Preoperative Ultrasound local Staging of Endometrial Carcinoma in Correlation to Intraoperative and Histopathology Findings

Document Type : Original Article

Authors

1 Department of Obstetrics and Gynecology, Faculty of Medicine, Zagazig University, Egypt

2 Faculty of Medicine, Almargeb University, Libya

Abstract

Objectives: The current study aimed to accurate preoperative local staging of patient with endometrial cancer.
Patients and Methods: This prospective cross-sectional study was performed at Zagazig University Hospital department of obstetrics and gynecology from May to December 2021. During the study period (6 months), 8 cases/ month, 48 cases were included as a comprehensive sample. The cases with following criteria were included in the present study, cases diagnosed as having endometrial carcinoma by endometrial sampling (blind D&C, pipelle, or hysteroscopy).
Results: The current results found that the sensitivity was 81%, specificity was 50% and the accuracy of ultrasound detection degree of myometrial invasion was 67%. The ultrasonography had 0% sensitivity in diagnosis of LN involvement and 100% specificity, 87.5% NPV and accuracy 87.5%. Our findings revealed that ultrasonography in diagnosis patients with cervical involved was moderate in accuracy about 73%
Conclusion: Ultrasound imaging was significantly accurate for endometrial carcinoma staging preoperatively. There was a good correlation of TVUS with pathological results. TVUS evaluation proved to be a potential preoperatively guiding tool for non-bulky tumors and a remarkable sensitive tool for excluding or detecting invasion.

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