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ERUS and ERUS-FNA of Intramural and Extramural Masses of the Colorectum

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Cytology of the Mediastinum and Gut Via Endoscopic Ultrasound-Guided Aspiration

Part of the book series: Essentials in Cytopathology ((EICP,volume 25))

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Abstract

Endorectal endoscopic ultrasound (ERUS) allows a highly detailed assessment of the rectal wall layers and visualization of the extraluminal structures. ERUS combined with fine-needle aspiration (FNA) is superior to imaging studies alone for the evaluation of benign and malignant lesions by providing material for cytology; thus, it is extremely helpful for staging of colorectal adenocarcinoma, detection of metastases, and differentiation of a metastatic carcinoma to the lymph nodes from a non-metastatic tumor nodule. ERUS-FNA of intramural and extramural lesions of the colorectum is a safe, minimally invasive, and well-tolerated procedure that provides valuable information and affects patient management. Based upon ERUS-FNA findings, cancer patients with postoperative benign colorectal masses can be treated conservatively, avoiding surgery, chemoradiation, or over-staging. In addition, ancillary studies, including cultures, immunostains, or molecular tests, can be performed on material obtained by ERUS-FNA.

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Further Reading

  • Baewer D, Adair C. Pathology of the anus. Gastrointestinal and liver pathology. Philadelphia: Elsevier Sounders; 2012. pp. 448–89.

    Book  Google Scholar 

  • Dahan H, Arrivé L, Wendum D, Docou lePH, Djouhri H, Tubiana JM. Retrorectal developmental cysts in adults: clinical and radiologic-histopathologic review, differential diagnosis, and treatment. Radiographics. 2001;21(3):575–84. Review.

    Article  CAS  PubMed  Google Scholar 

  • Gallegos-Arreola MP1, Valencia-Rodríguez LE, Puebla-Pérez AM, Figuera LE, Zúñiga-González GM. The TP53 16-bp duplication polymorphism is enriched in endometriosis patients. Gynecol Obstet Invest. 2012;73(2):118–23. doi:10.1159/000330702. (Epub 2012 Feb 17).

    Article  CAS  PubMed  Google Scholar 

  • Karlsson R, Aly M, Clements M, Zheng L, Adolfsson J, Xu J, Grönberg H, Wiklund F. A population-based assessment of germline HOXB13 G84E mutation and prostate cancer risk. Eur Urol. 2014;65(1):169–76. doi:10.1016/j.eururo.2012.07.027. (Epub 2012 Jul 20).

    Article  CAS  PubMed  Google Scholar 

  • Kav T, Bayraktar Y. How useful is rectal endosonography in the staging of rectal cancer? World J Gastroenterol. 2010;16(6):691–7.

    Article  PubMed Central  PubMed  Google Scholar 

  • Maleki Z, Erozan Y, Geddes S, Li QK. Endorectal ultrasound-guided fine-needle aspiration: a useful diagnostic tool for perirectal and intraluminal lesions. Acta Cytol. 2013;57(1):9–18.

    Article  PubMed  Google Scholar 

  • Miettinen M, Sarlomo-Rikala M, Sobin LH, Lasota J. Gastrointestinal stromal tumors and leiomyosarcomas in the colon: a clinicopathologic, immunohistochemical, and molecular genetic study of 44 cases. Am J Surg Pathol. 2000;24(10):1339–52.

    Article  CAS  PubMed  Google Scholar 

  • Purysko AS, Coppa CP, Kalady MF, Pai RK, Leão Filho HM, Thupili CR, Remer EM. Benign and malignant tumors of the rectum and perirectal region. Abdom Imaging. 2014 Mar 25;39(4):824–52.

    Google Scholar 

  • Rossi L, Palazzo L, et al. Can rectal endoscopic sonography be used to predict infiltration depth in patients with deep infiltrating endometriosis of the rectum? Ultrasound Obstet Gynecol. 2014;43(3):322–7.

    Article  CAS  PubMed  Google Scholar 

  • Turaga KK, Kvols LK. Recent progress in the understanding, diagnosis, and treatment of gastroenteropancreatic neuroendocrine tumors. CA Cancer J Clin. 2011;61(2):113–32.

    Article  PubMed  Google Scholar 

  • Vander NMR 3rd, Eloubeidi MA, Chen VK, Eltoum I, Jhala D, Jhala N, Syed S, Chhieng DC. Diagnosis of gastrointestinal tract lesions by endoscopic ultrasound-guided fine-needle aspiration biopsy. Cancer. 2004;102(3):157–63.

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Pathology, Division of Cytopathology, The Johns Hopkins Hospital, 600 N. Wolfe Street, PATH 406, Baltimore, 21287-6940, MD, USA

    Zahra Maleki MD, FCAP, MIAC

Authors
  1. Zahra Maleki MD, FCAP, MIAC
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Correspondence to Zahra Maleki MD, FCAP, MIAC .

Editor information

Editors and Affiliations

  1. Pathology and Cytopathology, Outpatient Pathology Associates, Sacramento, California, USA

    Ricardo H. Bardales

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Maleki, Z. (2015). ERUS and ERUS-FNA of Intramural and Extramural Masses of the Colorectum. In: Bardales, R. (eds) Cytology of the Mediastinum and Gut Via Endoscopic Ultrasound-Guided Aspiration. Essentials in Cytopathology, vol 25. Springer, Cham. https://doi.org/10.1007/978-3-319-12796-5_6

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  • DOI: https://doi.org/10.1007/978-3-319-12796-5_6

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-12795-8

  • Online ISBN: 978-3-319-12796-5

  • eBook Packages: MedicineMedicine (R0)

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