[Usefulness of magnetic resonance imaging in the determination of cervical involvement in endometrial cancer].

Nihon Sanka Fujinka Gakkai zasshi Pub Date : 1996-09-01
H Matsushita, S Kodama, H Kase, H Kurata, K Tanaka
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引用次数: 0

Abstract

One hundred and sixty patients with FIGO stage I and II endometrial cancer entered this study. Magnetic Resonance Imaging (MRI; 61 cases), fractional curettage (110 cases) and hysteroscopy (119 cases) were performed to evaluate the presence of cervical involvement, and the findings were histologically compared with specimens obtained in abdominal hysterectomy. MRI showed the highest sensitivity (90.9%), specificity (96.0%) and diagnostic accuracy (95.1%) for the presence of cervical involvement. In 11 cases with cervical lesions, MRI predicted all 9 cases with invasion deeper than 1.5 mm. From these results we concluded that MRI appeared to be an excellent technique for cervical involvement and it would be a great help in determining the surgical procedure for endometrial cancer.

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【磁共振成像在子宫内膜癌宫颈受累诊断中的应用】。
160例FIGO I期和II期子宫内膜癌患者参加了这项研究。磁共振成像(MRI);61例)、分次刮除(110例)和宫腔镜(119例)评估宫颈受累情况,并与腹式子宫切除术标本进行组织学比较。MRI对宫颈受累表现出最高的敏感性(90.9%)、特异性(96.0%)和诊断准确性(95.1%)。在11例宫颈病变中,MRI预测9例浸润深度均大于1.5 mm。从这些结果我们得出结论,MRI似乎是宫颈受累的一种很好的技术,它将在确定子宫内膜癌的手术方法方面有很大的帮助。
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