Feasibility study of TVS-CEUS in preoperative clinical staging diagnosis of cervical cancer
WANG Yingluan1 LIU Ying1▲ WANG Laidong2 CUI Yanling2 YANG Chunxiao3 ZHANG Haipeng4
1.Department of Ultrasound, Zibo Municipal Hospital, Shandong Province, Zibo 255400, China;
2.Department of Gynecology, Zibo Municipal Hospital, Shandong Province, Zibo 255400, China;
3.Ward Five, Department of General Surgery (Two Glands), Zibo Municipal Hospital, Shandong Province, Zibo 255400, China;
4.Department of Pathology, Zibo Municipal Hospital, Shandong Province, Zibo 255400, China
Abstract：Objective To evaluate the value of transvaginal contrast-enhanced ultrasound (TVS-CEUS) in preoperative diagnosis and clinical staging of cervical cancer, and to explore the feasibility of clinical staging. Methods A total of 81 patients with cervical cancer confirmed by surgery and pathology were selected from September 2011 to December 2020 in Zibo Municipal Hospital of Shandong Province. All patients underwent transvaginal color Doppler ultrasound (TVCDS) and TVS-CEUS examination before surgery to evaluate the nature of lesions and perform preoperative staging; the differences between benign and malignant lymph nodes were observed. Results The detection rate of cervical cancer of TVS-CEUS was higher than that of TVCDS, and the difference was statistically significant (P < 0.05). The diagnostic coincidence rate of TVCDS was 73.08% (57/78), and Kappa value was 0.536; the diagnostic coincidence rate of TVS-CEUS was 89.74% (70/78), and Kappa value was 0.824. The sonographic appearance of pelvic metastatic lymph nodes was later than the surrounding normal soft tissue with diffuse uniform low enhancement and no clear boundary with the surrounding tissue. Conclusion TVS-CEUS can improve the diagnostic ability and staging accuracy of cervical cancer, and has certain value in the determination of the nature of pelvic enlarged lymph nodes.
王英娈1 刘颖1▲ 王来栋2 崔艳玲2 杨春晓3 张海鹏4. TVS-CEUS在宫颈癌术前临床分期诊断中的可行性研究[J]. 中国医药导报, 2022, 19(22): 149-152.
WANG Yingluan1 LIU Ying1▲ WANG Laidong2 CUI Yanling2 YANG Chunxiao3 ZHANG Haipeng4. Feasibility study of TVS-CEUS in preoperative clinical staging diagnosis of cervical cancer. 中国医药导报, 2022, 19(22): 149-152.
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