IMR Press / EJGO / Volume 33 / Issue 5 / pii/1631087393816-618411212

European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Open Access Original Research
Evaluation of depth of myometrial invasion by magnetic resonance imaging in patients with endometrial carcinoma
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1 Department of Obstetrics and Gynecology, Near East University School of Medicine, Nicosia, TRNC, Turkey
Eur. J. Gynaecol. Oncol. 2012, 33(5), 480–484;
Published: 10 October 2012
Abstract

Aims: The aim of this study was to evaluate clinical accuracy of magnetic resonance imaging (MRI) staging of myometrial invasion in patients with endometrial carcinoma. Methods: The study group consisted of 37 women with endometrial carcinoma who underwent preoperative workup, including MRI, and surgical staging at Goztepe Training Hospital, Istanbul, Turkey. We collected clinical, MRI, surgical and histopathological data of the study subjects from patients’ charts. Results: The mean patient age was 57 years (range 39-76 years). Of the subjects, 32 (86.5%) had endometrioid carcinoma. After histopathological evaluation, we found that four (10.8%) patients had no myometrial invasion, 14 (37.8%) had superficial myometrial invasion, and 19 (51.3%) had deep myometrial invasion. Overall, the accuracy of MRI staging increased in accordance with the increase of surgical stage of endometrial carcinoma. Overall, clinical success of MRI staging was higher in patients with deep myometrial invasion. Conclusion: The accuracy of MRI to depict the depth of myometrial invasion increases in accordance with surgical stage in patients with endometrial cancer. The combination of MRI and clinical findings may be helpful in determining the extent of surgery.
Keywords
Endometrial cancer
Magnetic resonance imaging
Myometrial invasion
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