Avaliação da concordância entre a ultrassonografia transvaginal e a ressonância magnética da pelve na endometriose profunda, com ênfase para o comprometimento intestinal

Cardoso, Mariana Ferreira; Werner, Heron; Berardo, Plínio Tostes; Coutinho, Antônio Carlos; Domingues, Marisa Nassar Aidar; Gasparetto, Emerson L.; Domingues, Romeu Côrtes

doi:10.1590/s0100-39842009000200006

Cited by 5 publications

(2 citation statements)

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“…The gravitational effect may justify the larger number of lesions recorded in the pelvic compartment in comparison with abdomen; this happens because intestinal lesions are preferentially located in the rectum and in the rectosigmoid region [23]. Similar to the present study, previous studies [18,24,25] often found endometriosis in the rectosigmoid region. Guerriero et al [12] found that TVUS is an accurate method to diagnose endometriosis in the rectosigmoid region and may be adopted in preoperative assessments.…”

Section: Discussionsupporting

confidence: 84%

Clinical features, socio-demographic profile and ultrasound findings in women with endometriosis symptoms

Oliveira

Bonfada

Figueiró

et al. 2018

Sci Med

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AIMS: To describe clinical and socio-demographic features, as well as transvaginal ultrasound results, of women with endometriosis symptoms.METHODS: A prospective cross-sectional study included patients who had at least one of the following symptoms: dyspareunia, dysmenorrhea, chronic pelvic pain, infertility, and urinary or bowel cyclic symptoms. The sample comprised women treated in a private gynecology clinic located in a small city in southern Brazil, from March to November 2016. All the participants, after signed an informed consent, were subjected to clinical anamnesis, transvaginal ultrasound with bowel preparation, and examination for the CA-125 antigen serum level. Association between two qualitative variables was assessed through Pearson's Chi-Square or Fisher's exact tests. Mean values of quantitative variables were compared through the two-tailed Student's t-test for independent samples. Significance level was set as p<0.05.RESULTS: A total of 85 women, aged 18-49 years, participated in the study. Most were married (75.3%), with children (51.8%), showed no family history of endometriosis (89.4%), had no knowledge about endometriosis (77.6%) and completed high school (43.5%). Ultrasound findings suggested endometriosis in 25 (29.4%) women. Dysmenorrhea was the most prevalent symptom (88.2%), followed by dyspareunia (61.2%). In comparison to those without ultrasound signs, the patients whose ultrasound findings suggested endometriosis had an older age (37.16±6.83 years vs. 30.37±6.80 years, p<0.001) and a longer duration of symptoms (9.06±6.49 years vs. 5.27±4.79 years, p=0.004). In addition, they presented higher mean serum CA-125 antigen levels (50.07±54.05 U/mL vs. 17.71±14.09 U/mL, p=0.011). Endometriosis-compatible lesions were mainly found in the ovaries (60%) and in the rectosigmoid region (52%). The disease was confirmed in the nine cases that were subjected to videolaparoscopy.CONCLUSIONS: Transvaginal ultrasound confirmed endometriosis in about one third of symptomatic patients, who were older, had symptoms for a longer time, and had higher serum CA-125 antigen levels in comparison to those without endometriosis diagnosis based on transvaginal ultrasound. Ovaries and rectosigmoid region were the sites with the highest frequency of ultrasound signs of endometriosis.

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Section: Discussionsupporting

confidence: 84%

Clinical features, socio-demographic profile and ultrasound findings in women with endometriosis symptoms

Oliveira

Bonfada

Figueiró

et al. 2018

Sci Med

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“…In pregnancy, it is widely utilized to analyze em-ORIGINAL ARTICLE bryonic and fetal anatomy at the first trimester (1) and to evaluate the biometry and morphology of the uterine cervix in more advanced gestations (2) , demonstrating to be an excellent predictor of preterm delivery (3) . It leaves no doubts about the benefit of evaluating adnexal masses (4) , including deep endometriosis and its intestinal involvement -with effectiveness comparable to magnetic resonance imaging (5) . It is the most frequently utilized propedeutic imag-ing method as a first line of investigation in patients with abnormal uterine bleeding (6) .…”

Section: Introductionmentioning

confidence: 99%

Comparação entre ultrassonografia transvaginal e histerossonografia na avaliação de pacientes com sangramento uterino anormal

Feitosa

Carvalho

et al. 2011

Radiol Bras

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Objective: To comparatively evaluate the effectiveness of transvaginal ultrasonography (TVUS) and sonohysterography (SHG) in the assessment of endometrial diseases in women with abnormal uterine bleeding. Materials and Methods: Cross-sectional study with 30 patients, aged from 29 to 71 years, 21 (70%) of them premenopausal and 9 (30%) postmenopausal. Saline solution (at 9%) was utilized as contrast agent for SHG. The MacNemar test was utilized for comparison of diagnostic studies. Results: Hysteroscopy diagnosed 18 cases (60%) of intracavitary alterations, and 10 polyps (33.3%). TVUS demonstrated 83.3% sensitivity and specificity, and SHG showed 94.4% sensitivity and 91.6% specificity. The MacNemar test showed similar sensitivity (p = 0.500) and specificity (p = 1.000) between TVUS and SHG in the detection of endometrial diseases. In the diagnosis of polyp, SHG showed the highest sensitivity (90.9% vs. 27.3%; p = 0.016) with similar specificity (89.5% vs. 94.7%; p = 1.000). Conclusion: SHG and TVUS present a good predictive value for endometrial diseases in patients with abnormal uterine bleeding. SHG and TVUS present similar sensitivity and specificity in the detection of such diseases, but SHG is more sensitive in the detection of polyps. Keywords: Transvaginal ultrasonography; Sonohysterography; Hysteroscopy; Abnormal uterine bleeding.Objetivo: Avaliar a eficácia da ultrassonografia transvaginal (USTV) e da histerossonografia (HSG) e compará-las na avaliação de alterações endometriais em portadoras de sangramento uterino anormal. Materiais e Métodos: Estudo transversal com 30 pacientes, idade entre 29 e 71 anos, 21 delas (70%) na pré-menopausa e 9 (30%) na pós-menopausa. Utilizou-se solução salina a 0,9% para contraste na HSG. Foi considerado o achado histeroscópico e/ou histopatológico como método padrão. Utilizou-se o teste de MacNemar para comparação dos testes diagnósticos. Resultados: A histeroscopia diagnosticou 18 casos (60%) de alterações intracavitárias, sendo 10 pólipos (33,3%). A USTV apresentou sensibilidade e especificidade de 83,3% e a HSG mostrou sensibilidade de 94,4% e especificidade de 91,6%. O teste de MacNemar evidenciou sensibilidade (p = 0,500) e especificidade (p = 1,000) semelhantes entre a USTV e a HSG para detecção de alterações endometriais. No diagnóstico de pólipo, a HSG apresentou maior sensibilidade (90,9% × 27,3%; p = 0,016), com especificidade semelhante (89,5% × 94,7%; p = 1,000). Conclusão: A HSG e a USTV apresentam boas taxas de predição para doenças endometriais em pacientes com sangramento uterino anormal. A HSG apresenta sensibilidade e especificidade semelhantes às da USTV na detecção dessas doenças, porém apresenta sensibilidade maior para pólipos. Unitermos: Ultrassonografia transvaginal; Histerossonografia; Histeroscopia; Sangramento uterino anormal. AbstractResumo

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Imaging modalities for the non-invasive diagnosis of endometriosis

Nisenblat

Bossuyt

Farquhar

et al. 2016

Cochrane Database of Systematic Reviews

264

324

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Avaliação da concordância entre a ultrassonografia transvaginal e a ressonância magnética da pelve na endometriose profunda, com ênfase para o comprometimento intestinal

Cited by 5 publications

References 15 publications

Clinical features, socio-demographic profile and ultrasound findings in women with endometriosis symptoms

Clinical features, socio-demographic profile and ultrasound findings in women with endometriosis symptoms

Comparação entre ultrassonografia transvaginal e histerossonografia na avaliação de pacientes com sangramento uterino anormal

Imaging modalities for the non-invasive diagnosis of endometriosis

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