Utility of imaging modalities for predicting carcinogenesis in lobular endocervical glandular hyperplasia

To investigate the use of imaging methods for predicting carcinogenesis in lobular endocervical glandular hyperplasia (LEGH). We retrospectively analyzed preoperative images on transvaginal sonography and magnetic resonance imaging (MRI) in 23 cases with histologically diagnosed LEGH. Shape of cervi...

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Veröffentlicht in:PloS one 2019-08, Vol.14 (8), p.e0221088
Hauptverfasser: Omori, Makiko, Kondo, Tetsuo, Tagaya, Hikaru, Watanabe, Yumika, Fukasawa, Hiroko, Kawai, Masataka, Nakazawa, Kumiko, Hashi, Akihiko, Hirata, Shuji
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container_title PloS one
container_volume 14
creator Omori, Makiko
Kondo, Tetsuo
Tagaya, Hikaru
Watanabe, Yumika
Fukasawa, Hiroko
Kawai, Masataka
Nakazawa, Kumiko
Hashi, Akihiko
Hirata, Shuji
description To investigate the use of imaging methods for predicting carcinogenesis in lobular endocervical glandular hyperplasia (LEGH). We retrospectively analyzed preoperative images on transvaginal sonography and magnetic resonance imaging (MRI) in 23 cases with histologically diagnosed LEGH. Shape of cervical multicystic lesions on MR images could be divided into two types the flower-type with many small cysts surrounded by larger cysts, and the raspberry-type with many tiny, closely aggregated cysts. Six (46%) of 13 cases had raspberry-type lesions that were not detected on transvaginal sonography but were seen on MRI. Adenocarcinoma in situ (AIS) was identified in 4 postmenopausal women with raspberry-type lesions during the follow-up periods. In these cases, cytologic examination by targeted endocervical sampling using sonography enabled early detection of AIS. MRI and cytologic examination by targeted endocervical sampling may be very useful for predicting carcinogenesis in LEGH.
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We retrospectively analyzed preoperative images on transvaginal sonography and magnetic resonance imaging (MRI) in 23 cases with histologically diagnosed LEGH. Shape of cervical multicystic lesions on MR images could be divided into two types the flower-type with many small cysts surrounded by larger cysts, and the raspberry-type with many tiny, closely aggregated cysts. Six (46%) of 13 cases had raspberry-type lesions that were not detected on transvaginal sonography but were seen on MRI. Adenocarcinoma in situ (AIS) was identified in 4 postmenopausal women with raspberry-type lesions during the follow-up periods. In these cases, cytologic examination by targeted endocervical sampling using sonography enabled early detection of AIS. 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subjects Adenocarcinoma
Adenocarcinoma in Situ - diagnostic imaging
Adenocarcinoma in Situ - pathology
Adult
Aged
Biology and Life Sciences
Cancer
Cancer screening
Carcinogenesis
Carcinogens
Cervical cancer
Cervix
Cervix Uteri - diagnostic imaging
Cervix Uteri - pathology
Cysts
Diagnosis
Diagnostic imaging
Female
Forecasts and trends
Gynecology
Human papillomavirus
Humans
Hyperplasia
Lesions
Magnetic resonance
Magnetic Resonance Imaging
Medical screening
Medicine
Medicine and Health Sciences
Methods
Middle Aged
NMR
Nuclear magnetic resonance
Obstetrics
Pathology
Personal information
Post-menopause
Postmenopausal women
Research and Analysis Methods
Sampling
Tumors
Ultrasonic imaging
Ultrasonography
Ultrasound imaging
Uterine Cervical Neoplasms - diagnostic imaging
Uterine Cervical Neoplasms - pathology
Womens health
title Utility of imaging modalities for predicting carcinogenesis in lobular endocervical glandular hyperplasia
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