Ultrasound staging of endometrial cancer – recommended methodology of examination
Authors:
F. Frühauf 1; M. Dvořák 2; L. Haaková 3; L. Hašlík 3; P. Herboltová 4; B. Chaloupková 5; J. Kožnarová 6; B. Kubešová 7; I. Lukáčová 8; R. Marek 9; H. Neumannová 2; R. Peschout 4; V. Přibyl 8; I. Sedláková 10; M. Smažinka 11; P. Svobodová 7; M. Vančo 12; P. Vlasák 11; V. Weinberger 13; M. Zikán 1; D. Fischerová 1
Authors‘ workplace:
Gynekologicko-porodnická klinika 1. LF UK a VFN, Praha, přednosta prof. MUDr. A. Martan, DrSc.
1; Onkogynekologické centrum, Gynekologicko-porodnická klinika 1. LF UK a Nemocnice Na Bulovce, Praha, přednosta prof. MUDr. M. Halaška, DrSc.
2; Ústav pro péči o matku a dítě, Praha, ředitel doc. MUDr. J. Feyereisl, CSc.
3; Onkogynekologické centrum, Gynekologicko-porodnické oddělení Nemocnice, Jihlava
primář prof. MUDr. A. Roztočil, CSc.
4; Onkogynekologické centrum, Porodnicko-gynekologické oddělení, Krajská nemocnice T. Bati, a. s., Zlín, primář MUDr. Z. Adamík, Ph. D.
5; Onkogynekologické centrum, Gynekologicko-porodnické odd. Nemocnice, České Budějovice
primář MUDr. P. Sák, Ph. D.
6; Gynekologicko-porodnická klinika 3. LF UK a FNKV, Praha, přednosta doc. MUDr. E. Kučera, CSc.
7; Onkogynekologické centrum, Porodnicko-gynekologická klinika FN, Ostrava
přednosta doc. MUDr. V. Unzeitig, CSc.
8; Onkogynekologické centrum, Porodnicko-gynekologická klinika LF UP a FN, Olomouc
přednosta prof. MUDr. R. Pilka, Ph. D.
9; Porodnická a gynekologická klinika LF HK a FN, Hradec Králové
přednosta doc. MUDr. J. Špaček, PhD., IFEPAG.
10; Onkogynekologické centrum, Gynekologicko-porodnická klinika LF UK a FN, Plzeň
přednosta doc. MUDr. Z. Novotný, CSc.
11; Onkogynekologické centrum, Gynekologicko-porodnické odd., Masarykova nemocnice, Ústí nad Labem, přednosta doc. MUDr. T. Binder, CSc.
12; Onkogynekologické centrum, Gynekologicko-porodnická klinika LF MU a FN, Brno
přednosta prof. MUDr. P. Ventruba, DrSc., MBA
13
Published in:
Ceska Gynekol 2014; 79(6): 466-476
Overview
The extent of the staging surgery in cases of histologically proven endometrial cancer depends on whether the tumor is of high risk or low risk for extrauterine spread and recurrence. There are several significant prognostic factors – histological subtype and grade of dediferentiation from preoperative biopsy and local stage of uterine involvement based on imaging methods. The depth of myometrial invasion and presence of cervical stromal infiltration (local staging) can be assessed by ultrasound with the overall accuracy comparable to that of magnetic resonance. Transvaginal ultrasound enables to vizualize detailed pelvic anatomy and that is why it is considered to be a suitable tool for assessment of local stage of endometrial cancer.
It is advisable to use the standardized terminology defined by International Endometrial Tumor Analysis group (IETA) to describe ultrasound findings. The standardized methodology of ultrasound preoperative staging examination based on prearranged protocols is recommended.
Keywords:
ultrasound, endometrial cancer, staging
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Paediatric gynaecology Gynaecology and obstetrics Reproduction medicineArticle was published in
Czech Gynaecology
2014 Issue 6
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