[Transvaginal sonography, dilatation and curettage, computed tomography and hysteroscopy as methods for the diagnosis of the involvement of the cervical canal in cases of endometrial carcinoma].
The quality of the preoperative diagnostic procedures D&C, hysteroscopy, transvaginal sonography, and computer tomography were evaluated. The results of these diagnostic methods were compared with the postoperative pathological results. The computer tomography was with limited abilities for determination of cervical canal involvement. The high negative predictive value of the rest of the methods gives us the ability to exclude cervical canal involvement with great accuracy and probability. But none of these methods could not on firm the presence of cervical canal infiltration, because of low percentage of positive predictive value, which was between 7.8% in hysteroscopy to 50% in transvaginal sonography and till 60% in MRI imaging. Between all these methods for diagnosis of cervical canal involvement--the transvaginal sonography was relatively efficient/78.2%/, specific in/79%/ and sensitive in /76%/ and relatively cheap. Because of this reason this method of transvaginal sonography is preferable in the evaluation of possible cervical infiltration.
Ivanov
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Ivanov
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D002277:Carcinoma / Q000175:diagnosis*; D002584:Cervix Uteri / Q000000981:diagnostic imaging / Q000473:pathology; D004107:Dilatation and Curettage; D016889:Endometrial Neoplasms / Q000175:diagnosis*; D005260:Female; D006801:Humans; D015907:Hysteroscopy; D011300:Preoperative Care / Q000379:methods*; D012680:Sensitivity and Specificity; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis*; D014621:Vagina / Q000000981:diagnostic imaging*