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;  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;  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
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 medicine
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