[Transvaginal echography in the evaluation of the grade of myometrial invasion in locally advanced endometrial carcinoma].

G G Garzetti, A Ciavattini, M Cignitti, H Valensise, D Amoroso, E Ravasi, R Lanza, C Romanini
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引用次数: 0

Abstract

Neoplastic myometrial invasion is an important prognostic factor in local advanced endometrial carcinoma, conditioning therapeutic choice. In 34 patients with stage I and II endometrial carcinoma, the depth of myometrial invasion was evaluated by transvaginal sonography (TVS). In comparison with pathological findings, TVS showed an overall accuracy of 82.3% with a sensitivity of 82.6% and a specificity of 81.8%. The principal error was related to the underestimation of the lesion: negative predictive value of 49.2% vs positive predictive value of 90.4%. In conclusion, TVS is an accurate imaging method for staging of local advanced endometrial carcinoma.

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[经阴道超声对局部晚期子宫内膜癌子宫肌层浸润程度的评价]。
肿瘤性子宫内膜浸润是局部晚期子宫内膜癌的重要预后因素,影响治疗选择。对34例I、II期子宫内膜癌患者,采用经阴道超声(TVS)评估子宫肌层浸润深度。与病理结果相比,TVS的总体准确率为82.3%,敏感性为82.6%,特异性为81.8%。主要误差与对病变的低估有关:阴性预测值为49.2%,阳性预测值为90.4%。综上所述,TVS是一种准确的局部晚期子宫内膜癌分期的影像学方法。
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