Myometrial invasion is best assessed using combined axial-oblique T2WI DWI and contrast-enhanced imaging. Confined to cervix uteri extension to the corpus should be disregarded.
As a rule the lower the number the less the cancer has spread.
Staging endometrial cancer radiology. Endometrial cancer EC is the most common malignant tumor of the female genital tract in Western countries. Staging of cervical cancer can either be based on the TNM or FIGO system. In postmenopausal patients with metrorrhagia focal or diffuse endometrial thickening of 4 mm should be considered suspicious.
EC is surgically staged using the International Federation of Gynecology and Obstetrics FIGO system. A higher number such as stage IV means cancer has spread to. In 2009 the European Society of Urogenital Radiology ESUR published guidelines for the staging of endometrial cancer EC.
Its overall accuracy in demonstrating the depth of myometrial invasion was 82. Endometrial cancer stages range from stage I 1 through IV 4. EC is surgically staged using the International Federation of Gyn ecology and Obstetrics FIGO system.
Demonstration of lymphadenopathy and adnexal or peritoneal metastases by MR imaging was suboptimal. Staging can be based on the TNM or FIGO system. Data were obtained from a MEDLINE literature search and from manual reviews of article bibliographies.
Endometrial cancer EC is the most common malignant tumo r of the female genital tract in Western countries. Endometrial cancer is the most commonly diagnosed gynecologic ma-lignancy in the United States. MR imaging protocol should be tailored based on the risk of lymph node metastases.
In patients with abnormal vaginal bleeding the endometrium is initially evaluated by transvaginal ultrasonography TVUS. An appropriate use and guidelines of imaging techniques in diagnosis staging and detection of endometrial cancer and treatment of recurrent disease are reviewedThe American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed every two years by a multidisciplinary expert panel. The FIGO staging system recently underwent significant revi-sion which has important implications for radiologists.
EC patients are divided into risk categories based on histopathol ogical tumor type grade and myometrial invasion depth. Revised FIGO staging of cervical carcinoma 2018 8 FIGO no longer includes Stage 0 Tis I. MRI is recommended for initial staging of endometrial cancer.
The overall accuracy of MR imaging in staging endometrial carcinoma was 92. The sensitivity and specificity of TVUS for detecting EC approach 96 and 61 respectively when an endometrial thickness threshold of 5 mm in postmenopausal women is used to define abnormal. Watch experts discuss clinical management of these gynecologic cancers.
EC patients are divided into risk categories based on histopathological tumor type grade and myometrial invasion depth. The new guidelines recognized magnetic resonance imaging MRI as the imaging modality of choice for evaluating disease extent in patients with newly diagnosed EC 1. Detecting and staging endometrial cancer.
TVUS can be helpful in preoperative staging showing an overall accuracy of 6076 with regards to. ECs typically present as thickening of the endometrium and TVUS diagnosis of endometrial cancer is based on endometrial thickness that is measured in the anteroposterior dimension Figure 1. Articles were selected that included results in patients with proved endometrial cancer and imaging.
This pathologic condition is staged with the International Federation of Gynecology and Obstetrics FIGO system. Ad Updates in Gynecologic Oncology a video roundtable from The ASCO Post. Revised 2009 FIGO staging for carcinoma of the endometrium 7.
Endometrial carcinoma staging allows appropriate treatment options to be considered and enables greater prognostic accuracy for endometrial carcinoma. To apply a meta-analysis to compare the utility of computed tomography CT ultrasonography US and magnetic resonance MR imaging in staging endometrial cancer. MR imaging is the modality of choice for staging with CT having relatively low specificity especially for myometrial invasion 5.