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Preoperative assessment of deep myometrial and cervical invasion in endometrial carcinoma: comparison of magnetic resonance imaging and histopathologic evaluation
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Resumo(s)
This study aimed to evaluate the accuracy of magnetic resonance imaging (MRI) in the detection of deep myometrial
invasion and cervical extension by endometrial carcinoma. This prospective study included 101 patients with histologically
documented endometrial carcinoma, between July 1998 and April 2004. The findings of preoperative pelvic MRI were
compared with histological diagnosis. From 101 cases studied by pelvic MRI, 43 were classified as deep myometrial invasion
(50% of myometrium), where the pathological evaluation confirmed as having deep myometrial invasion. Cervical
extension in the MRI study was found in 19 cases. Pathologic study found cervical extension and/or invasion in 31 cases
including all cases identified by MRI. The accuracy, sensitivity and specificity of MRI were 95%, 89%, 100%, detecting deep
myometrial invasion and 88%, 61%, 100%, detecting cervical invasion, respectively. The high accuracy achieved makes MRI
an adequate method for determine the depth of myometrial and cervical invasion in endometrial carcinoma.
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Citação
C. Vasconcelos; A. Félix; T. M. Cunha. Preoperative Assessment of Deep Myometrial and Cervical Invasion in Endometrial Carcinoma: Comparison of Magnetic Resonance Imaging and Histopathologic Evaluation, Journal of Obstetrics and Gynaecology, 27, 1, 65-70, 2007.