OP09.08: Demonstration of the neovascularisation patterns in 64 carcinomas of the cervix–comparison between 2D and 3D ultrasound examinations

Abstract

The aim of this study was to compare 2D and 3D color Doppler pattern in cervical cancer and to differentiate semi-qualitatively between three different vascularization types using 3D ultrasound: type I with low, type II with medium and type III with high neovascularization of the cervix. Between the years 2000 and 2013 in 64 sonographically detected cancers of the cervix the neovascularization pattern in the cervix was assessed by transvaginal 2D and 3D color Doppler. In all cases the ultrasound examination was performed prior to histological verification of the tumor respectively prior to the Wertheim-Meigs' operations. The age of the patients ranged from 31 to 89 years. In comparison to 2D ultrasound 3D ultrasound gives a better demonstration of the neovascularization in 87.5% of the cervical cancers (table 1). By use of the 3D glass body mode 3 different neovascularization patterns could be detected with the highest incidence of the neovascularization type III (table 1). OP09.08: Table 1. Neovascularisation patterns in cervical cancer - comparison of 2D and 3D ultrasound In cervical cancer the 3D glass body mode does not only allow a better detection of typical tumor vessels (with coiling, stenoses and dilatations) than this is possible with 2D ultrasound but does also provide the operator with a precise demonstration of the complex branching patterns of the tumor vessels.