Diagnostic Value of Transvaginal Ultrasonography to Determined Degree of Myometrium Invasion in Endometrial Cancer

Kartiwa Hadi Nuryanto

Research output: Contribution to journalArticlepeer-review

Abstract

Objectives: To show transvaginal ultrasound accuracy in determining the degree of myometrial invasion of endometrial cancer within five years in RSCM. Also, to know histopathology characteristics of endometrial cancer according to cell type, degree of invasion, and degree of differentiation of endometrial cancer, within the last five years in RSCM.

Methods: This study is a cross-sectional study with a sample of 82 subjects in January 2011 – December 2016 at RSCM. The data were collected by total sampling from cancer registry oncology and gynaecology division of Obstetrics and Gynecology FKUI-RSCM.

Results: Transvaginal USG diagnostic test in detection invasion has sensitivity, specificity, PPV, and NPV as 78.79%, 50%, 86.67%, 36.36% respectively. For determine degree of myometrial invasion it has sensitivity, specificity, PPV, and NPV as 81.40%, 76.92%, 79.55%, and 78.90% respectively.

Conclusions: Transvaginal ultrasound has better accuracy in determining the degree of invasion compared to detecting myometrial invasion in endometrial cancer. In determining the degree of invasion, its sensitivity and specificity are 81.4% and 76.92%. For detecting any invasion its sensitivity and specificity was only 79.41% and 57.14%. Our study showed that transvaginal ultrasound was an efficient diagnostic tool fo determine further treatment and prognosis in endometrial cancer

Keywords: accuracy test, HPV DNA, liquid-based cytology, pre-cervical cancer lesion.
Original languageEnglish
JournalIndonesian Journal of Obstetrics and Gynecology
Publication statusPublished - 2019

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