[Transvaginal echography in the evaluation of the grade of myometrial invasion in locally advanced endometrial carcinoma].
Neoplastic myometrial invasion is an important prognostic factor in local advanced endometrial carcinoma, conditioning therapeutic choice. In 34 patients with stage I and II endometrial carcinoma, the depth of myometrial invasion was evaluated by transvaginal sonography (TVS). In comparison with pathological findings, TVS showed an overall accuracy of 82.3% with a sensitivity of 82.6% and a specificity of 81.8%. The principal error was related to the underestimation of the lesion: negative predictive value of 49.2% vs positive predictive value of 90.4%. In conclusion, TVS is an accurate imaging method for staging of local advanced endometrial carcinoma.
Garzetti
G G
GG
Istituto di Clinica Ostetrica e Ginecologica, Università degli Studi di Ancona.
Ciavattini
A
A
Cignitti
M
M
Valensise
H
H
Amoroso
D
D
Ravasi
E
E
Lanza
R
R
Romanini
C
C
D000328:Adult; D000368:Aged; D016889:Endometrial Neoplasms / Q000473:pathology; D005260:Female; D006801:Humans; D008875:Middle Aged; D009215:Myometrium / Q000000981:diagnostic imaging*; D009361:Neoplasm Invasiveness / Q000000981:diagnostic imaging; D009367:Neoplasm Staging; D011237:Predictive Value of Tests; D014463:Ultrasonography / Q000379:methods; D014594:Uterine Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology
L'ecografia transvaginale nella valutazione del grado di invasione miometriale nel carcinoma endometriale localmente avanzato.