Endoscopic ultrasound elastography in the rectal tumor
Keywords:
rectal tumor, endoscopic ultrasound, elastography.Abstract
Introduction: To define an adequate therapeutic strategy in rectal cancer, a correct staging is necessary. For this, advanced diagnostic means have been developed to evaluate the rectal wall. Endoscopic Ultrasound a fundamental technique; combines endoscopic image with ultrasound; in tumors treated with radiotherapy, its profitability decreases due to fibrosis that originates in the rectal wall; indistinguishable from the elements of malignancy. Elastography offers the possibility of resolving this limitation.
Objective: To offer an update on elastography by endoscopic ultrasound in the diagnosis of the patient with rectal tumor.
Development: Elastography is based on the alterations that fibrosis and cancer induce in the elasticity of the tissue. Determine if a tissue is malignant or benign by analyzing its hardness. Images are obtained that are expressed on a color map superimposed on the conventional endoscopic ultrasound image. Many investigations demonstrate its high sensitivity and specificity in tumors of the pancreas and lymph nodes, some in esophageal tumors, however very few in rectal cancer.
Conclusions: Elastography has improved the diagnosis and oncological follow-up of the patient with rectal tumor.
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References
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3. Siegel RL, Kimberly D. Miller, Ahmedin J. Cancer Statistics, 2019. Cancer J Clin. 2019[acceso:21/05/2019];69:7-34. Disponible en: https://acsjournals.onlinelibrary.wiley.com/doi/full/10.3322/caac.21577
4. Anuario Estadístico de Salud 2018. La Habana: Ministerio de Salud Pública; 2017. p. 55-60.
5. Aluja F, Upegui D. Estadificación del cáncer colorrectal mediante resonancia magnética. Rev Col Gastroenterol. 2016[acceso: 21/05/2019];31(3):273-82. Disponible en: http://www.scielo.org.co/pdf/rcg/v31n3/v31n3a11
6. Li X-T, Zhang X-Y, Sun Y-S, Tang L, Cao K. Evaluating rectal tumor staging with magnetic resonance imaging, computed tomography, and endoluminal ultrasound: A meta-analysis. 2016[acceso: 21/05/2019];95(44):1-8. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5591164/
7. Cote A, Graur F, Lebovici A, Mois E, Hajjar NA, Mare C, et al . The accuracy of endorectal ultrasonography in rectal cancer staging. Clujul Medical. 2015[acceso: 21/05/2019];88(3):348-56. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4632895/
8. Gómez MA. Ecoendoscopia. Parte I. Rev Colomb Cir. 2008[acceso: 21/05/2019];23(4):230-47. Disponible en: http://www.scielo.org.co/pdf/rcci/v23n4/v23n4a7
9. Mukogawa T, Ishikawa H, Tsuji Y, Nakamura K, Ko S, Watanabe A. Laparoscopic Low Anterior Resection with Prolapsing Technique for Lower Rectal Cancer. 14th World Congress of Endoscopic Surgery and 22nd International Congress of the European Association for Endoscopic Surgery (EAES) Paris, France, 25-28 Jun 2014. Surg Endosc. 2015[acceso: 21/05/2019];29(1):S94. Disponible en: https://link.springer.com/content/pdf/10.1007%2Fs00464-015-4136-7.pdf
10. Iglesias-Garcia J, Lindkvist B, Lariño-Noia J, Domínguez-Muñoz JE. Endoscopic ultrasound elastography. Journal List Endoscopic Ultrasound. 2012[acceso:21/05/2019];1(1):8-16. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4062202/?report=classic
11. Giovannini M, Téllez-Ávila FI. Basic aspects and clinical usefulness of Endoscopic Sonoelastography. Rev. Endoscopia. 2012 [acceso: 21/05/2019]; 24(1):17-22. Disponible en: https://www.elsevier.es/es-revista-endoscopia-335-articulo-basic-aspects-clinical-usefulness-endoscopic-X0188989312969157
12. Manzilla M. Historia del cáncer del recto y su tratamiento quirúrgico. Revista Mexicana de Coloproctología. 2005[acceso: 21/05/2019];11(2): 60-63. Disponible en: https://www.medigraphic.com/cgi-bin/new/publicaciones.cgi
13. Estadificación del Carcinoma del Recto. Relato Anual 2014. Revista Argentina de Coloproctologia. 2014[acceso: 21/05/2019];25(3):110-12. Disponible en: https://www.google.com.cu/search?source=hp&ei=XbTeXcGcEq3a5gL-T_J7gAQ&q=13
14. Jiménez M, Alonso JO, De la Mora JG, Sánchez JC, Manzano MC, Alonso A, et al.Ultrasonido endoscópico como predictor de la respuesta patológica completa en cáncer de recto. Acta Gastroenterol Latinoam.2019[acceso: 21/05/2019];49(1):44-53 Disponible en: https://actagastro.org/ultrasonido-endoscopico-como-predictor-de-la-respuesta-patologica-completa
15.Díaz AB, García JI, Lariño J, Orive V, Domínguez E. Qué aporta la ultrasonografía endoscópica en el diagnóstico de los tumores neuroendocrinos de páncreas. Gastroenterol Hepatol. 2011[acceso: 21/05/2019];34(1):29-34. Disponible en: https://www.elsevier.es/es-revista-gastroenterologia-hepatologia-14-articulo-que-aporta-ultrasonografia-endoscopica
16.Puli SR, Bechtold ML, Reddy JB, Choudhary A, Antillon MR. Can Endoscopic Ultrasound Predict Early Rectal Cancers That Can Be Resected Endoscopically? A Meta-Analysis and Systematic Review. Dig Dis Sci. 2010[acceso:21/05/2019]; 55(5):1221-9. Disponible en: https://dx.doi.org/10.1007/s10620-009-0862-9
17. Marone P, De Bellis M, Avallone A, Delrio P, Di Nardo G, D Angelo V, et al. Accuracy of endoscopic ultrasound in staging and restaging patients with locally advanced rectal cancer undergoing neoadjuvant chemoradiation. Clin Res Hepatol Gastroenterol. 2011[acceso: 22/06/2019];35:666-670. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/21782549
18. Decanini-Terán CO, González-Acosta J, Obregón-Méndez J. Cáncer de recto. Diagnóstico, estadificación y tratamiento. Cir 2011[acceso: 22/06/2019];79(5):481-487.Disponible en: https://www.medigraphic.com/pdfs/circir/cc-2011/cc115o
19. Colaiácovo R, Saab Assef M, LeiteGanc R, Pincke A, Oliveira FA, Chia F, et al. Rectal cancer staging: Correlation between the evaluation w th radial echoendoscope and rigid linear probe. Endosc Ultrasound. 2014[acceso: 22/06/2019];3(3):161-166. Disponible en:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4145476/
20. Napoleon B, Pujol B, Berger F. Accuracy of endosonographv in the staging of rectal cancer treated by radiotherapy.Br J Surg.1991[acceso: 22/06/2019]; 78:785-8. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/1873701
21. Glaser F, Kunfz C, Schlag P, Herfarth C. Endorectal ultrasound for control of preoperative radiotherapy of rectal cancer. Annals of Surgical Oncology.1993[acceso:22/06/2019];217:64-71.Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1242735/.
22. Vanagunas A, Lin DE, Stryker SJ. Accuracy of endoscopic ultrasound for restaging rectal cancer following neoadjuvant chemoradiation therapy. Am J Gastroenterol. 2004[acceso: 22/06/2019];99:109-112. Disponible en: https://www.researchgate.net/publication/8949763_Accuracy_of_Endosc-opic_Ultrasound_for_Restaging_-Rectal_Cancer_Following_Neoadjuvant_Chemoradiation_Therapy
23. Vignali A, De Nardi P. Multidisciplinary treatment of rectal cancer in 2014: Where are we going? World J Gastroenterol. 2014[acceso: 22/06/2019]; 20(32):11249-11261 Disponible en: https://www.researchgate.net/publication/265175030_Multidisciplinary_-treatment_of_rectal_cancer_in_2014
24. Woong J. The Role of Endosonography in the Staging of Gastrointestinal Cancers. Clin Endosc.2015 [acceso:22/06/2019]; 48:297-301. Disponible en: https://dx.doi.org/10.5946/ce.2015.48.4.297
25. Memon S, Lynch AC, Bressel M, Wise AG, Heriot AG. Systematic review and meta-analysis of the accuracy of MRI and endorectal ultrasound in the restaging and response assessment of rectal cancer following neoadjuvant therapy. Colorectal Dis. 2015[acceso: 22/06/2019];17:748-761. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/25891148
26. Páez D, Brizuela RA, Descalzo Y, Anido V, García-Menocal JL, Morera M. Eficacia de la ultrasonografía endoscópica en la estadificación de tumores del recto. Rev Cub Med Mil. 2017[acceso: 22/06/2019];46(4). Disponible en: https://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0138-65572017000400007
27. Cote A, Graur F, Lebovici A, Mois E, Al Hajjar N, Mare C, et al. The accuracy of endorectal ultrasonography in rectal cancer staging. Clujul Medical. 2015[acceso: 22/06/2019];88(3):348-56. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4632895/
28. Vila JJ, Jiménez FJ, Irisarri R, Martínez A, Amorena E, Borda F. Estadificación del cáncer de recto mediante ultrasonografía endoscópica: correlación con la estadificación histológica. Revista Española de Enfermedades Digestivas. 2007[acceso: 22/06/2019];99:132-7. Disponible en: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1130-01082007000300003
29. Garra BS, Cespedes EI, Ophir J, Spratt SR, Zuurbier RA, Magnant CM, et al. Elastography of breast lesions: initial clinical results. Radiology.1997[acceso:2 2/06/2019];202:79-86. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/8988195
30. Krouskop TA, Wheeler TM, Kallel F, Garra BS, Hall T. Elastic moduli of breast and prostate tissues under compression. Ultrasonic Imaging. 1998[acceso: 22/06/2019];20:260-74. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/10197347
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Published
2020-08-02
How to Cite
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Martinez Romero M, Brizuela Quintanilla RA, Alfonso Contino N, García-Menocal Hernández JL, Morera Pérez M, Páez Suarez D. Endoscopic ultrasound elastography in the rectal tumor. Rev Cubana Med Milit [Internet]. 2020 Aug. 2 [cited 2025 Apr. 3];49(3):e0200511. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/511
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