe transrectal US can replace US in the evaluation of patients at risk for recurrent pelvic neoplasm.
对21例临床怀疑卵巢癌（n = 3）或子宫癌（n = 18）复发的患者，使用耻骨上超声（US）和经直肠超声以及高频线性探头进行检查。检查在手术和放疗后的3、6、9和15个月进行。8例患者在手术前接受了放疗，10例在手术后接受了放疗；3例仅接受了手术。复发标准包括阴道断端前后径增加（大于2.2 cm）；阴道断端结构改变或有肿物；以及直肠阴道隔、膀胱和宫旁组织受侵。经直肠超声检查结果在9例复发中为真阳性，10例为真阴性，2例为假阳性。超声检查结果3例为真阳性，7例为真阴性，2例为假阳性，3例为假阴性。6例超声检查结果技术欠佳，无法做出诊断。经直肠超声在检测盆腔复发癌方面高度敏感，而超声诊断价值不大。作者认为经直肠超声在评估盆腔肿瘤复发风险患者时可替代超声。
