Thin endometrial echo complex on ultrasound does not reliably exclude type 2 endometrial cancers

The objective of this study was to determine the ultrasonographic characteristics of the uterus and endometrial echo-complex (EEC) of postmenopausal patients diagnosed with type 2 endometrial cancer, including uterine papillary serous carcinoma (UPSC), clear cell carcinoma (CCC), and other endometri...

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Bibliographic Details
Published in:Gynecologic oncology 2006-04, Vol.101 (1), p.120-125
Main Authors: Wang, Jing, Wieslander, Cecilia, Hansen, Gail, Cass, Ilana, Vasilev, Steven, Holschneider, Christine H.
Format: Article
Language:English
Subjects:
Adnexa Uteri - diagnostic imaging
Aged
Aged, 80 and over
Endometrial echo complex
Endometrial Neoplasms - diagnostic imaging
Endometrial Neoplasms - pathology
Female
Humans
Middle Aged
Pelvic ultrasound
Retrospective Studies
Type 2 endometrial cancer
Ultrasonography
UPSC
Uterus - diagnostic imaging
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Summary:The objective of this study was to determine the ultrasonographic characteristics of the uterus and endometrial echo-complex (EEC) of postmenopausal patients diagnosed with type 2 endometrial cancer, including uterine papillary serous carcinoma (UPSC), clear cell carcinoma (CCC), and other endometrial high-grade carcinomas (HGC). Postmenopausal patients with type 2 endometrial cancer who underwent preoperative pelvic ultrasound were identified. Histologic diagnoses were made by biopsy or hysterectomy. Ultrasound reports were abstracted for the following parameters: EEC thickness, presence of intracavitary fluid or lesion, myometrial mass, uterine size, and adnexal mass. Ultrasound films were re-reviewed by a single gynecologic ultrasonographer. Fifty-two patients with detailed ultrasound reports comprised the study population. Twenty-six films were available for re-review and inter-examiner agreement was 92%. Forty-four women (85%) presented with abnormal vaginal bleeding. Thirty-four patients (65%) had a thickened EEC measuring >5 mm. In 9 cases (17%), the EEC measured
ISSN:0090-8258
1095-6859
DOI:10.1016/j.ygyno.2005.09.042