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Staging in local endometrial carcinoma. Assessment of magnetic resonance and ultrasound examinations

Thorvinger, Björn LU ; Gudmundsson, T; Horvath, G; Forsberg, L and Holtås, Stig LU (1989) In Acta Radiologica 30(5). p.525-529
Abstract
Possible deep (more than an inner third of the uterine wall) myometrial invasion and cervical extension of endometrial carcinoma were evaluated prospectively using magnetic resonance (MR) and transabdominal real-time sonography (US) in 20 and 10 patients, respectively. The data obtained from these examinations were compared with hysterosalpingography (HSG) and clinical modalities including hysteroscopy, sounding and histopathologic findings after surgery. The concordance of outlining cervical extension was between MR and hysteroscopy 85 per cent, and between US and hysteroscopy 50 per cent. Deep myometrial tumor invasion was suggested in 4/10 patients by US and in 6/20 by MR, and was confirmed in all but one in each group at histologic... (More)
Possible deep (more than an inner third of the uterine wall) myometrial invasion and cervical extension of endometrial carcinoma were evaluated prospectively using magnetic resonance (MR) and transabdominal real-time sonography (US) in 20 and 10 patients, respectively. The data obtained from these examinations were compared with hysterosalpingography (HSG) and clinical modalities including hysteroscopy, sounding and histopathologic findings after surgery. The concordance of outlining cervical extension was between MR and hysteroscopy 85 per cent, and between US and hysteroscopy 50 per cent. Deep myometrial tumor invasion was suggested in 4/10 patients by US and in 6/20 by MR, and was confirmed in all but one in each group at histologic examination of the resected uterus. There were no false negative US or MR examinations. Transabdominal US did not prove accurate in defining local endometrial carcinoma (distinguishing between stages I and II), but it may be used as an additional tool in revealing myometrial invasion. MR, however, seems to refine the delineation of uterine tumor growth. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Acta Radiologica
volume
30
issue
5
pages
525 - 529
publisher
John Wiley & Sons
external identifiers
  • pmid:2692668
  • scopus:0024791096
ISSN
1600-0455
language
English
LU publication?
yes
id
f3acc6fe-edcb-4c91-89a2-73463ba806d0 (old id 1104624)
date added to LUP
2008-08-06 11:58:42
date last changed
2017-08-27 05:33:48
@article{f3acc6fe-edcb-4c91-89a2-73463ba806d0,
  abstract     = {Possible deep (more than an inner third of the uterine wall) myometrial invasion and cervical extension of endometrial carcinoma were evaluated prospectively using magnetic resonance (MR) and transabdominal real-time sonography (US) in 20 and 10 patients, respectively. The data obtained from these examinations were compared with hysterosalpingography (HSG) and clinical modalities including hysteroscopy, sounding and histopathologic findings after surgery. The concordance of outlining cervical extension was between MR and hysteroscopy 85 per cent, and between US and hysteroscopy 50 per cent. Deep myometrial tumor invasion was suggested in 4/10 patients by US and in 6/20 by MR, and was confirmed in all but one in each group at histologic examination of the resected uterus. There were no false negative US or MR examinations. Transabdominal US did not prove accurate in defining local endometrial carcinoma (distinguishing between stages I and II), but it may be used as an additional tool in revealing myometrial invasion. MR, however, seems to refine the delineation of uterine tumor growth.},
  author       = {Thorvinger, Björn and Gudmundsson, T and Horvath, G and Forsberg, L and Holtås, Stig},
  issn         = {1600-0455},
  language     = {eng},
  number       = {5},
  pages        = {525--529},
  publisher    = {John Wiley & Sons},
  series       = {Acta Radiologica},
  title        = {Staging in local endometrial carcinoma. Assessment of magnetic resonance and ultrasound examinations},
  volume       = {30},
  year         = {1989},
}