Ultrasound Characteristics of Myometrial Invasion in Endometrial Carcinoma: A Prospective Cohort Study

Abstract

Background: Both objective and subjective transvaginal sonography (TVS) methods are used to assess the degree of myometrial invasion (MI). Subjective TVS assessment of MI (50%) may be as good or better than any objective measurement technique. The aim of this study is to examine the ultrasound characteristics of endometrial cancer (EC) in two groups of patients; with myometrial invasion less and greater than 50%. Methods: This is a prospective cohort study included 60 female patients with pathohistologically (PHD) proven endometrial cancer. Patients were divided into two groups, after surgery and PHD assessment of MI degree, into those with less and more than 50% MI. The degree of MI was performed by subjective assessment (50%). Results: The frequency of anteroposterior (AP) diameter of EC greater than 2 cm was statistically significantly higher in the group of subjects with MI >50% (p 50% is statistically significantly higher, with a difference of 10.48 milliliters compared to the group of subjects with MI 50% has a good diagnostic value: accuracy = 0.87; sensitivity = 0.77; specificity = 0.94; positive predictive value = 0.91; negative predictive value = 0.84; positive likelihood ratio = 13.08; negative likelihood ratio = 0.25. According to the subjective method of TVS, the degree of MI was overestimated in 5.9% of respondents, underestimated in 23.1%. Conclusions: The three dimensions, as well as the volume of endometrial cancer, obtained by TVS, are significantly higher in subjects with >50% myometrial invasion; there is also a significantly higher frequency of EC diameter greater than 2 cm in the group of subjects with >50% myometrial invasion.

Keywords

• endometrial neoplasms
• myometrium
• infiltration
• ultrasound
• transvaginal