Abstract

This study is conducted to observe the diagnostic value of B-mode ultrasound, CT and MRI examinations in preoperative myometrial infiltration of endometrial cancer and lymph node metastasis. Retrospectively analyze 50 cases of the patients from Oct. 2010 to Aug. 2013. Before operation all the patients received dilatation & curettage to determine pathological diagnosis and clinical staging. There were 150 cases of patients who received B-mode ultrasound examination, wherein, 93 cases received CT examination and 57 cases received MRI examination as well. In the diagnosis of MIEC the diagnostic indicies of individual MRI examination were higher than that of individual B-mode ultrasound and CT examinations. Consistency of individual MRI examination with pathological diagnosis was significantly higher than that of B-mode and CT examinations. The sensitivity of CT and MRI was significantly higher than that of B-mode ultrasound examination. However, diagnostic indicators of B-mode ultrasound and CT joint examination were higher than B-mode ultrasound examination alone. The consistency of both with pathological diagnosis was significantly increased. B-mode and CT can significantly improve the diagnostic accuracy and has a good consistency with pathological diagnosis, thereby applicable to the clinical diagnosis of preoperative myometrial infiltration of endometrial cancer and lymph node metastasis.

Highlights

  • This study is conducted to observe the diagnostic value of B-mode ultrasound, CT and MRI examinations in preoperative myometrial infiltration of endometrial cancer and lymph node metastasis

  • Before receiving B-mode ultrasound, CT and MRI examinations, none of the patients received chemotherapy, radiotherapy, Among the 150 cases of the patients with endometrial cancer, 108 cases were found with myometrial infiltration by postoperative pathology, wherein, 68 cases were found with myometrial infiltration in preoperative B-mode ultrasound examination, while 40 cases were found without myometrial infiltration in preoperative

  • Among the 93 cases of patients with endometrial cancer undergoing CT examination in the meantime, 66 cases of patients were found with myometrial infiltration by postoperative pathology, wherein, 45 cases were found with myometrial infiltration in preoperative CT examination while 21 cases were found without myometrial infiltration in preoperative CT examination; 27 cases of patients were found without myometrial infiltration by postoperative pathology, wherein, 19 cases were found without myometrial infiltration in preoperative CT examination, while 8 cases were misdiagnosed with myometrial infiltration

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Summary

Introduction

Abstract: This study is conducted to observe the diagnostic value of B-mode ultrasound, CT and MRI examinations in preoperative myometrial infiltration of endometrial cancer and lymph node metastasis. B-mode and CT can significantly improve the diagnostic accuracy and has a good consistency with pathological diagnosis, thereby applicable to the clinical diagnosis of preoperative myometrial infiltration of endometrial cancer and lymph node metastasis. FIGO staging criteria can neither truly reflect the actual size of a tumor, nor the conditions of the myometrial infiltration of endometrial cancer and the lymph node metastasis prior to operation. Through retrospectively analyzing 150 cases of the patients with endometrial cancer receiving surgical treatment from Oct. 2010 to Aug. 2013, the research discusses the diagnostic value of B-mode ultrasound, CT and MRI examinations in preoperative myometrial infiltration of endometrial cancer and lymph node metastasis, trying to find effective diagnosis methods for preoperative myometrial infiltration of endometrial cancer and lymph node metastasis

General conditions of the patients
Inclusion and exclusion criteria
Myometrial infiltration conditions of the patients with endometrial cancer
Lymph node metastasis of the patients suffering from endometrial cancer
Method
Discussion
Full Text
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