Indian Journal of Obstetrics and Gynecology Research

Print ISSN: 2394-2746

Online ISSN: 2394-2754

CODEN : IJOGCS

Indian Journal of Obstetrics and Gynecology Research (IJOGR) open access, peer-reviewed quarterly journal publishing since 2014 and is published under auspices of the Innovative Education and Scientific Research Foundation (IESRF), aim to uplift researchers, scholars, academicians, and professionals in all academic and scientific disciplines. IESRF is dedicated to the transfer of technology and research by publishing scientific journals, research content, providing professional’s membership, and conducting conferences, seminars, and award more...

Article type

Original Article


Article page

410-414


Authors Details

Swapnil Mane, Rutuja Phulambrikar, Anup Kharde*, Sandeep Narwane


Article Metrics


View Article As

 


Downlaod Files

   






Article statistics

Viewed: 308

PDF Downloaded: 223


Role of MRI in pre-operative staging of endometrial cancer: A diagnostic accuracy study


Original Article

Author Details : Swapnil Mane, Rutuja Phulambrikar, Anup Kharde*, Sandeep Narwane

Volume : 9, Issue : 3, Year : 2022

Article Page : 410-414

https://doi.org/10.18231/j.ijogr.2022.077



Suggest article by email

Get Permission

Abstract

Background: Endometrial cancer (EC) is a commonly occurring cancer among post-menopausal women. Pre-treatment imaging of the extent of disease can influence the decisions in the management of EC. MRI with its diffusion weighted (DW) images can help in better depiction of the primary tumour, its local extension and extrauterine spread to the peritoneum and lymph nodes. This study was conducted to know the role of MRI for pre-operative staging of endometrial cancer and as a guide for pelvic lymph nodal dissection.
Methodology: It was a descriptive cross-sectional study conducted at a tertiary care hospital patients diagnosed with primary endometrial adenocarcinoma on biopsy. Patients with advanced disease requiring chemotherapy prior to surgery were excluded. Fifty consecutive patients were subjected to MRI Pelvis with abdominal screening in the week preceding definitive surgery, Findings from imaging were compared with final histopathology for concurrence on tumour size, depth of myometrial invasion, presence of adnexal, nodal and cervical stromal involvement.
Results: Majority of the patients in this study were post-menopausal women. Sensitivity of MRI for staging of Endometrial Carcinoma in this study was 91.84% and Accuracy was 90%. When compared to HPE for lymph node positivity, MRI had sensitivity of 100%, specificity of 97.87%, PPV of 75%, NPV of 100% and accuracy of 98%.
Conclusion: Pre-operative MRI in the week prior to the planned surgery can help in accurately staging the endometrial carcinoma in terms of myometrial infiltration, cervical stromal infiltration as well as pelvic lymph nodal involvement.
 

Keywords: Endometrial cancer, MRI pelvis, Diagnostic accuracy, Staging.


How to cite : Mane S, Phulambrikar R, Kharde A, Narwane S, Role of MRI in pre-operative staging of endometrial cancer: A diagnostic accuracy study. Indian J Obstet Gynecol Res 2022;9(3):410-414

This is an Open Access (OA) journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.