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Usefulness of Sonohy sterography in Differentiating Endometrial Cancer from Endometrial Hyperplasia |
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Eun Ju Lee, M.D. Min Jung Kim, M.D., Hee Sug Ryu, M.D. |
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Department of Diagnostic Radiology, Obstetrics and Gynecology, Ajou University, School of Medicine |
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PURPOSE: To characterize the sonohysterographic(SH) findings of endometrial hyperplasia and cancer and to deter-mine
the role of SH in differentiating endometrial cancer from hyperplasia.
MATERIALS and METHODS:The clinical, pathologic and SH findings of 38 patients with histologically confirmed en-dometrial
hyperplasia(n=21), atypical hyperplasia(n=6), and cancer(n=11) were reviewed retrospectively. We e-valuated
the presence and morphologic characteristics(surface contour echogenicity, echotexture) of endometrial
thickening and mass, obliteration of endometrial cavity, and disruption of endometrial-myometrial interface on
SH .
RESULTS : SH findings of endometrial hyperplasia were endometrial thickening in 17 cases(81%), mass in 8 cas-es(
38%), and regular surface of endometrium and mass in 16(76%) and 6 cases(75%) respectively. Atypical hy-perplasia
showed endometrial thickening in 4 cases(67%), mass in 2 cases(33%), and regular surface of en-dometrium
and mass in 4(67%) and 1 case(50%) respectively. Obliteration of endometrial cavity was seen only
in 3 cases(14%) of endometrial hyperplasia and 1 case(17%) of atypical hyperplasia and disruption of endome-trial-
myometrial interface was not seen. Endometrial cancer showed endometrial thickening in 6 cases(55%),
mass in 7 cases(64%), irregular surface of endometrium and mass in 10(91%) and 7 cases(100%) respectively,
obliteration of endometrial cavity in 10 cases(91%), and disruption of endometrial-myometrial interface in 4 of
8 cases with myometrial invasion. Using endometrial thickening or mass with irregular surface and obliteration
of endometrial cavity as the positive findings for SH diagnosis of endometrial cancer, we observed sensitivity of
90.9%, specificity of 85.2%, and accuracy of 86.8%.
CONCLUSION : The demonstration of the irregular surface with endometrial thickening or mass and obliteration of
endometrial cavity through SH were suggestive of endometrial cancer. SH could be useful in the diagnosis and |
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Keyword : Uterus, endometrium, Uterus, US, Uterine neoplasms, US, Ultrasound(US), technology |
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pdf파일 : 091이은주1.pdf
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