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Value of sonohysterography in preoperative assessment of myometrial invasion for patients with endometrial cancer.

Authors
Chang, SJ; Lee, EJ; Kim, WY; Yoo, SC; Yoon, JH; Chang, KH; Ryu, HS
Citation
Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine, 29(6):923-929, 2010
Journal Title
Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine
ISSN
0278-42971550-9613
Abstract
OBJECTIVE: The aims of this study were to compare the diagnostic performance of sonohysterography (SH) with that of magnetic resonance imaging (MRI) in estimation of myometrial invasion and to evaluate the influence of SH on peritoneal cytologic results for patients with endometrial cancer.

METHODS: Seventy-four patients with endometrial cancer were included. Sonohysterography and MRI were performed before surgery. All patients had complete staging procedures, including peritoneal cytologic analyses. The sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) were determined for SH and MRI.

RESULTS: The concordance rates of myometrial invasion for SH and MRI were 82.4% and 81.1%, respectively. The sensitivity, specificity, PPV, and NPV for identification of deep myometrial invasion were 64.7%, 87.7%, 61.1%, and 89.3% on SH and 70.6%, 84.2%, 57.1%, and 90.6% on MRI. Two patients (2.7%) were found to have positive results for malignant cells on peritoneal cytologic analyses.

CONCLUSIONS: Sonohysterography appears to be a useful preoperative method for predicting myometrial invasion, comparable to MRI.
MeSH terms
AdultAgedChi-Square DistributionContrast Media/diagnostic useEndometrial Neoplasms/pathology/surgery/*ultrasonographyFemaleGadolinium DTPA/diagnostic useHumansLogistic ModelsMagnetic Resonance ImagingMiddle AgedMyometrium/pathology/surgery/*ultrasonographyNeoplasm Invasiveness/ultrasonographyNeoplasm StagingPredictive Value of TestsPreoperative CareProspective StudiesSensitivity and SpecificityVagina
PMID
20498467
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Radiology
Journal Papers > School of Medicine / Graduate School of Medicine > Medical Science
Journal Papers > School of Medicine / Graduate School of Medicine > Obstetrics & Gynecology
AJOU Authors
장, 석준이, 은주김, 우영유, 승철윤, 종혁장, 기홍유, 희석
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