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2011, Number 1

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Anales de Radiología México 2011; 10 (1)

Pelvic biopsies of gynecological origin guided by transrectal ultrasound

Pacheco I, Rodríguez PLA, Ocejo A
Full text How to cite this article

Language: Spanish
References: 9
Page: 27-33
PDF size: 471.46 Kb.


Key words:

biopsy, transrectal ultrasound, cervix, parametria.

ABSTRACT

Objective. To show our experience of pelvic biopsies of gynecological origin guided by transrectal ultrasound carried out in the Instituto Nacional de Cancerología (INCan) and know the usefulness this procedure in the taking of therapeutic decisions.
Material and methods. 10 patients referred to ultrasound for transrectal biopsy of gynecological injuries in the months of September to November 2010. Statistical management of data such as age, diagnosis, clinical stage, pre-treatment, findings through transrectal ultrasound, biopsy, and subsequent management as well as a review of the procedure.
Results. Of the 10 patients including 9 were amended in subsequent treatment according to the histopathology result. None present complications and in all cases the material obtained was sufficient for diagnosis.
Conclusions. The biopsy guided by transrectal ultrasound in pelvic masses is useful, secure and can be considered in assessing the possible recurrence of pelvic cancer and for verification of primary advanced cancer.


REFERENCES

  1. Giede C, Toi A, Chapman W y Cols. The use of transrectal ultrasound to biopsy pelvic mases in women. Gynecologic Oncology 2004;95:552-556.

  2. Fischerova D, Cibula D, Dundr P y Cols. Ultrasound-guided tru-cut biopsy in the management of advanced abdominopelvic tumors. Int J Gynecol Cancer 2008;18:833–837.

  3. Savader BL, Hamper UM, Sheth S y Cols. Pelvic mases: Aspiration biopsy with transrectal US guidance. Radiology 1990;176:351-353.

  4. Scanlan KA, Propeck PA y Lee Ft. Invasive procedures in the female pelvis: Value of transabdominal, endovaginal, and endorectal US guidance. Radio-Graphics 2001;21:491–506.

  5. Innocenti P, Pulli F, Savino L y Cols. Staging of cervical cancer: Reliability of transrectal US. Radiology 1992;185:201-205.

  6. Bachmann Nielsen M y Torp-Pederson. Sonographically guided transrectal or transvaginal one-step catheter placement in deep pelvic and perirectal abscesses. AJR 2004;183:1035–1036.

  7. Fischerova D, Cibula D, Stenhova H y Cols. Transrectal ultrasound and magnetic resonance imaging in staging of early cervical cancer. Int J Gynecol Cancer 2008, 18, 766–772.

  8. McGahan JP y Wu C. sonographically guided transvaginal or transrectal pelvic abscess drainage using the trocar method with a new drainage guide attachment. AJR 2008;191:1540–1544.

  9. Scanlan KA, Propeck PA y Lee Ft. Invasive procedures in the female pelvis: Value of transabdominal, endovaginal, and endorectal US guidance. Radio-Graphics 2001;21:491–506.




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Anales de Radiología México. 2011;10