Surgery and OncologySurgery and OncologyХирургия и онкология2949-5857Publishing House ABV Press48810.17650/2686-9594-2020-10-3-4-84-91LITERATURE REVIEWОБЗОР ЛИТЕРАТУРЫSemiotics and the role of transrectal ultrasound in rectal cancer stagingСемиотика и роль трансректального ультразвукового исследования в стадировании рака прямой кишкиDemidovaA. A.ДемидоваА. А.
Russian Federation

86 Shosse Enthuziastov, Moscow 111123

111123 Москва, шоссе Энтузиастов, 86

anastasia.demidova0808@gmail.comAbdulatipovaZ. M.АбдулатиповаЗ. М.
Russian Federation

86 Shosse Enthuziastov, Moscow 111123

111123 Москва, шоссе Энтузиастов, 86

BaychorovA. B.БайчоровА. Б.
Russian Federation

86 Shosse Enthuziastov, Moscow 111123

111123 Москва, шоссе Энтузиастов, 86

LeontyevA. V.ЛеонтьевА. В.
Russian Federation

86 Shosse Enthuziastov, Moscow 111123

111123 Москва, шоссе Энтузиастов, 86

SaakyanG. G.СаакянГ. Г.
Russian Federation

86 Shosse Enthuziastov, Moscow 111123

111123 Москва, шоссе Энтузиастов, 86

DanilovM. A.ДаниловМ. А.
Russian Federation

86 Shosse Enthuziastov, Moscow 111123

111123 Москва, шоссе Энтузиастов, 86

A.S. Loginov Moscow Clinical Scientific Center of the Moscow Healthcare DepartmentГБУЗ г. Москвы «Московский клинический научно-практический центр им. А. С. Логинова Департамента здравоохранения г. Москвы»30122020103-484913012202030122020Copyright ©; 2020, Demidova A.A., Abdulatipova Z.M., Baychorov A.B., Leontyev A.V., Saakyan G.G., Danilov M.A.Copyright ©; 2020, Демидова А.А., Абдулатипова З.М., Байчоров А.Б., Леонтьев А.В., Саакян Г.Г., Данилов М.А.2020Demidova A.A., Abdulatipova Z.M., Baychorov A.B., Leontyev A.V., Saakyan G.G., Danilov M.A.Демидова А.А., Абдулатипова З.М., Байчоров А.Б., Леонтьев А.В., Саакян Г.Г., Данилов М.А.https://creativecommons.org/licenses/by/4.0https://onco-surgery.info/jour/article/view/488

Transrectal ultrasound (TRUS) is inexpensive and simple method for examining the rectum and surrounding tissues. In particular it is used to preoperatively assess stage, in patients with rectal cancer. By using TRUS is possible to analyze the neoplasm extent, depth of tumor invasion into the layers of the colon wall, the mesorectal lymph node involvement and the circumferential resection margin. This method is comparable to an expensive magnetic resonance imaging scan, and if done correctly could even exceed it. The correct diagnosis, especially in the early stages of the disease, plays an important role in choosing surgical treatment in future. However, to interpret the results, you must be familiar with the anatomy of the rectum and anal canal, as well as follow the simple rules for the preparation and implementation of TRUS. If you follow all the rules, you can answer the question about the possibility of performing organ-preserving surgery and compliance with cancer radicalism.

Трансректальное ультразвуковое исследование (ТРУЗИ) является недорогим и простым методом исследования прямой кишки и окружающих тканей, в частности, для предоперационной оценки стадии у больных раком прямой кишки. С помощью ТРУЗИ можно проанализировать протяженность новообразования, глубину инвазии опухоли в слои стенки толстой кишки, оценить поражение мезоректальных лимфатических узлов и вовлечение циркулярного края резекции. Верная постановка диагноза, особенно на ранних стадиях заболевания, играет важную роль в дальнейшем выборе хирургического лечения. Однако для интерпретации результатов необходимо быть хорошо знакомым с анатомией прямой кишки и анального канала, а также соблюдать простые правила подготовки и выполнения ТРУЗИ. При следовании всем правилам можно ответить на вопрос о возможности выполнения органосохраняющей операции и соблюдения при этом онкологического радикализма.

rectal cancerendorectal ultrasoundstagingorgan-preserving treatmentрак прямой кишкитрансректальное ультразвуковое исследованиестадированиеорганосохраняющее лечениеGlynne-Jones R., Wyrwicz L. Rectal cancer: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up. Ann Oncol 2017;28(Suppl 4): iv22–40. DOI: 10.1093/annonc/mdx224.Taylor F.G., Swift R.I., Blomqvist L. et al. A systematic approach to the interpretation of preoperative staging MRI for rectal cancer. Am J Roentgenol 2008; 191:1827–35. DOI: 10.2214/AJR.08.1004.Bipat S., Glas A.S., Slors F.J. et al. Rectal cancer: local staging and assessment of lymph node involvement with endoluminal US, CT, and MR imaging – a meta-analysis. Radiology 2004;232(3):773–83. DOI: 10.1148/radiol.2323031368.Tombazzi C.R., Loy P., Bondar V. et al. Accuracy of endoscopic ultrasound in staging of early rectal cancer. Fed Pract 2019;36(Suppl 5):S26–9.Haggitt R.C., Glotzbach R.E., Soffer E.E., Wruble L.D. Prognostic factors in colorectal carcinomas arising in adenomas: implications for lesions removed by endoscopic polypectomy. Gastroenterology 1985;89:328–36.Kikuchi R., Takano M., Takagi K. et al. Management of early invasive colorectal cancer. Risk of recurrence and clinical guidelines. Dis Colon Rectum 1995;38(12):1286–95. DOI: 10.1007/BF02049154.Bach S.P., Hill J., Monson J.R. et al. A predictive model for local recurrence after transanal endoscopic microsurgery for rectal cancer. Br J Surg 2009;96:280–90. DOI: 10.1002/bjs.6456.Junginger T., Goenner U., Hitzler M. et al. Long-term oncologic outcome after transanal endoscopic microsurgery for rectal carcinoma. Dis Colon Rectum 2016;59:8–15. DOI: 10.1097/DCR.0000000000000509.Stornes T., Wibe A., Nesbakken A. et al. National early rectal cancer treatment revisited. Dis Colon Rectum 2016;59: 623–9. DOI: 10.1097/DCR.0000000000000591.Nascimbeni R., Burgart L.J., Nivatvongs S., Larson D.R. Risk of lymph node metastasis in Tl carcinoma of the colon and rectum. Dis Colon Rectum 2002;45(2):200–6.Takayuki A., Hitoshi K. Endorectal ultrasonography and treatment of early stage rectal cancer. World J Surg 2000;24:1061–8.Russian Association of Coloproctologists. Clinical guidelines. 2017. (In Russ.).Ассоциация колопроктологов России. Клинические рекомендации. 2017 г.Iafrate F., Laghi A., Paolantonio P. et al. Preoperative staging of rectal cancer with MR Imaging: correlation with surgical and histopathologic findings. Radiographics 2006;26(3):701–14. DOI: 10.1148/rg.263055086.Diop M., Parratte B., Tatu L. et al. “Mesorectum”: the surgical value of an anatomical approach. Surg Radiol Anat 2003;25(3–4):290–304.Kim M.J. Transrectal ultrasonography of anorectal diseases: advantages and disadvantages. Ultrasonography 2015;34(1):19–31.Krajewski K.M., Kane R.A. Ultrasound staging of rectal cancer. Seminars in Ultra sound, CT and MRI. 2008. Pp. 428–432.Puli S.R., Bechtold M.L., Reddy J.B. et al. How good is endoscopic ultrasound in differentiating various T stages of rectal cancer? Meta-analysis and systematic review. Ann Surg Oncol 2009;16(2):254–65. DOI: 10.1245/s10434-008-0231-5.Ashraf S., Hompes R. A critical appraisal of endorectal ultrasound and transanal endoscopic microsurgery and decisionmaking in early rectal cancer. The Association of Coloproctology of Great Britain and Ireland, 2011. Pp. 821–827.Ruediger S. Impact of biopsy on the accuracy of endorectal ultrasound staging of rectal tumors. ASCRS, 2008. Pp. 1125–1128.Serra-Aracil X., Galvez A., Mora L. et al. Endorectal ultrasound in the identification of rectal tumors for transanal endoscopic surgery: factors influencing its accuracy. Surgical Endosc 2017;32:8. DOI: 10.1007/s00464-017-5988-9Badger S.A., Devlin P.B., Neilly P.J. et al. Preoperative staging of rectal carcinoma by endorectal ultrasound: is there a learning curve? Int J Colorectal Dis 2007;22:1261–8. DOI: 10.1007/s00384-007-0273-3.Santoro G.A., Gizzi G., Pellegrini L. et al. The value of high-resolution three-dimensional endorectal ultrasonography in the management of submucosal invasive rectal tumors, santo et al: three-dimensional ultrasound of submucosal tumors. Dis Colon Rect 2009;52(11):1837–43.Ren Y., Ye J., Wang Y. et al. The optimal application of transrectal ultrasound in staging of rectal cancer following neoadjuvant therapy: a pragmatic study for accuracy investigation. J Cancer 2018;9(5):784–91. DOI: 10.7150/jca.22661.Leon-Carlyle M., Brown A.J. The accuracy of endorectal ultrasound in staging rectal lesions in patients undergoing transanal endoscopic microsurgery. Am J Surg 2016;212(3):455–60. DOI: 10.1016/j.amjsurg.2015.10.018.Badger S.A., Devlin P.B., Neilly P.J.D. et al. Preoperative staging of rectal carcinoma by endorectal ultrasound: is there a learning curve? Int J Colorectal Dis 2007;22(10):1261–8. DOI: 10.1007/s00384-007-0273-3.Oien K., Forsmo H.M., Rosler C. et al. Endorectal ultrasound and magnetic resonance imaging for staging of early rectal cancers: how well does it work in practice. Acta Oncol 2019; 58(Suppl 1):S49–54. DOI: 10.1080/0284186X.2019.1569259.Ye D., Zhu Zh., Chen F. et al. Correlation between endorectal ultrasound and magnetic imaging for predicting the circumferential resection margin in patients with mid-low rectal cancer without preoperative chemoradiotherapy. J Ultrasound Med 2020;39(3):569–77. DOI: 10.1002/jum.15135.Patel R.K., Sayers A.E., Kumar P. et al. The role of endorectal ultrasound and magnetic resonance imaging in the management of early rectal lesions in a tertiary center. Clin Colorectal Cancer 2014;13:245–50.