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Lung and Intercostal Upper Abdomen Ultrasonography for Staging Patients with Ovarian Cancer: A Method Description and Feasibility Study

2020-02-05Journal article Open access
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dc.contributor.authorStukan, M
dc.contributor.authorBugalho, A
dc.contributor.authorKumar, A
dc.contributor.authorKowalewska, J
dc.contributor.authorŚwietlik, D
dc.contributor.authorBuda, N
dc.contributor.authorPietrzak-Stukan, M
dc.contributor.authorDudziak, M
dc.date.accessioned2020-02-18T22:35:05Z
dc.date.available2020-02-18T22:35:05Z
dc.date.issued2020-02-05
dc.description.abstractA detailed transabdominal and transvaginal ultrasound examination, performed by an expert examiner, could render a similar diagnostic performance to computed tomography for assessing pelvic/abdominal tumor spread disease in women with epithelial ovarian cancer (EOC). This study aimed to describe and assess the feasibility of lung and intercostal upper abdomen ultrasonography as pretreatment imaging of EOC metastases of supradiaphragmatic and subdiaphragmatic areas. A preoperative ultrasound examination of consecutive patients suspected of having EOC was prospectively performed using transvaginal, transabdominal, and intercostal lung and upper abdomen ultrasonography. A surgical-pathological examination was the reference standard to ultrasonography. Among 77 patients with histologically proven EOC, supradiaphragmatic disease was detected in 13 cases: pleural effusions on the right (n = 12) and left (n = 8) sides, nodular lesions on diaphragmatic pleura (n = 9), focal lesion in lung parenchyma (n = 1), and enlarged cardiophrenic lymph nodes (n = 1). Performance (described with area under the curve) of combined transabdominal and intercostal upper abdomen ultrasonography for subdiaphragmatic areas (n = 77) included the right and left diaphragm peritoneum (0.754 and 0.575 respectively), spleen hilum (0.924), hepatic hilum (0.701), and liver and spleen parenchyma (0.993 and 1.0 respectively). It was not possible to evaluate the performance of lung ultrasonography for supradiaphragmatic disease because only some patients had this region surgically explored. Preoperative lung and intercostal upper abdomen ultrasonography performed in patients with EOC can add valuable information for supradiaphragmatic and subdiaphragmatic regions. A reliable reference standard to test method performance is an area of future research. A multidisciplinary approach to ovarian cancer utilizing lung ultrasonography may assist in clinical decision-making.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationDiagnostics (Basel). 2020 Feb 5;10(2). pii: E85.pt_PT
dc.identifier.doi10.3390/diagnostics10020085pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.26/31439
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.subjectUltrassonografiapt_PT
dc.subjectNeoplasias do Ovário/diagnóstico por imagempt_PT
dc.subjectPulmão/diagnóstico por imagempt_PT
dc.subjectAbdómen/diagnóstico por imagempt_PT
dc.subjectLung/diagnostic imagingpt_PT
dc.subjectOvarian Neoplasms/diagnostic imagingpt_PT
dc.subjectAbdomen//diagnostic imagingpt_PT
dc.subjectUltrasonographypt_PT
dc.titleLung and Intercostal Upper Abdomen Ultrasonography for Staging Patients with Ovarian Cancer: A Method Description and Feasibility Studypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue2pt_PT
oaire.citation.startPage85pt_PT
oaire.citation.titleDiagnostics (Basel, Switzerland)pt_PT
oaire.citation.volume10pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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