Évaluation de l’échographie et de l’IRM dans la stadification des tumeurs de l’endomètre de stage I

Abstract

ObjectivesEndometrial cancer is the most common gynecological cancer in France. The therapeutic management is based on preoperative staging. The recommended imaging examination remains the MRI. This is to evaluate ultrasound and MRI in the staging for localized cancers. MethodsThis is a retrospective observational study, conducted from July 2012 to July 2014, at the University Hospital of Nancy, on all patients care for endometrial cancer stage I, who underwent a pelvic ultrasound and MRI for the assessment of myometrial infiltration. ResultsTwenty-nine patients were included with a mean age of 69years and a BMI of 30kg/m2. Using ultrasound, we have a sensitivity of 58%, a specificity of 100%, a positive predictive value (PPV) of 100%, a negative predictive value (NPV) of 70% and an accuracy of 75%. Using MRI, we have a sensitivity of 83%, a specificity of 100%, a PPV of 83%, a VPN of 88%, and an accuracy of 86%. ConclusionTransvaginal sonography should be performed before post-menopausal bleeding. It remains possible in the staging of localized cancers.