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Preoperative and in...
Preoperative and intraoperative assessment of myometrial invasion in endometrial cancer—A Swedish Gynecologic Cancer Group (SweGCG) study
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- Jonsdottir, Björg (författare)
- Uppsala universitet,Reproduktiv hälsa,Uppsala Univ, Sweden
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- Marcickiewicz, J. (författare)
- Varbergs Hosp, Dept Obstet & Gynecol, Varberg, Region Halland, Sweden.
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- Borgfeldt, C. (författare)
- Lund Univ, Skane Univ Hosp, Dept Obstet & Gynecol, Lund, Sweden.;Lund Univ, Dept Clin Sci, Lund, Sweden.
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- Bjurberg, M. (författare)
- Lund Univ, Skane Univ Hosp, Dept Hematol Oncol & Radiat Phys, Lund, Sweden.
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- Dahm-Kähler, Pernilla, 1964 (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för obstetrik och gynekologi,Institute of Clinical Sciences, Department of Obstetrics and Gynecology,Univ Gothenburg, Sahlgrenska Univ Hosp, Dept Obstet & Gynecol, Sahlgrenska Acad, Gothenburg, Sweden.
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- Flöter-Rådestad, A. (författare)
- Karolinska Institutet,Karolinska Inst, Div Obstet & Gynecol, Dept Womens & Childrens Hlth, Stockholm, Sweden.
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- Hellman, K. (författare)
- Karolinska Univ Hosp, Dept Gynecol Canc, Theme Canc, Stockholm, Sweden.
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- Holmberg, E. (författare)
- Reg Canc Ctr Western Sweden, Gothenburg, Sweden.
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- Kjölhede, Preben (författare)
- Linköpings universitet,Avdelningen för barns och kvinnors hälsa,Medicinska fakulteten,Region Östergötland, Kvinnokliniken US
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- Rosenberg, Per, 1951- (författare)
- Linköpings universitet,Avdelningen för kirurgi, ortopedi och onkologi,Medicinska fakulteten,Region Östergötland, Onkologiska kliniken US
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- Tholander, B. (författare)
- Uppsala Univ Hosp, Dept Oncol, Uppsala, Sweden.
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- Åvall Lundqvist, Elisabeth (författare)
- Linköpings universitet,Avdelningen för kirurgi, ortopedi och onkologi,Medicinska fakulteten,Region Östergötland, Onkologiska kliniken US
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- Stålberg, Karin (författare)
- Uppsala universitet,Reproduktiv hälsa,Uppsala Univ, Sweden
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- Högberg, T. (författare)
- Lund Univ, Inst Clin Sci, Dept Med Oncol, Lund, Sweden.
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(creator_code:org_t)
- 2021-06-09
- 2021
- Engelska.
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Ingår i: Acta Obstetricia et Gynecologica Scandinavica. - : Wiley. - 0001-6349 .- 1600-0412. ; 100:8, s. 1526-1533
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Abstract
Ämnesord
Stäng
- Introduction: Deep myometrial invasion (≥50%) is a prognostic factor for lymph node metastases and decreased survival in endometrial cancer. There is no consensus regarding which pre/intraoperative diagnostic method should be preferred. Our aim was to explore the pattern of diagnostic methods for myometrial invasion assessment in Sweden and to evaluate differences among magnetic resonance imaging (MRI), transvaginal sonography, frozen section, and gross examination in clinical practice. Material and methods: This is a nationwide historical cohort study; women with endometrial cancer with data on assessment of myometrial invasion and FIGO stage I-III registered in the Swedish Quality Registry for Gynecologic Cancer (SQRGC) between 2017 and 2019 were eligible. Data on age, histology, FIGO stage, method, and results of myometrial invasion assessment, pathology results, and hospital level were collected from the SQRGC. The final assessment by the pathologist was considered the reference standard. Results: In the study population of 1401 women, 32% (n=448) had myometrial invasion of 50% of more. The methods reported for myometrial invasion assessment were transvaginal sonography in 59%, MRI in 28%, gross examination in 8% and frozen section in 5% of cases. Only minor differences were found for age and FIGO stage when comparing methods applied for myometrial invasion assessment. The sensitivity, specificity, and accuracy to find myometrial invasion of 50% or more with transvaginal sonography were 65.6%, 80.3%, and 75.8%, for MRI they were 76.9%, 71.9%, and 73.8%, for gross examination they were 71.9%, 93.6%, and 87.3%, and for frozen section they were 90.0%, 92.7%, and 92.0%, respectively. Conclusions: In Sweden, the assessment of deep myometrial invasion is most often performed with transvaginal sonography, but the sensitivity is lower than for the other diagnostic methods. In clinical practice, the accuracy is moderate for transvaginal sonography and MRI. © 2021 The Authors. Acta Obstetricia et Gynecologica Scandinavica published by John Wiley & Sons Ltd on behalf of Nordic Federation of Societies of Obstetrics and Gynecology (NFOG)
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Cancer och onkologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cancer and Oncology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Reproduktionsmedicin och gynekologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Obstetrics, Gynaecology and Reproductive Medicine (hsv//eng)
Nyckelord
- deep myometrial invasion
- endometrial cancer
- frozen section
- gross examination
- MRI
- transvaginal ultrasound
- adult
- age
- aged
- Article
- cancer diagnosis
- clinical practice
- cohort analysis
- controlled study
- diagnostic procedure
- diagnostic test accuracy study
- endometrioid carcinoma
- endometrium cancer
- endometrium carcinoma
- female
- histopathology
- human
- human tissue
- hysterectomy
- intraoperative period
- lymph node dissection
- major clinical study
- myometrium
- nuclear magnetic resonance imaging
- practice guideline
- predictive value
- preoperative evaluation
- sensitivity and specificity
- Sweden
- transvaginal echography
- tumor invasion
- deep myometrial invasion
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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Jonsdottir, Björ ...
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Marcickiewicz, J ...
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Borgfeldt, C.
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Bjurberg, M.
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Dahm-Kähler, Per ...
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Flöter-Rådestad, ...
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Hellman, K.
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Holmberg, E.
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Kjölhede, Preben
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Rosenberg, Per, ...
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Tholander, B.
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Åvall Lundqvist, ...
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Stålberg, Karin
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Högberg, T.
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