Larsen T, Torp-Pedersen S, Bostofte E, Rank F
Gynecol Oncol. 1985 Nov;22(3):281-7. doi: 10.1016/0090-8258(85)90041-1.
Six patients had transperineal fine needle biopsy of a pelvic mass performed guided by transrectal ultrasound. Five patients following treatment for gynecological cancer with inconclusive gynecological palpation had a transrectal ultrasound examination performed because abdominal ultrasound did not disclose abnormality. One patient with low back pain had a pelvic mass disclosed with abdominal ultrasound and was referred to transrectal ultrasound for biopsy. In all cases a pelvic lesion was visualized with transrectal ultrasound and transperineal fine needle biopsy was performed. In five cases sufficient material for cytological as well as histological evaluation was obtained showing malignant disease. In one case only necrotic tissue was obtained and subsequent operation disclosed inflammatory changes. It is concluded that transrectal ultrasound combined with transperineal biopsy is a valuable diagnostic tool in the follow-up of patients treated for gynecological cancer.
6例患者在经直肠超声引导下对盆腔肿物进行了经会阴细针穿刺活检。5例妇科癌症治疗后妇科触诊结果不明确的患者，因腹部超声未发现异常而进行了经直肠超声检查。1例腰痛患者经腹部超声发现盆腔肿物，随后接受经直肠超声引导下活检。所有病例经直肠超声均发现盆腔病变，并进行了经会阴细针穿刺活检。5例获取了足够的材料用于细胞学及组织学评估，结果显示为恶性疾病。1例仅获取到坏死组织，后续手术发现为炎症改变。结论是，经直肠超声联合经会阴活检是妇科癌症治疗后患者随访中的一种有价值的诊断工具。
