Comparison of TVUS, MRI, and Frozen Section Methods in Preoperative Detection of Myometrial Invasion in Patients with Endometrial Cancer

We aimed to evaluate the depth of myometrial invasion preoperatively with transvaginal ultrasound, magnetic resonance imaging, and frozen section examination techniques in patients diagnosed with endometrial cancer. Our study included 65 patients. Transvaginal ultrasound and magnetic resonance im...

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Main Authors: Hasim Kural, Ercan Yilmaz, Rauf Melekoglu, Aysenur Akatli, Leyla Karaca
Format: Article
Language:English
Published: Sestre Milosrdnice University hospital, Institute of Clinical Medical Research 2021-01-01
Series:Acta Clinica Croatica
Subjects:
Online Access:https://hrcak.srce.hr/file/399172
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author Hasim Kural
Ercan Yilmaz
Rauf Melekoglu
Aysenur Akatli
Leyla Karaca
author_facet Hasim Kural
Ercan Yilmaz
Rauf Melekoglu
Aysenur Akatli
Leyla Karaca
author_sort Hasim Kural
collection DOAJ
description We aimed to evaluate the depth of myometrial invasion preoperatively with transvaginal ultrasound, magnetic resonance imaging, and frozen section examination techniques in patients diagnosed with endometrial cancer. Our study included 65 patients. Transvaginal ultrasound and magnetic resonance imaging were performed in study patients in the preoperative period. Frozen section examination was performed in all hysterectomy samples obtained from all study patients. Data were analyzed with SPSS Statistics 22.0 program. The sensitivity of transvaginal ultrasound in determining the depth of myometrial invasion was 88.64%, specificity 90.48%, positive predictive value 95.12%, and negative predictive value 79.17%. For magnetic resonance imaging, the sensitivity was 63.64%, specificity 95.24%, positive predictive value 96.55%, and negative predictive value 55.56%. In addition to the frozen section examination, which is the gold standard in determining the myometrial invasion depth, transvaginal ultrasound and magnetic resonance imaging have become commonly used methods for this purpose in recent years. Ultrasound examination performed by an experienced specialist is superior to magnetic resonance imaging as it is fast, inexpensive, and associated with higher sensitivity.
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spelling doaj.art-853e5be3a04f49398a0b78b7c86601242024-04-15T17:40:41ZengSestre Milosrdnice University hospital, Institute of Clinical Medical ResearchActa Clinica Croatica0353-94661333-94512021-01-0160.4.67568210.20471/acc.2021.60.04.15Comparison of TVUS, MRI, and Frozen Section Methods in Preoperative Detection of Myometrial Invasion in Patients with Endometrial CancerHasim Kural0Ercan Yilmaz1Rauf Melekoglu2Aysenur Akatli3Leyla Karaca4Inonu University Medicine Faculty, Obstetrics and Gynecology Department, Malatya, TurkeyInonu University Medicine Faculty, Obstetrics and Gynecology Department, Malatya, TurkeyInonu University Medicine Faculty, Obstetrics and Gynecology Department, Malatya, TurkeyInonu University Medicine Faculty, Pathology Department, Malatya, TurkeyInonu University Medicine Faculty, Radiology Department, Malatya, TurkeyWe aimed to evaluate the depth of myometrial invasion preoperatively with transvaginal ultrasound, magnetic resonance imaging, and frozen section examination techniques in patients diagnosed with endometrial cancer. Our study included 65 patients. Transvaginal ultrasound and magnetic resonance imaging were performed in study patients in the preoperative period. Frozen section examination was performed in all hysterectomy samples obtained from all study patients. Data were analyzed with SPSS Statistics 22.0 program. The sensitivity of transvaginal ultrasound in determining the depth of myometrial invasion was 88.64%, specificity 90.48%, positive predictive value 95.12%, and negative predictive value 79.17%. For magnetic resonance imaging, the sensitivity was 63.64%, specificity 95.24%, positive predictive value 96.55%, and negative predictive value 55.56%. In addition to the frozen section examination, which is the gold standard in determining the myometrial invasion depth, transvaginal ultrasound and magnetic resonance imaging have become commonly used methods for this purpose in recent years. Ultrasound examination performed by an experienced specialist is superior to magnetic resonance imaging as it is fast, inexpensive, and associated with higher sensitivity.https://hrcak.srce.hr/file/399172Endometrial cancerMyometrial invasionTVUSMRIFrozen section
spellingShingle Hasim Kural
Ercan Yilmaz
Rauf Melekoglu
Aysenur Akatli
Leyla Karaca
Comparison of TVUS, MRI, and Frozen Section Methods in Preoperative Detection of Myometrial Invasion in Patients with Endometrial Cancer
Acta Clinica Croatica
Endometrial cancer
Myometrial invasion
TVUS
MRI
Frozen section
title Comparison of TVUS, MRI, and Frozen Section Methods in Preoperative Detection of Myometrial Invasion in Patients with Endometrial Cancer
title_full Comparison of TVUS, MRI, and Frozen Section Methods in Preoperative Detection of Myometrial Invasion in Patients with Endometrial Cancer
title_fullStr Comparison of TVUS, MRI, and Frozen Section Methods in Preoperative Detection of Myometrial Invasion in Patients with Endometrial Cancer
title_full_unstemmed Comparison of TVUS, MRI, and Frozen Section Methods in Preoperative Detection of Myometrial Invasion in Patients with Endometrial Cancer
title_short Comparison of TVUS, MRI, and Frozen Section Methods in Preoperative Detection of Myometrial Invasion in Patients with Endometrial Cancer
title_sort comparison of tvus mri and frozen section methods in preoperative detection of myometrial invasion in patients with endometrial cancer
topic Endometrial cancer
Myometrial invasion
TVUS
MRI
Frozen section
url https://hrcak.srce.hr/file/399172
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