肿瘤研究与临床
腫瘤研究與臨床
종류연구여림상
CANCER RESEARCH AND CLINIC
2010年
7期
482-485
,共4页
张慧生%刘晶哲%刘志博%李文影
張慧生%劉晶哲%劉誌博%李文影
장혜생%류정철%류지박%리문영
子宫内膜肿瘤%磁共振成像%肿瘤分期
子宮內膜腫瘤%磁共振成像%腫瘤分期
자궁내막종류%자공진성상%종류분기
Endometrial neoplasms%Magnetic resonance imaging%Neoplasm staging
目的 与手术及病理结果对照研究磁共振成像(MRI)评价子宫内膜癌肌层浸润深度、子宫颈受累及淋巴结转移情况的价值.方法 选择进行MRI检查的38例病理证实的子宫内膜癌患者,在MRI图像上判断肿瘤侵犯子宫肌层深度、子宫颈受累以及局部淋巴结转移的情况,38例患者中有35例进行手术治疗,MRI和手术病理均按照FIGO标准进行分期,与手术病理分期对照分析MRI对子宫内膜癌分期的价值.结果 术前MRI分期的总的准确度为77.1%(27/35),Kappa分析表明病理分期与MRI分期一致性较好(k=0.677).MRI判断子宫内膜癌浸润深肌层(>1/2厚度)的准确度、敏感度、特异度、阴性预测值和阳性预测值分别为91.4%(32/35)、83.3%(10/12)、95.6%(22/23)、91.7%(23/24)和90.9%(10/11);评价子宫颈浸润分别为94.2%(33/35)、87.5%(7/8)、96.3%(26/27)、96.3%(26/27)和87.5%(7/8);评价淋巴结转移分别为96.2%(25/26)、66.7%(2/3)、100%(23/23)、95.8%(23/24)和100%(2/2).结论 MRI在评价子宫内膜癌肌层浸润深度、子宫颈受累及淋巴结转移和术前分期方面具有较高的价值.
目的 與手術及病理結果對照研究磁共振成像(MRI)評價子宮內膜癌肌層浸潤深度、子宮頸受纍及淋巴結轉移情況的價值.方法 選擇進行MRI檢查的38例病理證實的子宮內膜癌患者,在MRI圖像上判斷腫瘤侵犯子宮肌層深度、子宮頸受纍以及跼部淋巴結轉移的情況,38例患者中有35例進行手術治療,MRI和手術病理均按照FIGO標準進行分期,與手術病理分期對照分析MRI對子宮內膜癌分期的價值.結果 術前MRI分期的總的準確度為77.1%(27/35),Kappa分析錶明病理分期與MRI分期一緻性較好(k=0.677).MRI判斷子宮內膜癌浸潤深肌層(>1/2厚度)的準確度、敏感度、特異度、陰性預測值和暘性預測值分彆為91.4%(32/35)、83.3%(10/12)、95.6%(22/23)、91.7%(23/24)和90.9%(10/11);評價子宮頸浸潤分彆為94.2%(33/35)、87.5%(7/8)、96.3%(26/27)、96.3%(26/27)和87.5%(7/8);評價淋巴結轉移分彆為96.2%(25/26)、66.7%(2/3)、100%(23/23)、95.8%(23/24)和100%(2/2).結論 MRI在評價子宮內膜癌肌層浸潤深度、子宮頸受纍及淋巴結轉移和術前分期方麵具有較高的價值.
목적 여수술급병리결과대조연구자공진성상(MRI)평개자궁내막암기층침윤심도、자궁경수루급림파결전이정황적개치.방법 선택진행MRI검사적38례병리증실적자궁내막암환자,재MRI도상상판단종류침범자궁기층심도、자궁경수루이급국부림파결전이적정황,38례환자중유35례진행수술치료,MRI화수술병리균안조FIGO표준진행분기,여수술병리분기대조분석MRI대자궁내막암분기적개치.결과 술전MRI분기적총적준학도위77.1%(27/35),Kappa분석표명병리분기여MRI분기일치성교호(k=0.677).MRI판단자궁내막암침윤심기층(>1/2후도)적준학도、민감도、특이도、음성예측치화양성예측치분별위91.4%(32/35)、83.3%(10/12)、95.6%(22/23)、91.7%(23/24)화90.9%(10/11);평개자궁경침윤분별위94.2%(33/35)、87.5%(7/8)、96.3%(26/27)、96.3%(26/27)화87.5%(7/8);평개림파결전이분별위96.2%(25/26)、66.7%(2/3)、100%(23/23)、95.8%(23/24)화100%(2/2).결론 MRI재평개자궁내막암기층침윤심도、자궁경수루급림파결전이화술전분기방면구유교고적개치.
Objective To assess the value of magnetic resonance (MR) imaging (MRI) in depicting the depth of myometrial infiltration, cervical invasion and lymph nodes metastasis in patients with endometrial carcinoma compared with surgicopathologic findings. Methods Thirty-eight patients with endometrial carcinoma diagnosed by pathology were inspected by MRI in this prospective study. MR images were analyzed by two radiologists to report the depth of myometrial infiltration, infiltration of the uterine cervix and lymph nodes metastasis. MRI and surgicopathologic staging of endometrial carcinoma were based on FICO classification. MRI findings were compared with surgicopathologic findings. Results The overall accuracy rate of MRI in staging endometrial carcinoma was 77.1 %. The results of Kappa statistics showed that there was strong consistency between MRI and surgicopathology for staging of endometrial carcinoma (k= 0.677). Respective diagnostic accuracy, sensitivity, specificity, negative and positive predictive values in assessing myometrial infiltration(>l/2 depth) were 91.4 %, 83.3 %, 95.6 %, 91.7 % and 90.9 %; those in cervical infiltration were 94.2 %, 80.0 %, 96.7 %, 96.7 %, and 80.0 %; and those in lymph node assessment were 96.2 %, 66.7 %, 100 %, 95.8 % and 100 %. Conclusion MRI is highly accurate in depicting the depth of myometrial infiltration, cervical invasion, lymph nodes metastasis and local-regional staging of endometrial carcinoma.
