子宫内膜癌的术前超声评估。

Preoperative sonographic evaluation of endometrial cancer.

作者信息

Cacciatore B, Lehtovirta P, Wahlström T, Ylöstalo P

机构信息

Department of Obstetrics and Gynecology, Helsinki University Central Hospital, Finland.

出版信息

Am J Obstet Gynecol. 1989 Jan;160(1):133-7. doi: 10.1016/0002-9378(89)90105-1.

DOI:10.1016/0002-9378(89)90105-1

PMID:2643318

Abstract

Preoperative sonography was performed in 93 patients with a histologic diagnosis of endometrial cancer. Uterine volume was enlarged (mean, 164 +/- 143.7 cm3; range, 25 to 800) but did not significantly correlate with the degree of myometrial invasion. Endometrial echoes were identified in 93.5% of the cases. A significant correlation (p less than 0.01, Newman-Keuls test) was found between endometrial echoes volume and myometrial invasion. Myometrial invasion was correctly predicted by sonography in 80% of the cases. Polypoid intraluminal growth was the most common factor affecting sonographic accuracy. Sonographic staging was accurate in 91% of the cases. Sonography appears to be an efficient, economic, and practical tool for clinical staging of endometrial cancer.

摘要

对93例经组织学诊断为子宫内膜癌的患者进行了术前超声检查。子宫体积增大（平均为164±143.7cm³；范围为25至800），但与肌层浸润程度无显著相关性。93.5%的病例可识别出子宫内膜回声。子宫内膜回声体积与肌层浸润之间存在显著相关性（p<0.01，Newman-Keuls检验）。超声检查在80%的病例中正确预测了肌层浸润。息肉样腔内生长是影响超声检查准确性的最常见因素。超声分期在91%的病例中准确。超声检查似乎是子宫内膜癌临床分期的一种有效、经济且实用的工具。