Volume 19 Issue 9
Sep.  2021
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CAI Ting-ting, XU Ya-fen, SHU Yan, SHI Chun-xia, LU Wen-ming, MAO Li-min, LIU Ming-song. Ultrasound diagnosis and pathological analysis of highly differentiated endometrial carcinoma[J]. Chinese Journal of General Practice, 2021, 19(9): 1545-1548. doi: 10.16766/j.cnki.issn.1674-4152.002108
Citation: CAI Ting-ting, XU Ya-fen, SHU Yan, SHI Chun-xia, LU Wen-ming, MAO Li-min, LIU Ming-song. Ultrasound diagnosis and pathological analysis of highly differentiated endometrial carcinoma[J]. Chinese Journal of General Practice, 2021, 19(9): 1545-1548. doi: 10.16766/j.cnki.issn.1674-4152.002108

Ultrasound diagnosis and pathological analysis of highly differentiated endometrial carcinoma

doi: 10.16766/j.cnki.issn.1674-4152.002108
Funds:

 2019PY015

 2019GY37

  • Received Date: 2020-05-28
    Available Online: 2022-02-15
  •   Objective  To evaluate the diagnostic coincidence rate of ultrasound on the degree of endometrial carcinoma infiltration by analysing the characteristics of patients with highly differentiated endometrial carcinoma.  Methods  A total of 42 patients with highly differentiated endometrial cancer admitted at our hospital during January 2016 to October 2019 were retrospectively included as study groups, and 30 patients with endometrial hyperplasia admitted at our hospital during the same period were selected as control groups. The endometrial thickness, resistance index (RI) and pulsation index (PI) in both groups were measured by ultrasound. According to the gold standard of pathological diagnosis, the diagnostic coincidence rate of ultrasound in the degree of myometrial invasion in the study group was analysed. The ultrasonic test results of three groups with different muscle layer infiltration degree were compared.  Results  The endometrial thickness of the study group was (2.09±0.64) mm, which was significantly higher than that of the control group [(1.76±0.53) mm, t=2.313, P=0.024]. The RI and PI of the study group were 0.68±0.25 and 0.47±0.12, which were significantly lower than those of the control group (1.03±0.34, 0.66±0.13, t=5.037, 6.397, both P < 0.001). The endometrial thickness were (2.02±0.62) mm, (1.97±0.61) mm and (2.90±0.00) mm; the RI were 0.64±0.23, 0.65±0.22 and 1.02±0.25; and the PI were 0.46±0.11, 0.44±0.11 and 0.64±0.01, respectively. The endometrial thickness in the deep myometrial infiltration group was significantly higher than that in the superficial myometrial infiltration group (all P < 0.05), whereas the RI and PI of patients in this group were significantly higher than those in the other two groups (all P < 0.05). The diagnostic coincidence rates of ultrasound in patients with no, shallow and deep myometrial infiltration with highly differentiated endometrial carcinoma were 89.3%, 80.0% and 75.0%, respectively.  Conclusion  The diagnosis of highly differentiated endometrial cancer patients by ultrasound shows high consistency with the pathological results, which is worthy of clinical application.

     

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