The possibilities of comprehensive ultrasound examination using modern methods in the diagnosis of endometrial cancer
https://doi.org/10.22328/2079-5343-2022-13-1-58-69
Abstract
Introduction. An urgent problem of oncogynecology is the diagnosis and treatment of patients with endometrial cancer, the steady growth of which is noted in most developed countries of the world and at the present stage occupies the 2nd place among neoplasms of the reproductive system of women.
Purpose. To evaluate the informativity of complex ultrasound examination for diagnostics of endometrial cancer.
Material and methods. There were examined 28 patients aged from 45 to 70 y.o. (23 menopausal women — 82,1% and 5 in reproductive status — 17,9%). The diagnosis of endometrial cancer was verified by morphologic and histologic methods. For all the patients there was performed the ultrasound examination including energy Doppler mode, ultrasound elastography, Doppler imaging of uterine and intratumoral vessels, evaluation of M-echo thickness, invasive growth index and rate of myometrial invasion. Studies were performed with ultrasound scanners «ACUSON 2000» by SIEMENS and «Aixplorer» by «SuperSonic Imagine S.A.».
Results. Highly and moderately differentiated adenocarcinoma was revealed mostly in patients with Ia and Ib stages while low differentiated adenocarcinoma was revealed mostly in the III stage. The investigation performed ascertained that a complex ultrasound examination with application of dopplerography, sonoelastography, contrast enhanced sonography is highly informative for determination, staging and prediction of endometrial cancer.
Conclusion. The results obtained indicate the high efficiency of the diagnostic complex used in identifying the characteristic features of intraorgan and tumor blood flow, as well as tissue stiffness, which play an important role in specifying the stage and prognosis of the disease.
About the Authors
B. A. Minko
St. Petersburg State University
Russian Federation
Russian Federation
St. Petersburg
M. V. Salnikova
North-Western State Medical University named after I. I. Mechnikov
Russian Federation
Russian Federation
St. Petersburg
S. M. Gelbutovskaya
Russian Research Centre for Radiology and Surgical Technologies academician A. M. Granov
Russian Federation
Russian Federation
St. Petersburg
E. A. Strogonov
Russian Research Centre for Radiology and Surgical Technologies academician A. M. Granov
Russian Federation
Russian Federation
St. Petersburg
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Review
For citations:
Minko B.A., Salnikova M.V., Gelbutovskaya S.M., Strogonov E.A. The possibilities of comprehensive ultrasound examination using modern methods in the diagnosis of endometrial cancer. Diagnostic radiology and radiotherapy. 2022;13(1):58-69. (In Russ.) https://doi.org/10.22328/2079-5343-2022-13-1-58-69
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