Osmers R G, Kuhn W
Department of Obstetrics and Gynecology, University of Göttingen, Germany.
Curr Opin Obstet Gynecol. 1994 Feb;6(1):75-9.
Endometrial cancer is the most common malignancy of the female genital tract. The prognosis of the endometrial carcinoma is strongly correlated with the myometrial infiltration depth. Therefore, it is of utmost clinical interest to detect the malignancies at the earliest stage or even as a precancer. All approaches, like cytologies and uterine smears, have failed to fulfil prerequisites for screening of endometrial cancer. Measurement of the endometrial thickness by transvaginosonography (TVS) can define a risk group for endometrial cancer in postmenopausal women. Further investigations have to clarify whether the combination of TVS and color Doppler can reduce the number of false-positive findings.
子宫内膜癌是女性生殖道最常见的恶性肿瘤。子宫内膜癌的预后与肌层浸润深度密切相关。因此,在最早阶段甚至癌前阶段检测出恶性肿瘤具有至关重要的临床意义。所有方法,如细胞学检查和子宫涂片检查,均未能满足子宫内膜癌筛查的先决条件。经阴道超声检查(TVS)测量子宫内膜厚度可确定绝经后女性子宫内膜癌的风险组。进一步的研究必须阐明TVS与彩色多普勒相结合是否能减少假阳性结果的数量。