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《Chinese Journal of Medical Imaging Technology》 2011-01
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Diagnosing and staging of endometrial carcinoma using transvaginal color Doppler sonography

XIE Yang-gui1,YU Xiu2,ZHANG Yu-quan3,SONG Qian4,LV Xiao-qing1,SHI Gong-sheng5,WU Chen-mei3(1.Department of Medical Ultrasound,2.Department of General Surgery Laboratory,3.Department of Gynecology and Obstetrics,5.Department of Pathology,Affiliated Hospital of Nantong University,Nantong 226001,China;4.Department of Ultrasound,Nantong Hospital of Traditional Chinese Medicine,Nantong 226001,China)  
Objective To investigate the clinical value of preoperative transvaginal color Dopple sonography(TVCDS) in diagnosing and staging of endometrial carcinoma.Methods Seven hundred and thirteen people who were at high risk for endometrial carcinoma underwent TVCDS.The endometrium thickness was measured.The form of endometrium and the integrity of the faint echo halos at the interface between endometrium and muscularis were observed.The lesions were observed,including the location,size,echo,the regularity and integrity of the edge and inside blood flow.The extent of muscularis infiltrating by tumor was judged.The endometrial carcinoma was divided into Ⅰ—Ⅳ stage according FIGO's phasing method,and the diagnostic results of TVCDS,and the operative pathology were compared.Results One hundred and nine patients were diagnosed as endometrical carcinoma,in which 104 were proved by surgical pathology.The conformity rate of TVCDS in diagnosing and staging endometrial carcinoma was 95.41%(104/109) and 98.08%(102/104),respectively.In 104 patients,endometrium thickness of 98 patients were 5.6—56 mm,other 6 patients were with endometrial cavity fluid.Stage of endometrial carcinoma had positive correlation with blood supply(r=0.6994,P0.01).Conclusion Diagnosing and staging of endometrial carcinoma using TVCDS could help to determine clinical treatment protocols and predict the prognosis for the patients.
【Fund】: 南通市社会发展基金(S30026)
【CateGory Index】: R737.33
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【Citations】
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【Co-citations】
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1 Zheng Yi,He Tao (The First Affiliated Hospital,Henan University of Science and Technology,Luoyang 471003,China);Clinical Pathologic Analysis of 68 Cases of Endometrial Cancer[J];Journal of Basic and Clinical Oncology;2009-01
2 HE Wei-dong(Department of Ultrasound,Zhangjiagang Women and Children Center,Zhangjiagang 215600,China);Transvaginal color Doppler ultrasound in diagnosis of endometrial lesions[J];Chinese Journal of Medical Imaging Technology;2010-10
3 FENG Xiao-yu1,YU Shi-jia2,SHI Tie-mei1(1.Department of Ultrasound,Shengjing Hospital of China Medical University,Shenyang 110004,China; 2.China Medical University,Shenyang 110001,China);Ultrasonography in prediction of the risk of endometrial carcinoma of postmenopausal women with endometrial thickness ≥5 mm[J];Chinese Journal of Medical Imaging Technology;2010-10
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