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
Hauptverfasser: Ozalp, Sinan, Yalcin, Omer T., Polay, Sakir, Aslan, Nesrin, Vardareli, Erkan, Adapinar, Baki
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container_issue 2
container_start_page 155
container_title Acta obstetricia et gynecologica Scandinavica
container_volume 78
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
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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. 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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. 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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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