Houvenaeghel G, Martino M, Resbeut M, Rosello R, Perez T, Delpero J R, Jacquemier J, Guerinel G
Department of Surgery, Institut J. Paoli-I. Calmettes, Marseille, France.
Gynecol Oncol. 1994 Dec;55(3 Pt 1):393-400. doi: 10.1006/gyno.1994.1312.
From January 1988 to December 1992, 106 patients with advanced gynecologic cancer were preoperatively explored by clinical examination (CE) and endosonography (ESG) under anesthesia and by computed tomography (CT). Sixty-one tumors were primary and 45 recurrent; the main locations were cervical (73 cases), ovarian (10 cases), and endometrial (8 cases). All the patients were operated. This prospective study compares the data from clinical and imaging examinations with the histologic findings and the surgical reports. Accuracy of the CE, ESG, cytoscopy, and CT was respectively 79, 90, 82, and 80% for vesical involvement (ESG versus CT: P < 0.05). For vesicovaginal septum extension, accuracy of ESG (92%) was statistically better than that of CE (80%) and CT (77%). Accuracy of the CE, ESG, and CT was respectively 93, 97, and 89% for rectal involvement (ESG versus CT: P < 0.02). For rectovaginal septum extension, accuracy of ESG (96%) was statistically better than that of CE (85%) and CT (85%). Endosonography is valuable in the assessment of regional staging of advanced gynecologic cancers. Since it is realized during the clinical examination under anesthesia, this low-cost procedure is easily performed and provided no discomfort to the patients.
1988年1月至1992年12月，对106例晚期妇科癌症患者在麻醉下进行了临床检查（CE）、内镜超声检查（ESG）和计算机断层扫描（CT）的术前评估。其中61例为原发性肿瘤，45例为复发性肿瘤；主要部位为宫颈（73例）、卵巢（10例）和子宫内膜（8例）。所有患者均接受了手术治疗。这项前瞻性研究将临床和影像学检查的数据与组织学检查结果及手术报告进行了比较。对于膀胱受累情况，CE、ESG、膀胱镜检查和CT的准确率分别为79%、90%、82%和80%（ESG与CT比较：P<0.05）。对于膀胱阴道隔受累情况，ESG的准确率（92%）在统计学上优于CE（80%）和CT（77%）。对于直肠受累情况，CE、ESG和CT的准确率分别为93%、97%和89%（ESG与CT比较：P<0.02）。对于直肠阴道隔受累情况，ESG准确率（96%）在统计学上优于CE（85%）和CT（85%）。内镜超声检查在晚期妇科癌症区域分期评估中具有重要价值。由于它是在麻醉下的临床检查过程中完成的，这种低成本的检查操作简便，且不会给患者带来不适。
