ROLE OF MRI IN PRE OPERATIVE STAGING OF CARCINOMA ENDOMETRIUM
Journal Title: PARIPEX-Indian Journal of Research - Year 2019, Vol 8, Issue 3
Abstract
According to current consensus, early stage endometrial cancer does not require nodal dissection. The key factor is proper selection of cases with early stage carcinoma pre-operatively to avoid extensive surgery. Aim-Aim of the study is to find accuracy of MRI in pre-operative staging of carcinoma endometrium. Materials and methods-The study is done in a tertiary care hospital on 42 patients. Information regarding the age, complaints, comorbidities and histological type of the tumour were taken.The findings between pre-operative MRI and the post-operative histopathology report with respect to deep myometrial invasion and lymph node metastasis were thoroughly analysed and accuracy of MRI was assessed. Results-The sensitivity, specificity, PPV, NPV and diagnostic accuracy of MRI for diagnosing deep myometrial invasion are 82.35%, 100%, 100%, 89.3% and 92.86% respectively. The sensitivity, specificity, PPV, NPV and diagnostic accuracy of MRI for diagnosing lymph node invasion are 80%, 94.6%, 66.7%, 97.2% and 92.86%. Conclusion-MRI has good diagnostic accuracy to detect deep myometrial invasion and there by detecting the subset of patients who needs proper lymph node dissection.
Authors and Affiliations
Prameela Menon, Danu C, P. Aishwarya
Keywords
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