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Intestinal Polyps and Polyposis pp 103–113Cite as

Rectal Polyps and Early Rectal Cancer Assessment by Three-Dimensional Endorectal Ultrasonography

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Abstract

Accurate preoperative staging of rectal polyps and early invasive rectal cancer may determine the choice between a submucosal or a full-thickness excision, or even a radical resection. Imaging modalities used for local staging include computed tomography, two-dimensional endorectal ultrasonography (2D-ERUS), and magnetic resonance. The new technique of high-resolution three-dimensional ERUS, constructed from a synthesis of standard 2D cross-sectional images, promises to further improve the accuracy. This tool seems to offer the best information on the depth of tumoral submucosal invasion and presence of mesorectal lymph node metastases, and may guide surgical planning. It also has the advantage of being an officebased procedure and is well tolerated, with fast acquisition times and relatively low cost.

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Author information

Authors and Affiliations

  1. Department of Surgery, Regional Hospital, Treviso, Italy

    Guilio Aniello Santoro MD PhD (Head of the Pelvic Floor Unit, Section of Anal Physiology and Ultrasound, Coloproctology Service)

  2. Division of Surgery, Vittorio Veneto Hospital, Vittorio Veneto, Italy

    Sandro Magrini MD

  3. Service of Gastrointestinal Endoscopy, MF Toniolo Hospital, Bologna, Italy

    Luciano Pellegrini MD

  4. Department of Medicine and Gastroenterology, University of Bologna, Bologna, Italy

    Guiseppe Gizzi MD

  5. Pelvic Floor Unit, Section of Anal Physiology and Ultrasound, Colproctology Service, Io Department of Surgery, Regional Hospital, Treviso, Italy

    Guiseppe Di Falco MD

Authors
  1. Guilio Aniello Santoro MD PhD
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  2. Sandro Magrini MD
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  3. Luciano Pellegrini MD
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  4. Guiseppe Gizzi MD
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  5. Guiseppe Di Falco MD
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Editor information

Editors and Affiliations

  1. Department of Surgery and Gastroenterology, University of Verona, Verona, Italy

    Gian Gaetano Delaini

  2. Department of Surgery, Masaryk Memorial Cancer Institute, Brno, Czech Republic

    Tomáš Skřička

  3. Department of Surgery and Gastroenterology, University of Verona, Verona, Italy

    Gianluca Colucci

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© 2009 Springer-Verlag Italia

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Santoro, G.A., Magrini, S., Pellegrini, L., Gizzi, G., Di Falco, G. (2009). Rectal Polyps and Early Rectal Cancer Assessment by Three-Dimensional Endorectal Ultrasonography. In: Delaini, G.G., Skřička, T., Colucci, G. (eds) Intestinal Polyps and Polyposis. Springer, Milano. https://doi.org/10.1007/978-88-470-1124-3_9

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  • DOI: https://doi.org/10.1007/978-88-470-1124-3_9

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-1123-6

  • Online ISBN: 978-88-470-1124-3

  • eBook Packages: MedicineMedicine (R0)

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