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  • Van Den Bosch, T.Catholic University of Leuven,University Hospitals Leuven (författare)

Typical ultrasound features of various endometrial pathologies described using International Endometrial Tumor Analysis (IETA) terminology in women with abnormal uterine bleeding

  • Artikel/kapitelEngelska2021

Förlag, utgivningsår, omfång ...

  • 2021-01-02
  • Wiley,2021
  • 9 s.

Nummerbeteckningar

  • LIBRIS-ID:oai:lup.lub.lu.se:77be97e2-c9b3-4d72-ac31-43c54894f1d1
  • https://lup.lub.lu.se/record/77be97e2-c9b3-4d72-ac31-43c54894f1d1URI
  • https://doi.org/10.1002/uog.22109DOI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:145579697URI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:art swepub-publicationtype
  • Ämneskategori:ref swepub-contenttype

Anmärkningar

  • Objective: To describe the ultrasound features of different endometrial and other intracavitary pathologies inpre- and postmenopausal women presenting with abnormal uterine bleeding, using the International Endometrial Tumor Analysis (IETA) terminology. Methods: This was a prospective observational multicenter 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 histological endpoints were cancer, atypical endometrial 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 endpoints 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 performed in all cases and fluid-instillation sonography in 1857. In 2216 women, endometrial histology was available, 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 < 3 mm had endometrial cancer or atypical hyperplasia/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 endometrial 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 < 3 mm, three-layer pattern, linear midline and single vessel without branching) makes endometrial cancer unlikely.

Ämnesord och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Verbakel, J. Y.Catholic University of Leuven (författare)
  • Valentin, L.Lund University,Lunds universitet,Obstetrisk, gynekologisk och prenatal ultraljudsdiagnostik,Forskargrupper vid Lunds universitet,Obstetric, Gynaecological and Prenatal Ultrasound Research,Lund University Research Groups,Skåne University Hospital(Swepub:lu)obst-lva (författare)
  • Wynants, L.Catholic University of Leuven,Maastricht University (författare)
  • De Cock, B.Catholic University of Leuven (författare)
  • Pascual, M. A.University Hospital Dexeus (författare)
  • Leone, F. P.G.University of Milan (författare)
  • Sladkevicius, P.Lund University,Lunds universitet,Obstetrisk, gynekologisk och prenatal ultraljudsdiagnostik,Forskargrupper vid Lunds universitet,Obstetric, Gynaecological and Prenatal Ultrasound Research,Lund University Research Groups,Skåne University Hospital(Swepub:lu)obst-psl (författare)
  • Alcazar, J. L.University Clinic of Navarra (författare)
  • Votino, A.University Hospital Brugmann (författare)
  • Fruscio, R.University of Milano-Bicocca,San Gerardo Hospital (författare)
  • Lanzani, C.University of Milan (författare)
  • Van Holsbeke, C.Hospital Oost-Limburg (författare)
  • Rossi, A.University of Udine (författare)
  • Jokubkiene, L.Lund University,Lunds universitet,Urogynekologi och reproduktionsfarmakologi,Forskargrupper vid Lunds universitet,Urogynaecology and Reproductive Pharmacology,Lund University Research Groups,Skåne University Hospital(Swepub:lu)obst-ljo (författare)
  • Kudla, M.Medical University of Silesia (författare)
  • Jakab, A.University of Debrecen (författare)
  • Domali, E.National and Kapodistrian University of Athens,Alexandra Hospital, Athens (författare)
  • Epstein, E.Karolinska Institutet,Karolinska Institute,Stockholm South General Hospital(Swepub:lu)obst-eep (författare)
  • Van Pachterbeke, C.University Hospital Brugmann (författare)
  • Bourne, T.Catholic University of Leuven,University Hospitals Leuven,Queen Charlotte's and Chelsea Hospital (författare)
  • Van Calster, B.Catholic University of Leuven (författare)
  • Timmerman, D.Catholic University of Leuven,University Hospitals Leuven (författare)
  • Catholic University of LeuvenUniversity Hospitals Leuven (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:Ultrasound in Obstetrics and Gynecology: Wiley57:1, s. 164-1720960-76921469-0705

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