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001-es BibID:
BIBFORM090220
035-os BibID:
(Scopus)85098501592 (WOS)000604059600029
Első szerző:
Bosch, Thierry van den
Cím:
Typical ultrasound features of various endometrial pathologies described using International Endometrial Tumor Analysis (IETA) terminology in women with abnormal uterine bleeding / Van Den Bosch T., Verbakel J. Y., Valentin L., Wynants L., De Cock B., Pascual M. A., Leone F. P. G., Sladkevicius P., Alcazar J. L., Votino A., Fruscio R., Lanzani C., Van Holsbeke C., Rossi A., Jokubkiene L., Kudla M., Jakab A., Domali E., Epstein E., Van Pachterbeke C., Bourne T., Van Calster B., Timmerman D.
Dátum:
2021
ISSN:
0960-7692 1469-0705
Megjegyzések:
Objective To describe the ultrasound features of differ- ent endometrial and other intracavitary pathologies in pre- and postmenopausal women presenting with abnor- mal uterine bleeding, using the International Endometrial Tumor Analysis (IETA) terminology. Methods This was a prospective observational multi- center study of consecutive women presenting with abnormal uterine bleeding. Unenhanced sonography with color Doppler and fluid-instillation sonography were performed. Endometrial sampling was performed according to each center's local protocol. The his- tological endpoints were cancer, atypical endome- trial hyperplasia/endometrioid intraepithelial neoplasia (EIN), endometrial atrophy, proliferative or secretory endometrium, endometrial hyperplasia without atypia, endometrial polyp, intracavitary leiomyoma and other. For fluid-instillation sonography, the histological end- points were endometrial polyp, intracavitary leiomyoma and cancer. For each histological endpoint, we report typical ultrasound features using the IETA terminology. Results The database consisted of 2856 consecutive women presenting with abnormal uterine bleeding.Unenhanced sonography with color Doppler was per- formed in all cases and fluid-instillation sonography in 1857. In 2216 women, endometrial histology was avail- able, and these comprised the study population. Median age was 49 years (range, 19 ? 92 years), median parity was 2 (range, 0 ? 10) and median body mass index was 24.9 kg/m2 (range, 16.0 ? 72.1 kg/m2 ). Of the study population, 843 (38.0%) women were postmenopausal. Endometrial polyps were diagnosed in 751 (33.9%) women, intracavitary leiomyomas in 223 (10.1%) and endometrial cancer in 137 (6.2%). None (0% (95% CI, 0.0?5.5%)) of the 66 women with endometrial thickness <3mm had endometrial cancer or atypical hyperpla- sia/EIN. Endometrial cancer or atypical hyperplasia/EIN was found in three of 283 (1.1% (95% CI, 0.4 ? 3.1%)) endometria with a three-layer pattern, in three of 459 (0.7% (95% CI, 0.2 ? 1.9%)) endometria with a linear endometrial midline and in five of 337 (1.5% (95% CI, 0.6 ? 3.4%)) cases with a single vessel without branching on unenhanced ultrasound. Conclusions The typical ultrasound features of endome- trial cancer, polyps, hyperplasia and atrophy and intracavitary leiomyomas, are described using the IETA terminology. The detection of some easy-to-assess IETA features (i.e. endometrial thickness <3mm, three-layer pattern, linear midline and single vessel without branching) makes endometrial cancer unlikely. Copyright ? 2020 ISUOG. Published by John Wiley & Sons Ltd.
Tárgyszavak:
Orvostudományok
Klinikai orvostudományok
idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
cancer
diagnosis
endometrium
hyperplasia
IETA
leiomyoma
polyp
sonohysterographia
ultrasonography
Megjelenés:
Ultrasound In Obstetrics & Gynecology. - 57 : 1 (2021), p. 164-172. -
További szerzők:
Verbakel, J. Y.
Valentin, Lil
Wynants, L.
De Cock, B.
Pascual, M. Angela
Leone, F. P. G.
Sladkevicius, P.
Alcazar, Juan Luis
Votino, A.
Fruscio, Robert
Lanzani, C.
Van Holsbeke, C.
Rossi, A.
Jokubkiene, L.
Kudla, M.
Jakab Attila (1964-) (szülész-nőgyógyász, endokrinológus)
Domali, E.
Epstein, Elisabeth
Van Pachterbeke, C.
Bourne, T.
Van Calster, B.
Timmerman, D.
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