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Fig. 3B. —62-year-old man with stage pT4 pN2 pM1 rectal carcinoma. Transrectal sonogram of lower third of rectum shows hypoechogenic lesion between 6- and 2-o'clock positions. Between 11- and 2-o'clock positions, tumor is confined to muscularis propria; between 9- and 11-o'clock positions, tumor (arrows) extends into perirectal fat. Probe could not be placed properly because of stenosis caused by tumor. Infiltration of seminal vesicles could not be visualized.

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