Journal article
The Use of Transvaginal Ultrasound in Type II Endometrial Cancer
International journal of gynecological cancer, Vol.25(5), pp.858-862
06/01/2015
DOI: 10.1097/IGC.0000000000000423
PMID: 25768078
Abstract
Objective: To determine the use of the transvaginal ultrasound (TVUS) in postmenopausal women with type II endometrial cancer.
Methods/Materials: A retrospective review was conducted for 173 women with pathology proven type II endometrial cancer at a single institution. Those who underwent preoperative TVUS were included, and the following data were obtained: endometrial stripe (EMS) measurement, uterine and/or adnexal findings, and uterine size/volume. Clinicopathologic factors were abstracted. Descriptive and regression analyses were performed.
Results: Fifty-eight women comprised the cohort, and the median age was 66.5 years (50-85 years). The most commonly reported symptom was postmenopausal bleeding in 53 patients (91.4%). The EMS was reported as thin (<= 5mm) or indistinct in 16 patients (27.5%). Approximately 60% of patients had 1 or more ultrasound abnormalities: intracavitary mass (31%), intracavitary fluid (12.1%), myometrial lesion (31.03%), and adnexal mass (12.1%). Poorly differentiated endometrioid cancer (53.45%) represented the predominant histology. Of the 16 (27.5%) women with a thin/indistinct EMS, 5 women (8.6%) did not have any abnormal ultrasound findings whatsoever.
Conclusions: Women with type II endometrial cancer had a thin/indistinct EMS on TVUS in approximately 25% of cases. Lack of any ultrasound abnormality, including a thickened EMS, was noted in approximately 10% of patients. The use of TVUS, which has been of value in type I cancer, is limited in type II endometrial cancer. Therefore, endometrial sampling should be included in the evaluation of all women with postmenopausal bleeding, regardless of EMS thickness.
Details
- Title: Subtitle
- The Use of Transvaginal Ultrasound in Type II Endometrial Cancer
- Creators
- Caroline C. Billingsley - University of California, DavisKimberly A. Kenne - The Ohio State UniversityCatherine D. Cansino - University of California, DavisFloor J. Backes - The Ohio State UniversityDavid E. Cohn - The Ohio State UniversityDavid M. O'Malley - The Ohio State UniversityLarry J. Copeland - The Ohio State UniversityJeffrey M. Fowler - The Ohio State UniversityRitu Salani - The Ohio State University
- Resource Type
- Journal article
- Publication Details
- International journal of gynecological cancer, Vol.25(5), pp.858-862
- Publisher
- Lippincott Williams & Wilkins
- DOI
- 10.1097/IGC.0000000000000423
- PMID
- 25768078
- ISSN
- 1048-891X
- eISSN
- 1525-1438
- Number of pages
- 5
- Language
- English
- Date published
- 06/01/2015
- Academic Unit
- Obstetrics and Gynecology
- Record Identifier
- 9984318323602771
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