[Preoperative detection of lymph nodes by means of computer tomography in patients with endometrial carcinoma].
OBJECTIVE
To determine the value of computed tomography (CT) in predicting preoperatively nodal disease in patients with endometrial cancer.


METHODS
A prospective multicentric study.


METHODS
Department of Obstetrics and Gynecology of the Palacky University Medical School and University Hospital, Olomouc, Obstetrical and Gynecological Departments of collaborating hospital, Czech Republic.


METHODS
A total of 164 women with endometrial carcinoma that was diagnosed between 1998 and 2002 were recruited for this study. Final pathological findings were compared with those of the preoperative CT scans to assess nodal disease.


RESULTS
Among 164 women who had preoperative scans and lymph node samplings, sensitivity, specificity, positive and negative predicting values of CT scans at predicting lymph node metastasis was 30, 95.5, 30 and 95.5% respectively.


CONCLUSIONS
Routine preoperative CT scanning is a poor predictor of nodal disease in patients with endometrial cancer. Its preoperative routine use should be discouraged.
Pilka
R
R
Gynekologicko-porodnická klinika FN a LF UP, Olomouc.
Kudela
M
M
Dzvincuk
P
P
Lubuský
D
D
D000328:Adult; D000368:Aged; D016889:Endometrial Neoplasms / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans; D008198:Lymph Nodes / Q000000981:diagnostic imaging; D008207:Lymphatic Metastasis / Q000000981:diagnostic imaging*; D008875:Middle Aged; D011237:Predictive Value of Tests; D012680:Sensitivity and Specificity; D014057:Tomography, X-Ray Computed