Preoperative selection of patients with low-stage endometrial cancer at high risk of pelvic lymph node metastases

Doorn, Helena C. van; Zee, Ate G.J. van der; Peeters, Petra H.M.; Kroeks, M. V. A. M.; Eijkeren, M. A. Van

doi:10.1046/j.1525-1438.2002.01083.x

Cited by 18 publications

(14 citation statements)

References 38 publications

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“…We examined the full text of the remaining 50 articles. Finally, 26 studies were discarded because they did not meet inclusion criteria and the remaining 24 studies were included in the review and meta‐analysis. No additional relevant studies were found from references cited in the papers included in the review.…”

Section: Resultsmentioning

confidence: 99%

Transvaginal ultrasound for preoperative assessment of myometrial invasion in patients with endometrial cancer: a systematic review and meta-analysis

Alcázar

Orozco

Corral

et al. 2015

Ultrasound Obstet Gynecol

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Objective To review the diagnostic accuracy of transvaginal ultrasound (TVS) CI,[76][77][78][79][80][81][82][83][84][85] 4.3 (95% CI,, respectively. We did not observe differences among the three methods in terms of diagnostic performance. Significant heterogeneity was found for sensitivity and specificity of all three methods (I 2 range, 60.6-95.0 Results Our extended search identified a total of 184 citations, among which we examined the full text of 24 articles. Overall pooled sensitivity, specificity, positive likelihood ratio (LR+) and negative likelihood ratio (LR-) of TVS for detecting deep myometrial infiltration were 82% (95% CI, 76-87%), 81% (95%

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Section: Resultsmentioning

confidence: 99%

Transvaginal ultrasound for preoperative assessment of myometrial invasion in patients with endometrial cancer: a systematic review and meta-analysis

Alcázar

Orozco

Corral

et al. 2015

Ultrasound Obstet Gynecol

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“…Bei Frauen unter 60 Jahren erschweren Myome bzw. Adenomyosis uteri die Abschätzung der myometranen Invasionstiefe[84]. Eine Überschätzungs-gefahr besteht zudem bei einem kleinen Uterus, einem atrophen Myometrium, exophytischem, polypösen Tumorwachstum oder Pyometra[84].Aktuell ist die Standardmethode im präoperativen Management das MRT.…”

unclassified

“…Adenomyosis uteri die Abschätzung der myometranen Invasionstiefe[84]. Eine Überschätzungs-gefahr besteht zudem bei einem kleinen Uterus, einem atrophen Myometrium, exophytischem, polypösen Tumorwachstum oder Pyometra[84].Aktuell ist die Standardmethode im präoperativen Management das MRT. Im Vergleich zur Sonographie und zum CT stellt das MRT, vor allem mit Kontrastmittelanwendung, die derzeit beste Möglichkeit zur Evaluation der myometranen und zervikalen Invasion dar[5,32,54,64,67,90].…”

unclassified

Diagnostik und präoperatives Staging des Endometriumkarzinoms mittels transvaginaler Sonographie - eine Übersicht

Nk¹,

Rehn²,

Thanner³

et al. 2006

Zentralbl Gynakol

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Endometrial carcinoma is the most common malignant tumor of the female genital tract. The major non-invasive diagnostic method is ultrasound. Endometrial thickness (double layer) is measured by transvaginal sonography. The cut-off value in patients with postmenopausal bleeding is still controversial, although in patients with endometrial thickness below 4 mm (or 5 mm respectively), malignancy can be excluded with high probability. If the endometrium measures more than 4 mm (or more than 5 mm respectively) or the patient presents with continuous bleeding, hysteroscopy and curettage should be performed in order to obtain histologic diagnosis. Sonographic findings like structure and demarcation of the endometrium increase diagnostic specificity only when combined with the measurement of endometrial thickness. Measuring the fluid within the uterine cavity does not seem to be useful in differentiating malignant from benign disorders. The extent of surgery depends on the preoperative estimation of the tumor stage which is particularly important for elder patients with increased morbidity. Transvaginal sonography has not been widely accepted to predict the depth of myometrial invasion or cervical infiltration. Although promising studies exist, additional examinations have to be done in order to determine the role of transvaginal sonography beside other methods (CT, MRT). This article on transvaginal ultrasound reviews current data on the method's capacity to identify endometrial cancer and to diagnose the depth of invasion.

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“…Ses performances dans le bilan d'extension du cancer de l'endomètre sont très diversement appréciées, et sa sensibilité varie de 37 à 100 % selon les études [3,5,9,[11][12][13][14][15][16][17][18][19][20] (Tableau 5).…”

Section: Discussionunclassified

Intérêt de l’échographie endovaginale préopératoire dans l’évaluation de l’infiltration myométriale des adénocarcinomes de l’endomètre

Yazbeck

Poncelet

Créquat

et al. 2003

Gynécologie Obstétrique & Fertilité

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Preoperative selection of patients with low-stage endometrial cancer at high risk of pelvic lymph node metastases

Abstract: Abstract. van

Cited by 18 publications

References 38 publications

Transvaginal ultrasound for preoperative assessment of myometrial invasion in patients with endometrial cancer: a systematic review and meta-analysis

Transvaginal ultrasound for preoperative assessment of myometrial invasion in patients with endometrial cancer: a systematic review and meta-analysis

Diagnostik und präoperatives Staging des Endometriumkarzinoms mittels transvaginaler Sonographie - eine Übersicht

Intérêt de l’échographie endovaginale préopératoire dans l’évaluation de l’infiltration myométriale des adénocarcinomes de l’endomètre

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