[Feedback of ultrasound and RMI in the staging of endometrial carcinoma in early stage].

Gynecol Obstet Fertil

Service de chirurgie gynécologique, pôle de la femme, université de Lorraine, maternité régionale universitaire de Nancy, 10, avenue du docteur-Heydenreich, 54000 Nancy, France; Service d'imagerie de la femme et périnatale, pôle de la femme, université de Lorraine, maternité régionale universitaire de Nancy, 10, avenue du docteur-Heydenreich, 54000 Nancy, France.

Published: April 2015

Objectives: Endometrial cancer is the most common gynecological cancer in France. The therapeutic management is based on preoperative staging. The recommended imaging examination remains the MRI. This is to evaluate ultrasound and MRI in the staging for localized cancers.

Methods: This is a retrospective observational study, conducted from July 2012 to July 2014, at the University Hospital of Nancy, on all patients care for endometrial cancer stage I, who underwent a pelvic ultrasound and MRI for the assessment of myometrial infiltration.

Results: Twenty-nine patients were included with a mean age of 69 years and a BMI of 30 kg/m(2). Using ultrasound, we have a sensitivity of 58%, a specificity of 100%, a positive predictive value (PPV) of 100%, a negative predictive value (NPV) of 70% and an accuracy of 75%. Using MRI, we have a sensitivity of 83%, a specificity of 100%, a PPV of 83%, a VPN of 88%, and an accuracy of 86%.

Conclusion: Transvaginal sonography should be performed before post-menopausal bleeding. It remains possible in the staging of localized cancers.

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Source
http://dx.doi.org/10.1016/j.gyobfe.2015.02.011DOI Listing

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