Donald School Journal of Ultrasound in Obstetrics and Gynecology

Register      Login

VOLUME 4 , ISSUE 4 ( October-December, 2010 ) > List of Articles

CASE REPORT

The Potential of Transvaginal Three-dimensional Color/Power Doppler Ultrasound in Detection of Colorectal Cancer

Ulrich Honemeyer, Jawahar Mathias, Prosper Aduh

Keywords : Colorectal cancer,Transvaginal ultrasound,3D power Doppler,Tumor neoangiogenesis

Citation Information : Honemeyer U, Mathias J, Aduh P. The Potential of Transvaginal Three-dimensional Color/Power Doppler Ultrasound in Detection of Colorectal Cancer. Donald School J Ultrasound Obstet Gynecol 2010; 4 (4):467-472.

DOI: 10.5005/jp-journals-10009-1169

License: CC BY-NC 4.0

Published Online: 01-12-2010

Copyright Statement:  Copyright © 2010; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Colorectal cancer (CRC) is the fourth most common cancer in men and the third most common cancer in women worldwide. The recent decline of CRC in the USA has been attributed to successful development of screening programs. In the last 20 years, endorectal ultrasound (ERUS) has become the primary method for locoregional staging of rectal cancer. Transvaginal sonography (TVS), with a high-frequency probe, obtains excellent image resolution of deep pelvic organs. TVS not only enables diagnosis and treatment in gynecology, infertility, and early pregnancy but also has the potential to detect other structural abnormalities within its reach, such as neoplasm of the rectosigmoid. Three-dimensional power Doppler ultrasound (3D PD) can depict the morphology of the vessel tree of tumors, and thus help to discriminate between benign and malignant neoplasm. In this case of a 42-year-old patient, an adnexal mass was diagnosed by TVS. Three-dimensional ultrasound gave topographic evidence of sigmoid colon tumor. Spectral Doppler and 3D PD diagnostic criteria of tumor vasculature, demonstrated in this neoplasm, were highly suspicious of malignancy. TVS diagnosis initiated endoscopic histological verification of adenocarcinoma of the sigma and timely surgical intervention.


PDF Share
  1. Tumor angiogenesis: Therapeutic implications. N Engl J Med 1971 Nov 18;285(21):1182-86.
  2. Transvaginal color Doppler sonography in the assessment of pelvic tumor vascularity. Ultrasound Obstet Gynecol 1993;3:173-54.
  3. Preoperative evaluation of pelvic tumors by Doppler and three-dimensional sonography. J Ultrasound Med 2001;20:829-40.
  4. American cancer statistics 2010. Available online at: http://cajournal.org and http://cacancerjournal.org .
  5. CancerStats Monograph 2004. Cancer Research UK: London 2004.
  6. Cancers of the colon and rectum. In: Schottenfeld D, Fraumeni J. Cancer Epidemiology and Prevention. 3rd ed. New York: Oxford University Press; 2006;809-29.
  7. Smoking and colorectal cancer: A meta-analysis. JAMA 2008;300:2765-78.
  8. Modifiable risk factors for colon cancer. Gastroenterol Clin North Am 2002;31:925-43.
  9. The nutrition transition: An overview of world patterns of change. Nutr Rev 2004;62:S140-43.
  10. Cancer Epidemiology Biomarkers and Prevention 2009;18:1695-98.
  11. chairman of medicine Mafraq Hospital Abu Dhabi, in an interview with Gulf News 23/07/2010.
  12. Annual report to the nation on the status of cancer, 1975-2004, featuring cancer in American Indians and Alaska Natives. Cancer 2007;110:2119-52.
  13. Screening and surveillance for the early detection of colorectal cancer and adenomatous polyps, 2008:A joint guideline from the American Cancer Society, the US Multi-Society Task Force on Colorectal Cancer, and the American College of Radiology. CA Cancer J Clin 2008;58:130-60.
  14. Spiral CT of colon cancer: Imaging features and role in management. Radiographics 2000;20:419.
  15. Evaluation of spiral CT in staging of colon and rectum carcinoma. Eur Radiol 1999;9:78.
  16. Clinical manifestation, diagnosis, and staging of colorectal cancer. UpToDate online, May 2010.
  17. How useful is rectal endosonography in the staging of rectal cancer? World J Gastroenterol. 2010 Feb 14;16(6):691-97.
  18. Staging of rectal carcinoma with transrectal ultrasonography. Scand J Surg. 2003;92(2):125-29.
  19. Clinical value of transrectal ultrasound in the diagnosis of suspected neoplasia in the small pelvis. Ultraschall Med 2007Apr;28(2):195-200.
  20. Water Enema Transvaginal Ultrasound for Local Staging of Stenotic Rectal Carcinoma. January 1998.
  21. Primary care in Obstetrics and Gynecology: A place for advanced ultrasound? Ian Donald School Journal of Ultrasound in Obstetrics and Gynecology, July-Sept 2009;3(3):61-74.
  22. Ultrasonic Characterization of Adnexal Masses. In: Color Doppler and 3D Ultrasound in Gynecology, Infertility and Obstetrics, 2nd edition, Kurjak A and Kupesic Plavsic S, eds. Jaypee Brothers: New Delhi 2010 (in press).
  23. Tissue block ultrasound and ovarian cancer—a pictorial presentation of findings. Donald School Journal of Ultrasound in Obstetrics and Gynecology 2009;3(1):41-47.
  24. Solid breast masses: Neural network analysis of vascular features at three-dimensional power Doppler US for benign or malignant classification. Radiology April 2007;243(1).
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.