Assessment of Myometrial Invasion at the Invasion Site of an Endometrial Carcinoma by Ultrasonography Along with an Intrauterine Catheter
Objectives: To evaluate by transvaginal ultrasonography (TVU) the thickness of the intact myometrium at the presumed tumor‐origin site and to establish criteria for a half myometrial invasion. Methods: A total of 19 successive patients with endometrial cancer who were treated between January 1, 1997...
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Veröffentlicht in: | The journal of obstetrics and gynaecology research 1999-04, Vol.25 (2), p.99-106 |
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creator | Perdomo, Ilse A. Miyagi, Yasunari Yamada, Shinako Kawanishi, Kunihiro Yamamoto, Junko Miyagi, Yuji Hongo, Atsushi Kodama, Junichi Yoshinouchi, Mitsuo Kobashi, Yuji Kudo, Takafumi |
description | Objectives: To evaluate by transvaginal ultrasonography (TVU) the thickness of the intact myometrium at the presumed tumor‐origin site and to establish criteria for a half myometrial invasion.
Methods: A total of 19 successive patients with endometrial cancer who were treated between January 1, 1997, and January 31, 1998, participated in this study. TVU mode B with and without the use of an intrauterine silicon catheter was performed.
Results: Using a catheter, the origin site was correctly detected in 15 cases (79%). The best criterion for half myometrial invasion was a 6‐mm thickness of the intact myometrium at the origin site. The sensitivity/specificity/accuracy of TVU with the use of a catheter in cases with the correct estimated origin site, were 1.00/0.67/0.86 for myometrial invasion < 1/2, and 0.67/1.00/0.86 for myometrial invasion < 1/2.
Conclusion: It is of value to use 6‐mm as the criterion for the thickness of the intact myometrium at the estimated tumor‐origin site in connection with TVU with the use of a catheter for preoperatively assessing half myometrial invasion. |
doi_str_mv | 10.1111/j.1447-0756.1999.tb01130.x |
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Methods: A total of 19 successive patients with endometrial cancer who were treated between January 1, 1997, and January 31, 1998, participated in this study. TVU mode B with and without the use of an intrauterine silicon catheter was performed.
Results: Using a catheter, the origin site was correctly detected in 15 cases (79%). The best criterion for half myometrial invasion was a 6‐mm thickness of the intact myometrium at the origin site. The sensitivity/specificity/accuracy of TVU with the use of a catheter in cases with the correct estimated origin site, were 1.00/0.67/0.86 for myometrial invasion < 1/2, and 0.67/1.00/0.86 for myometrial invasion < 1/2.
Conclusion: It is of value to use 6‐mm as the criterion for the thickness of the intact myometrium at the estimated tumor‐origin site in connection with TVU with the use of a catheter for preoperatively assessing half myometrial invasion.</description><identifier>ISSN: 1341-8076</identifier><identifier>EISSN: 1447-0756</identifier><identifier>DOI: 10.1111/j.1447-0756.1999.tb01130.x</identifier><identifier>PMID: 10379124</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adult ; Aged ; Catheterization ; endometrial cancer ; Endometrial Neoplasms - diagnostic imaging ; Endometrial Neoplasms - pathology ; Female ; Humans ; intrauterine catheter ; Middle Aged ; myometrial invasion ; Myometrium - diagnostic imaging ; Myometrium - pathology ; Neoplasm Invasiveness ; Sensitivity and Specificity ; Ultrasonography ; ultrasound</subject><ispartof>The journal of obstetrics and gynaecology research, 1999-04, Vol.25 (2), p.99-106</ispartof><rights>1999 Japan Society of Obstetrics and Gynecology</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c2960-a3f0381caf38881cdd22561204f820e8aa09035a3bb5bd59354adbd7744597553</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1447-0756.1999.tb01130.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1447-0756.1999.tb01130.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10379124$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Perdomo, Ilse A.</creatorcontrib><creatorcontrib>Miyagi, Yasunari</creatorcontrib><creatorcontrib>Yamada, Shinako</creatorcontrib><creatorcontrib>Kawanishi, Kunihiro</creatorcontrib><creatorcontrib>Yamamoto, Junko</creatorcontrib><creatorcontrib>Miyagi, Yuji</creatorcontrib><creatorcontrib>Hongo, Atsushi</creatorcontrib><creatorcontrib>Kodama, Junichi</creatorcontrib><creatorcontrib>Yoshinouchi, Mitsuo</creatorcontrib><creatorcontrib>Kobashi, Yuji</creatorcontrib><creatorcontrib>Kudo, Takafumi</creatorcontrib><title>Assessment of Myometrial Invasion at the Invasion Site of an Endometrial Carcinoma by Ultrasonography Along with an Intrauterine Catheter</title><title>The journal of obstetrics and gynaecology research</title><addtitle>J Obstet Gynaecol Res</addtitle><description>Objectives: To evaluate by transvaginal ultrasonography (TVU) the thickness of the intact myometrium at the presumed tumor‐origin site and to establish criteria for a half myometrial invasion.
Methods: A total of 19 successive patients with endometrial cancer who were treated between January 1, 1997, and January 31, 1998, participated in this study. TVU mode B with and without the use of an intrauterine silicon catheter was performed.
Results: Using a catheter, the origin site was correctly detected in 15 cases (79%). The best criterion for half myometrial invasion was a 6‐mm thickness of the intact myometrium at the origin site. The sensitivity/specificity/accuracy of TVU with the use of a catheter in cases with the correct estimated origin site, were 1.00/0.67/0.86 for myometrial invasion < 1/2, and 0.67/1.00/0.86 for myometrial invasion < 1/2.
Conclusion: It is of value to use 6‐mm as the criterion for the thickness of the intact myometrium at the estimated tumor‐origin site in connection with TVU with the use of a catheter for preoperatively assessing half myometrial invasion.</description><subject>Adult</subject><subject>Aged</subject><subject>Catheterization</subject><subject>endometrial cancer</subject><subject>Endometrial Neoplasms - diagnostic imaging</subject><subject>Endometrial Neoplasms - pathology</subject><subject>Female</subject><subject>Humans</subject><subject>intrauterine catheter</subject><subject>Middle Aged</subject><subject>myometrial invasion</subject><subject>Myometrium - diagnostic imaging</subject><subject>Myometrium - pathology</subject><subject>Neoplasm Invasiveness</subject><subject>Sensitivity and Specificity</subject><subject>Ultrasonography</subject><subject>ultrasound</subject><issn>1341-8076</issn><issn>1447-0756</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqVUcFu1DAUtBCIlsIvIIsDt6R2bMcJF7RaynbpQg-0cLScxOl6Seyt7aWbT-hf11FWW6748sZ6M_OkGQA-YJTi-M43KaaUJ4izPMVlWaahQhgTlO5fgNPj6mXEhOKkQDw_AW-83yCEeYmL1-AEIxJRRk_B48x75X2vTIC2hd8H26vgtOzg0vyVXlsDZYBhrZ7_P3VQI1caeGGaI38uXa2N7SWsBnjbBSe9NfbOye16gLPOmjv4oMN6lC1N3O6CctqoqIvuEb8Fr1rZefXuMM_A7deLm_llsrpeLOezVVJnZY4SSVpEClzLlhRFnE2TZSzHGaJtkSFVSIlKRJgkVcWqhpWEUdlUDeeUspIzRs7Ax8l36-z9Tvkgeu1r1XXSKLvzIi8LSjAjkfhpItbOeu9UK7ZO99INAiMxFiE2YkxbjGmLsQhxKELso_j94cqu6lXzj3RKPhI-T4QH3anhP6zFt-vFiKJDMjloH9T-6CDdH5Fzwpn4_WMh-NWXm3w1_yUy8gQ1vqmQ</recordid><startdate>199904</startdate><enddate>199904</enddate><creator>Perdomo, Ilse A.</creator><creator>Miyagi, Yasunari</creator><creator>Yamada, Shinako</creator><creator>Kawanishi, Kunihiro</creator><creator>Yamamoto, Junko</creator><creator>Miyagi, Yuji</creator><creator>Hongo, Atsushi</creator><creator>Kodama, Junichi</creator><creator>Yoshinouchi, Mitsuo</creator><creator>Kobashi, Yuji</creator><creator>Kudo, Takafumi</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</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>199904</creationdate><title>Assessment of Myometrial Invasion at the Invasion Site of an Endometrial Carcinoma by Ultrasonography Along with an Intrauterine Catheter</title><author>Perdomo, Ilse A. ; Miyagi, Yasunari ; Yamada, Shinako ; Kawanishi, Kunihiro ; Yamamoto, Junko ; Miyagi, Yuji ; Hongo, Atsushi ; Kodama, Junichi ; Yoshinouchi, Mitsuo ; Kobashi, Yuji ; Kudo, Takafumi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2960-a3f0381caf38881cdd22561204f820e8aa09035a3bb5bd59354adbd7744597553</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Catheterization</topic><topic>endometrial cancer</topic><topic>Endometrial Neoplasms - diagnostic imaging</topic><topic>Endometrial Neoplasms - pathology</topic><topic>Female</topic><topic>Humans</topic><topic>intrauterine catheter</topic><topic>Middle Aged</topic><topic>myometrial invasion</topic><topic>Myometrium - diagnostic imaging</topic><topic>Myometrium - pathology</topic><topic>Neoplasm Invasiveness</topic><topic>Sensitivity and Specificity</topic><topic>Ultrasonography</topic><topic>ultrasound</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Perdomo, Ilse A.</creatorcontrib><creatorcontrib>Miyagi, Yasunari</creatorcontrib><creatorcontrib>Yamada, Shinako</creatorcontrib><creatorcontrib>Kawanishi, Kunihiro</creatorcontrib><creatorcontrib>Yamamoto, Junko</creatorcontrib><creatorcontrib>Miyagi, Yuji</creatorcontrib><creatorcontrib>Hongo, Atsushi</creatorcontrib><creatorcontrib>Kodama, Junichi</creatorcontrib><creatorcontrib>Yoshinouchi, Mitsuo</creatorcontrib><creatorcontrib>Kobashi, Yuji</creatorcontrib><creatorcontrib>Kudo, Takafumi</creatorcontrib><collection>Istex</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>The journal of obstetrics and gynaecology research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Perdomo, Ilse A.</au><au>Miyagi, Yasunari</au><au>Yamada, Shinako</au><au>Kawanishi, Kunihiro</au><au>Yamamoto, Junko</au><au>Miyagi, Yuji</au><au>Hongo, Atsushi</au><au>Kodama, Junichi</au><au>Yoshinouchi, Mitsuo</au><au>Kobashi, Yuji</au><au>Kudo, Takafumi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Assessment of Myometrial Invasion at the Invasion Site of an Endometrial Carcinoma by Ultrasonography Along with an Intrauterine Catheter</atitle><jtitle>The journal of obstetrics and gynaecology research</jtitle><addtitle>J Obstet Gynaecol Res</addtitle><date>1999-04</date><risdate>1999</risdate><volume>25</volume><issue>2</issue><spage>99</spage><epage>106</epage><pages>99-106</pages><issn>1341-8076</issn><eissn>1447-0756</eissn><abstract>Objectives: To evaluate by transvaginal ultrasonography (TVU) the thickness of the intact myometrium at the presumed tumor‐origin site and to establish criteria for a half myometrial invasion.
Methods: A total of 19 successive patients with endometrial cancer who were treated between January 1, 1997, and January 31, 1998, participated in this study. TVU mode B with and without the use of an intrauterine silicon catheter was performed.
Results: Using a catheter, the origin site was correctly detected in 15 cases (79%). The best criterion for half myometrial invasion was a 6‐mm thickness of the intact myometrium at the origin site. The sensitivity/specificity/accuracy of TVU with the use of a catheter in cases with the correct estimated origin site, were 1.00/0.67/0.86 for myometrial invasion < 1/2, and 0.67/1.00/0.86 for myometrial invasion < 1/2.
Conclusion: It is of value to use 6‐mm as the criterion for the thickness of the intact myometrium at the estimated tumor‐origin site in connection with TVU with the use of a catheter for preoperatively assessing half myometrial invasion.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>10379124</pmid><doi>10.1111/j.1447-0756.1999.tb01130.x</doi><tpages>8</tpages></addata></record> |
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subjects | Adult Aged Catheterization endometrial cancer Endometrial Neoplasms - diagnostic imaging Endometrial Neoplasms - pathology Female Humans intrauterine catheter Middle Aged myometrial invasion Myometrium - diagnostic imaging Myometrium - pathology Neoplasm Invasiveness Sensitivity and Specificity Ultrasonography ultrasound |
title | Assessment of Myometrial Invasion at the Invasion Site of an Endometrial Carcinoma by Ultrasonography Along with an Intrauterine Catheter |
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