Preoperative lymphatic nodes detection using computed tomography in endometrial cancer patients

Czech version

Authors: R. Pilka; Milan Kudela; P. Dzvinčuk; D. Ľubušký
Authors‘ workplace: Gynekologicko-porodnická klinika FN a LF UP, Olomouc, přednosta prof. MUDr. M. Kudela, CSc.
Published in: Ceska Gynekol 2004; (3): 237-239
Category:

Overview

Objective:
To determine the value of computed tomography (CT) in predicting preoperativelynodal disease in patients with endometrial cancer.Design: A prospective multicentric study.Setting: Department of Obstetrics and Gynecology of the Palacky Univerzity Medical School andUniverzity Hospital, Olomouc, Obstetrical and Gynecological Departments of collaborating hospital,Czech Republic.Methods: A total of 164 women with endometrial carcinoma that was diagnosed between 1998 and2002 were recruited for this study. Final pathological ﬁ ndings were compared with those of thepreoperative CT scans to assess nodal disease.Results: Among 164 women who had preoperative scans and lymph node samplings, sensitivity,speciﬁ city, positive and negative predicting values of CT scans at predicting lymph node metastasiswas 30, 95.5, 30 and 95.5% respectively.Conclusion: Routine preoperative CT scanning is a poor predictor of nodal disease in patientswith endometrial cancer. Its preoperative routine use should be discouraged.

Key words:
computer tomography scan, endometrial cancer, preoperative staging, nodal disease

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