Diagnostic efficacy of the preoperative lymphoscintigraphy, Ga-67 scintigraphy and computed tomography for detection of lymph node metastasis in cases with ovarian or endometrial carcinoma
To investigate the diagnostic efficacy of preoperative lymphoscintigraphy (LS), Ga-67 scintigraphy (GS) and computed tomography (CT) for detection of lymph node metastasis in patients with endometrial or ovarian carcinoma. The results of preoperative LS, GS and CT used to detect lymph node metastasi...
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Veröffentlicht in: | Acta obstetricia et gynecologica Scandinavica 1999-02, Vol.78 (2), p.155-159 |
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container_title | Acta obstetricia et gynecologica Scandinavica |
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creator | Ozalp, Sinan Yalcin, Omer T. Polay, Sakir Aslan, Nesrin Vardareli, Erkan Adapinar, Baki |
description | To investigate the diagnostic efficacy of preoperative lymphoscintigraphy (LS), Ga-67 scintigraphy (GS) and computed tomography (CT) for detection of lymph node metastasis in patients with endometrial or ovarian carcinoma.
The results of preoperative LS, GS and CT used to detect lymph node metastasis were compared to the postoperative histopathological results of lymph node dissection materials of a total of 37 patients, including 16 patients with endometrial and 21 patients with ovarian carcinomas. The diagnostic efficacy of these methods for detecting lymph node metastasis were calculated.
When the results of all of the patients were taken into account, the preoperative LS, GS and CT were found to have sensitivities of 50%, 20% and 40% and specificities of 51.8%, 96.3%, and 92.6%, respectively, for detection of pelvic lymph node metastasis. The same methods had sensitivities of 27.3%, 27.3% and 72.7% and specificities of 88.5%, 88.5%, 84.6%, respectively, for detecting para-aortic lymph node metastasis in all patients.
These data suggested that although LS, GS and CT had relatively high specificity, low sensitivity of these imaging methods precluded their routine preoperative use for diagnosis of lymph node metastasis of ovarian or endometrial carcinoma. |
doi_str_mv | 10.1034/j.1600-0412.1999.780215.x |
format | Article |
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The results of preoperative LS, GS and CT used to detect lymph node metastasis were compared to the postoperative histopathological results of lymph node dissection materials of a total of 37 patients, including 16 patients with endometrial and 21 patients with ovarian carcinomas. The diagnostic efficacy of these methods for detecting lymph node metastasis were calculated.
When the results of all of the patients were taken into account, the preoperative LS, GS and CT were found to have sensitivities of 50%, 20% and 40% and specificities of 51.8%, 96.3%, and 92.6%, respectively, for detection of pelvic lymph node metastasis. The same methods had sensitivities of 27.3%, 27.3% and 72.7% and specificities of 88.5%, 88.5%, 84.6%, respectively, for detecting para-aortic lymph node metastasis in all patients.
These data suggested that although LS, GS and CT had relatively high specificity, low sensitivity of these imaging methods precluded their routine preoperative use for diagnosis of lymph node metastasis of ovarian or endometrial carcinoma.</description><identifier>ISSN: 0001-6349</identifier><identifier>EISSN: 1600-0412</identifier><identifier>DOI: 10.1034/j.1600-0412.1999.780215.x</identifier><identifier>PMID: 10023880</identifier><identifier>CODEN: AOGSAE</identifier><language>eng</language><publisher>Copenhagen, DK: Munksgaard International Publishers</publisher><subject>Adolescent ; Adult ; Aged ; Aorta ; Biological and medical sciences ; Child ; Endometrial Neoplasms - diagnostic imaging ; Endometrial Neoplasms - pathology ; Female ; Gallium Radioisotopes ; Genital system. Mammary gland ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Lymph Nodes - diagnostic imaging ; Lymphatic Metastasis - diagnosis ; Medical sciences ; Middle Aged ; Ovarian Neoplasms - diagnostic imaging ; Ovarian Neoplasms - pathology ; Pelvis ; Predictive Value of Tests ; Radiodiagnosis. Nmr imagery. Nmr spectrometry ; Radionuclide Imaging ; Sensitivity and Specificity ; Tomography, X-Ray Computed ; Tropical medicine</subject><ispartof>Acta obstetricia et gynecologica Scandinavica, 1999-02, Vol.78 (2), p.155-159</ispartof><rights>1999 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4235-dba0b07c1006fe46a5c180eda1d7ec085ce0f950dfe89abb67a8f12e3a345c343</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1034%2Fj.1600-0412.1999.780215.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1034%2Fj.1600-0412.1999.780215.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1665799$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10023880$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ozalp, Sinan</creatorcontrib><creatorcontrib>Yalcin, Omer T.</creatorcontrib><creatorcontrib>Polay, Sakir</creatorcontrib><creatorcontrib>Aslan, Nesrin</creatorcontrib><creatorcontrib>Vardareli, Erkan</creatorcontrib><creatorcontrib>Adapinar, Baki</creatorcontrib><title>Diagnostic efficacy of the preoperative lymphoscintigraphy, Ga-67 scintigraphy and computed tomography for detection of lymph node metastasis in cases with ovarian or endometrial carcinoma</title><title>Acta obstetricia et gynecologica Scandinavica</title><addtitle>Acta Obstet Gynecol Scand</addtitle><description>To investigate the diagnostic efficacy of preoperative lymphoscintigraphy (LS), Ga-67 scintigraphy (GS) and computed tomography (CT) for detection of lymph node metastasis in patients with endometrial or ovarian carcinoma.
The results of preoperative LS, GS and CT used to detect lymph node metastasis were compared to the postoperative histopathological results of lymph node dissection materials of a total of 37 patients, including 16 patients with endometrial and 21 patients with ovarian carcinomas. The diagnostic efficacy of these methods for detecting lymph node metastasis were calculated.
When the results of all of the patients were taken into account, the preoperative LS, GS and CT were found to have sensitivities of 50%, 20% and 40% and specificities of 51.8%, 96.3%, and 92.6%, respectively, for detection of pelvic lymph node metastasis. The same methods had sensitivities of 27.3%, 27.3% and 72.7% and specificities of 88.5%, 88.5%, 84.6%, respectively, for detecting para-aortic lymph node metastasis in all patients.
These data suggested that although LS, GS and CT had relatively high specificity, low sensitivity of these imaging methods precluded their routine preoperative use for diagnosis of lymph node metastasis of ovarian or endometrial carcinoma.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aorta</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Endometrial Neoplasms - diagnostic imaging</subject><subject>Endometrial Neoplasms - pathology</subject><subject>Female</subject><subject>Gallium Radioisotopes</subject><subject>Genital system. Mammary gland</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Lymph Nodes - diagnostic imaging</subject><subject>Lymphatic Metastasis - diagnosis</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Ovarian Neoplasms - diagnostic imaging</subject><subject>Ovarian Neoplasms - pathology</subject><subject>Pelvis</subject><subject>Predictive Value of Tests</subject><subject>Radiodiagnosis. Nmr imagery. Nmr spectrometry</subject><subject>Radionuclide Imaging</subject><subject>Sensitivity and Specificity</subject><subject>Tomography, X-Ray Computed</subject><subject>Tropical medicine</subject><issn>0001-6349</issn><issn>1600-0412</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkdFu0zAUhiMEYmXwCshIiCtS7Dhx4supQEAaTJpAXFqnzvHqksTBdrf23Xg4XFKNXSIdyTrH3_l_W3-WvWJ0ySgv322XTFCa05IVSyalXNYNLVi13D_KFvc3j7MFpZTlgpfyLHsWwjZ1RV02T7MzRmnBm4Yust_vLdyMLkSrCRpjNegDcYbEDZLJo5vQQ7S3SPrDMG1c0HaM9sbDtDm8JS3koiYPZwTGjmg3TLuIHYlucKe5cZ50GFFH68ajwV89MroOyYARQiobiB2JhoCB3Nm4Ie4WvIWEe4Jj5xKX2j4RPlm6AZ5nTwz0AV-czvPs-8cP31af8sur9vPq4jLXZcGrvFsDXdNap18Lg6WASrOGYgesq1HTptJIjaxoZ7CRsF6LGhrDCuTAy0rzkp9nb2bdybtfOwxRDTZo7HsY0e2CErJqZClpAuUMau9C8GjU5O0A_qAYVcfo1FYdA1LHgNQxOjVHp_Zp9-XJZLcesHuwOWeVgNcnAIKG3ngYtQ3_OCGqWsqErWbszvZ4-P8HqIurNtXcJpV8VrEh4v5eBfxPJWpeV-rH11Z9Edd11Qqurvkf6m3KvQ</recordid><startdate>199902</startdate><enddate>199902</enddate><creator>Ozalp, Sinan</creator><creator>Yalcin, Omer T.</creator><creator>Polay, Sakir</creator><creator>Aslan, Nesrin</creator><creator>Vardareli, Erkan</creator><creator>Adapinar, Baki</creator><general>Munksgaard International Publishers</general><general>Taylor & Francis</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199902</creationdate><title>Diagnostic efficacy of the preoperative lymphoscintigraphy, Ga-67 scintigraphy and computed tomography for detection of lymph node metastasis in cases with ovarian or endometrial carcinoma</title><author>Ozalp, Sinan ; Yalcin, Omer T. ; Polay, Sakir ; Aslan, Nesrin ; Vardareli, Erkan ; Adapinar, Baki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4235-dba0b07c1006fe46a5c180eda1d7ec085ce0f950dfe89abb67a8f12e3a345c343</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aorta</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Endometrial Neoplasms - diagnostic imaging</topic><topic>Endometrial Neoplasms - pathology</topic><topic>Female</topic><topic>Gallium Radioisotopes</topic><topic>Genital system. Mammary gland</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Lymph Nodes - diagnostic imaging</topic><topic>Lymphatic Metastasis - diagnosis</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Ovarian Neoplasms - diagnostic imaging</topic><topic>Ovarian Neoplasms - pathology</topic><topic>Pelvis</topic><topic>Predictive Value of Tests</topic><topic>Radiodiagnosis. Nmr imagery. Nmr spectrometry</topic><topic>Radionuclide Imaging</topic><topic>Sensitivity and Specificity</topic><topic>Tomography, X-Ray Computed</topic><topic>Tropical medicine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ozalp, Sinan</creatorcontrib><creatorcontrib>Yalcin, Omer T.</creatorcontrib><creatorcontrib>Polay, Sakir</creatorcontrib><creatorcontrib>Aslan, Nesrin</creatorcontrib><creatorcontrib>Vardareli, Erkan</creatorcontrib><creatorcontrib>Adapinar, Baki</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Acta obstetricia et gynecologica Scandinavica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ozalp, Sinan</au><au>Yalcin, Omer T.</au><au>Polay, Sakir</au><au>Aslan, Nesrin</au><au>Vardareli, Erkan</au><au>Adapinar, Baki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Diagnostic efficacy of the preoperative lymphoscintigraphy, Ga-67 scintigraphy and computed tomography for detection of lymph node metastasis in cases with ovarian or endometrial carcinoma</atitle><jtitle>Acta obstetricia et gynecologica Scandinavica</jtitle><addtitle>Acta Obstet Gynecol Scand</addtitle><date>1999-02</date><risdate>1999</risdate><volume>78</volume><issue>2</issue><spage>155</spage><epage>159</epage><pages>155-159</pages><issn>0001-6349</issn><eissn>1600-0412</eissn><coden>AOGSAE</coden><abstract>To investigate the diagnostic efficacy of preoperative lymphoscintigraphy (LS), Ga-67 scintigraphy (GS) and computed tomography (CT) for detection of lymph node metastasis in patients with endometrial or ovarian carcinoma.
The results of preoperative LS, GS and CT used to detect lymph node metastasis were compared to the postoperative histopathological results of lymph node dissection materials of a total of 37 patients, including 16 patients with endometrial and 21 patients with ovarian carcinomas. The diagnostic efficacy of these methods for detecting lymph node metastasis were calculated.
When the results of all of the patients were taken into account, the preoperative LS, GS and CT were found to have sensitivities of 50%, 20% and 40% and specificities of 51.8%, 96.3%, and 92.6%, respectively, for detection of pelvic lymph node metastasis. The same methods had sensitivities of 27.3%, 27.3% and 72.7% and specificities of 88.5%, 88.5%, 84.6%, respectively, for detecting para-aortic lymph node metastasis in all patients.
These data suggested that although LS, GS and CT had relatively high specificity, low sensitivity of these imaging methods precluded their routine preoperative use for diagnosis of lymph node metastasis of ovarian or endometrial carcinoma.</abstract><cop>Copenhagen, DK</cop><pub>Munksgaard International Publishers</pub><pmid>10023880</pmid><doi>10.1034/j.1600-0412.1999.780215.x</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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source | Wiley-Blackwell Journals; MEDLINE |
subjects | Adolescent Adult Aged Aorta Biological and medical sciences Child Endometrial Neoplasms - diagnostic imaging Endometrial Neoplasms - pathology Female Gallium Radioisotopes Genital system. Mammary gland Humans Investigative techniques, diagnostic techniques (general aspects) Lymph Nodes - diagnostic imaging Lymphatic Metastasis - diagnosis Medical sciences Middle Aged Ovarian Neoplasms - diagnostic imaging Ovarian Neoplasms - pathology Pelvis Predictive Value of Tests Radiodiagnosis. Nmr imagery. Nmr spectrometry Radionuclide Imaging Sensitivity and Specificity Tomography, X-Ray Computed Tropical medicine |
title | Diagnostic efficacy of the preoperative lymphoscintigraphy, Ga-67 scintigraphy and computed tomography for detection of lymph node metastasis in cases with ovarian or endometrial carcinoma |
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