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Comparison between Transvaginal Sonography and Magnetic Resonance Imaging Study Findings in Patient with Endometrial Carcinoma

Fowz Adnan Yaser --- Ausama Ayaad Al-Bayati

Medical Journal of Babylon مجلة بابل الطبية
ISSN: 1812156X 23126760 Year: 2017 Volume: 14 Issue: 4 Pages: 640-648
Publisher: Babylon University جامعة بابل

Abstract

The main objective of this study is to compare between the findings that obtained from both TVS and MRI study in diagnosis of endometrial carcinoma and differentiate it from other endometrial pathology and to assess the accuracy of both techniques in evaluation and detection of myometrium invasion. This prospective study was done in AL- Hilla Teaching Hospital from August 2016 to August 2017 on (22) patients, their ages were from 46-79 years old, (18) of them are postmenopausal and (4) patients are premenopausal, all of them were suffering from recurrent dysfunctional vaginal bleeding. Patients are examined by both TVS and MRI study with contrast endometrial carcinoma is suggested and histopathology insisted the diagnosis, comparison between two techniques is reported.By TVS (7) of the patients have bulky size uterus with different endometrial masses size and texture, other (15) patients have just irregular increase in endometrial thickness. Myometrial invasion which is the most important prognostic factor was as follows: (2) patients have no distinct invasion, (7) patients have less than 1/3 myometrial invasion, (9) patients have more than 2/3 of myometrial invasion; in comparison with enhanced MRI study; findings were that (13) of patients have well defined different sizes and intensity masses, (9) patients have irregular increase in endometrial thickness with different degree of myometrial invasion, myometrial invasion was as follows: (9) patients with less than 1/3 of myometrial invasion, (9) patients with more than 2/3 of myometrial invasion, (2) patients the invasion reaching to serosa and involving the cervix. The conclusions from this imaging assumes increasing importance in the management of patients with endometrial carcinoma in recent years. Transvaginal sonography that performed by expert specialist can be consider a feasible, economic imaging modality with diagnostic accuracy comparable to that of MRI in preoperative local staging of endometrial cancer. Dynamic contrast enhanced MRI study is more accurate in diagnosis and evaluation of endometrial carcinoma and assessment of myometrial invasion. Early disease detection and accurate staging provide optimal management and minimize mortality and morbidity.

Keywords

transvaginal sonography --- magnetic resonance imaging and endometrial carcinoma.