[Transvaginal echographic evaluation of myometrial invasion in patients with endometrial cancer].
Twenty-one patients with endometrial cancer who underwent laparotomy, were pre-operatively examined by transvaginal sonography. A deep myometrial invasion (> 50%) was noted sonographically in 9 patients (42.3%), with a superficial invasion (< 50%) in 12 (57.2%). A deep invasion was histologically seen in 10 patients (47.6%), with a superficial invasion in 11 (52.4%). In myometrial deep invasion evaluation, transvaginal sonography showed a 90% sensibility, a 73% specificity, a 75% positive predictive value and a 93% negative predictive value. In 3 cases (14.3%) the invasion depth was sonographically overestimated and in 1 case (4.8%) underestimated. These results make possible an important role of transvaginal sonography in staging endometrial cancer, to select patients needing for pelvic and lomboaortic lymphadenectomy over total abdominal hysterectomy with vaginal collar.
Molina
G
G
Divisione di Ginecologia e Ostetricia, Ospedale Civile E. Agnelli, Pinerolo, Torino.
Dell'Elce
C
C
Libanori
E
E
Preziuso
F
F
Trompeo
P
P
D000368:Aged; D000369:Aged, 80 and over; D016889:Endometrial Neoplasms / Q000000981:diagnostic imaging* / Q000453:epidemiology / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D007044:Hysterectomy; D015994:Incidence; D007558:Italy / Q000453:epidemiology; D008197:Lymph Node Excision; D008875:Middle Aged; D009215:Myometrium / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D009361:Neoplasm Invasiveness / Q000000981:diagnostic imaging* / Q000473:pathology; D011237:Predictive Value of Tests; D014463:Ultrasonography