OBJECTIVE: To determine the efficiency of transabdominal and transvaginal ultrasonography (TAS and TVS) in the assessment of myometrial invasion, cervical involvement, pelvic lymph nodes, adnexal and omental @entity3 (preoperative staging) of @entity1204 . METHODS: Transabdominal and transvaginal 2D, ultrasound were performed on 90 @entity1 to classify myometrial invasion, cervical involvement, pelvic lymph nodes and adnexal @entity3 in @entity1204 . According to this 13 type E (invasion involving the endometrium), 41 type S (superficial, of less than 50% of @entity2617 ), 36 type D (deep infiltration) and 22 cervical involvement were identified. There were 15 G1, 60 G2 and 15 G3 cases. Adnexal, omental and lymph-node @entity3 were found in 11, two and 15 cases, respectively. @entity1204 was diagnosed on the basis of dilatation and curettage. The degree of invasion was evaluated preoperatively. Ultrasonographic findings were compared to surgical staging and histopathology of the surgical specimen. RESULTS: The median age of the 90 @entity1 was 63.3 +/- 12.3 years (range 32 to 86 years). The median thickness of malignant endometrium was 19.5 +/- 9.6 (range 7 to 54 mm). In type E the median thickness was 11.76 +/- 4.2, in type S 17.3 +/- 7.6, in type D 24.8 +/- 9.8 and in cases with cervical involvement 23.2 +/- 11 mm. Myometrial invasion evaluated by TVS was accurate in 76 of 90 cases (accuracy 84.4%). In type E sensitivity was 92.3%, specificity 87.0%, positive and negative predictive value, respectively, 63.1% and 98.6%. In type S these values were respectively: 78.0%, 93.9%, 91.4%, 80.0% and in type D--88.9%, 92.6%, 88.9% and 100.0%. @entity5 extension to the cervix was properly assessed in 19 of 22 @entity1 in which it was present (sensitivity 86.4%, specificity 85.3%, positive predictive value 85.5%, negative predictive value 95.1%). Adnexal @entity3 was correctly diagnosed in 8 of 11 cases in which it was present (sensitivity 72.7%, specificity 97.5%, positive predictive value 80%, negative predictive value 96.3%), and lymph-node @entity3 in only 5 of 15 cases (sensitivity 33.3%, specificity 100%, positive predictive value 100%, negative predictive value 88.2%). CONCLUSION: These results suggest that 2D TAS and TVS evaluation of @entity1204 are reliable methods for preoperative assessment of selected prognostic factors, e.g. myometrial invasion, cervical involvement and adnexal @entity3 . However in assessing lymph-node @entity3 , TVS with its low sensitivity, did not provide additional information. Preoperative ultrasound examination should be speculated as an important tool in the establishment of different surgical choices which can be made after a correct pretreatment prognosis.

The value of ultrasonography in preoperative assessment of selected prognostic factors in XXXX .

@entity1204 :: ('MESH:D016889', 'Disease') :: ['endometrial cancer', 'Endometrial cancer'] @entity1 :: ('9606', 'Species') :: ['women'] @entity2617 :: ('MESH:D017254', 'Disease') :: ['myometrial infiltration'] @entity5 :: ('MESH:D009369', 'Disease') :: ['Tumor'] @entity3 :: ('MESH:D009362', 'Disease') :: ['metastasis', 'metastases']
@entity1204 :: (MESH:D016889,Disease) :: ['endometrial cancer']
