Assessment of Myometrial Invasion at the Invasion Site of an Endometrial Carcinoma by Ultrasonography Along with an Intrauterine Catheter

Perdomo, Ilse A.; Miyagi, Yasunari; Yamada, Seiichi; Kawanishi, Kunihiro; Yamamoto, Jun; Miyagi, Yuji; Hongo, Atsushi; Kodama, Junichi; Yoshinouchi, Mitsuo; Kobashi, Yuji; Kudo, Takafumi

doi:10.1111/j.1447-0756.1999.tb01130.x

Cited by 1 publication

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“…They showed that, in cases with a correctly estimated original site, the sensitivity, specificity and accuracy of TVS using a catheter were respectively 1.00, 0.67 and 0.86 for myometrial invasion of !½, and 0.67, 1.00 and 0.86 for myometrial invasion of 6½. Their results seems to be better, but were based only on 19 patients, thereby warranting further investigation [15].…”

Section: Discussionmentioning

confidence: 99%

“…Perdomo et al [15] used an intrauterine silicon catheter to enhance the diagnostic ability of TVS. They showed that, in cases with a correctly estimated original site, the sensitivity, specificity and accuracy of TVS using a catheter were respectively 1.00, 0.67 and 0.86 for myometrial invasion of !½, and 0.67, 1.00 and 0.86 for myometrial invasion of 6½.…”

Section: Discussionmentioning

confidence: 99%

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Preoperative Assessment of Myometrial Invasion and Cervical Involvement of Endometrial Cancer by Transvaginal Ultrasonography

Köse

Aka²,

Apı³

2003

Gynecol Obstet Invest

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The aim of the study was to assess the depth of myometrial invasion and cervical involvement by endometrial cancer using preoperative 6.5-MHz, high-frequency transvaginal ultrasonography as compared with postoperative assessment using histopathological examination. The study included 47 patients with histologically proven cancers of the endometrium. All patients underwent transvaginal sonography before surgery. The depth of myometrial invasion was classified as none, inner half of the uterine wall, and outer half of the uterine wall. Cervical spread is recorded as positive or negative. Of 36 (76.6%) patients with proven myometrial invasion, 33 cases (91.66%) were revealed by sonography. Histologically proven cervical invasion that correlated with sonography was shown in 3 patients (75%). In 7 patients (14.9%) ultrasonography could not correctly predict the depth of myometrial invasion. The depth of invasion was underestimated in 4 (8.5%) cases and overestimated in 3 (6.4%) cases. Preoperative assessment of invasion of the uterine wall and cervical spread by transvaginal ultrasonography had an accuracy of 85 and 97.8% if correlated with the definitive histopathological examination. The role of transvaginal ultrasonography in preoperative assessment of the depth of myometrial invasion and cervical involvement in patients with endometrial cancer needs to be studied further before making reliable conclusions.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Preoperative Assessment of Myometrial Invasion and Cervical Involvement of Endometrial Cancer by Transvaginal Ultrasonography

Köse

Aka²,

Apı³

2003

Gynecol Obstet Invest

View full text Add to dashboard Cite

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Assessment of Myometrial Invasion at the Invasion Site of an Endometrial Carcinoma by Ultrasonography Along with an Intrauterine Catheter

Abstract: It is of value to use 6-mm as the criterion for the thickness of the intact myometrium at the estimated tumor-origin site in connection with TVU with the use of a catheter for preoperatively assessing half myometrial invasion.

Cited by 1 publication

References 10 publications

Preoperative Assessment of Myometrial Invasion and Cervical Involvement of Endometrial Cancer by Transvaginal Ultrasonography

Preoperative Assessment of Myometrial Invasion and Cervical Involvement of Endometrial Cancer by Transvaginal Ultrasonography

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