Bao R, Wu A, Ou Y
Beijing Obstetrics and Gynecology Hospital.
Zhonghua Fu Chan Ke Za Zhi. 1995 Apr;30(4):215-7.
The value of magnetic resonance imaging (MRI) in the diagnosis and staging of endometrial carcinoma was studied in 43 cases of clinically suspected endometrial carcinoma and 7 normal women. All of the 43 cases showed abnormal endometria measured by MRI, among which were pathologically proven 40 cases of endometrial carcinoma, 2 cases of endometrial polyps and 1 case of adenomyosis. This suggested that MRI showed a high susceptibility in the diagnosis of endometrial carcinoma, and a lack of specificity. MRI could predict myometrial invasion, its accuracy being verified by surgico-pathological findings in 11 of 13 cases. MRI staging was correct in 10 of the 13 primarily operated cases, and only half of the clinical staging was in conformity with surgical staging. The results suggest that MRI is useful in the staging of endometrial carcinoma and therefore is of value in the choice of treatment planning, although it is not yet an ideal diagnostic aid to detect small metastatic pelvic lesions.
对43例临床怀疑为子宫内膜癌的患者及7名正常女性进行了研究，以探讨磁共振成像（MRI）在子宫内膜癌诊断及分期中的价值。43例患者经MRI检查均显示子宫内膜异常，其中经病理证实为子宫内膜癌40例、子宫内膜息肉2例、子宫腺肌病1例。这表明MRI对子宫内膜癌的诊断敏感性较高，但缺乏特异性。MRI能够预测肌层浸润，13例中有11例的诊断准确性经手术病理结果证实。13例初次手术患者中，MRI分期正确的有10例，而临床分期仅有一半与手术分期相符。结果表明，MRI对子宫内膜癌的分期有帮助，因此在治疗方案的选择上有价值，尽管它在检测盆腔小转移灶方面还不是理想的诊断手段。
