Endometrium Kanserinde Myometrial İnvazyon Derinliğinin Magnetik Rezonans Görüntüleme ile Değerlendirilmesi

Amaç: Endometrium kanseri (EK) tanısı almış hastalarda, ameliyat öncesi myometrial invazyon (Mİ)’nun saptanmasında magnetik rezonans görüntülemenin ( MRG) değerinin araştırılması amaçlandı. Yöntem: Endometrium kanseri tanısı alan hastalardan ameliyat öncesi MR görüntüleme yapılanlar çalışmaya dahil edildi. Hastaların görüntüleme bilgileri, operasyon bilgileri, patoloji sonuçları dosyalarından alınarak kaydedildi. MRG raporlarında myometrial invazyon durumları ile ameliyat sonrası patolojik incelemede tespit edilen myometrial invazyon durumları karşılaştırılarak MRG’nin endometrium kanserinde myometrial invazyon varlığını tahmin etmedeki rolü değerlendirildi. Bulgular: Ameliyat öncesi MR ile görüntüleme yapılan 302 hasta çalışmaya dahil edildi. Hastaların yaşları 29 -90 arasında olup, ortalama 59.5+-10.7 bulundu. Bu hastalar endometrial biyopsi yapılarak endometrium kanseri tanısı almıştı. MR yöntemi ile endometrium kanseri tanılı hastada myometrial invazyon tespitinde duyarlılık (%78.43), özgüllük (%93.23), doğruluk (%81.12) olarak tespit edildi. Sonuç: EK’inde Mİ varlığını değerlendirmede, ameliyat öncesi MR görüntülemenin önemli bir yöntem olduğu izlendi.

Anahtar Kelimeler:

Magnetik rezonans görüntüleme, endometrium kanseri, miyometrial invazyon.

Evaluation Of Myometrial Invasion Depth With Magnetic Rezonans Imaging In Endometrium Cancer

Aim: The aim of this study is to investigate the value of magnetic resonans imaging (MRI) for detecting preoperative myometrial invasion (Ml) in endometrial (EC) cancer patients.Material and Methods: Among EC patients with preoperative MRI were included in this study. The data of patients were recorded from their files. MRI reports and MI status in final pathological examination after surgery were compared. The predicting value of MRI for MI presence was evaluated.Results: Totally, 302 patients who were obtained preoperative MRI enrolled into the study. The age of the patients were between 29-90, mean 59.5±10,7. The EC was diagnosed by endometial biopsy. The sensitivity, specifity and diagnostic accuracy of MRI assessment of MI were 78.43%, 93.23% and 81.12%, respectively. Conclusion: The assessment of the MI presence in EC patients by preoperative MRI is a valuable method.

Keywords:

Magnetic resonance imaging, endometrial cancer, myometrial invasion,

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