Do routine preoperative imaging techniques facilitate the operation in endometrial cancer?

dc.authorwosidSAYIN, N. CENK/A-5801-2018
dc.contributor.authorSayin, N. Cenk
dc.contributor.authorVarol, Fuesun G.
dc.contributor.authorYuce, M. Ali
dc.contributor.authorKaplan, Petek
dc.contributor.authorAhmet, Nefize
dc.contributor.authorSut, Necdet
dc.contributor.authorGucer, Fatih
dc.date.accessioned2024-06-12T10:58:19Z
dc.date.available2024-06-12T10:58:19Z
dc.date.issued2009
dc.departmentTrakya Üniversitesien_US
dc.description7th International Congress of the Turkish-German-Gynecological-Association -- MAY 16-20, 2007 -- Antalya, TURKEYen_US
dc.description.abstractTo assess the role of routine intravenous pyelography (IVP), rectoscopy and additional imaging techniques like computed tomography (CT) and abdominal ultrasonography (USG) for the evaluation of patients with endometrial cancer. A total of 97 women with endometrial cancer (82 endometrioid and 15 non-endometrioid type) of all stages (Stage I = 65, II = 14, III = 13, IV = 5) were included in the study. Of these, 50 women were admitted because of postmenopausal bleeding, 24 with irregular vaginal bleeding and 7 with pain and leucorrhea, whereas the others had no complaints. Only one patient had symptoms related to the gastrointestinal system, but none for the urinary system. Preoperative CT (n = 45), IVP (n = 78), rectoscopy (n = 46), and USG or colonoscopy (n = 37) were performed on our patients. All the women had total abdominal hysterectomy and bilateral salpingo-oophorectomy, with/without pelvic (n = 81) and paraaortic (n = 34) lymphonodectomy, and omentectomy (n = 35). In 39 of 45 women who had CT, it had no effect on the operation and did not facilitate the operation. In two women there were pathological findings on CT and some interventions (resection and anastomosis) were performed on the gastrointestinal tract in these patients. However, CT had overcome pathological findings related with the gastrointestinal or urinary systems in four women, who needed interventions to these systems during the operation. CT was not performed on six women who needed interventions to the gastrointestinal system during the operations. Three patients had pathological findings (fissure, external compression) in rectoscopy, but only one patient had ileo-transverstomy, in which rectoscopic finding had not predicted the necessity of that procedure. Out of 78 IVP, the only finding was external compression to the bladder in 38 patients, and this finding had no contribution to the operation. Among women who had USG or colonoscopy (n = 37) performed, five had pathological findings that contributed to the extensiveness or the mode of the operations (liver nodules, polyps in the colon). Routine preoperative computed tomography, intravenous pyelography, rectoscopy or abdominal USG and colonoscopy have little impact on the decision and the prediction of the extensiveness of the operation.en_US
dc.description.sponsorshipTurkish German Gynecol Assocen_US
dc.identifier.doi10.1007/s00404-008-0893-z
dc.identifier.endpage215en_US
dc.identifier.issn0932-0067
dc.identifier.issue2en_US
dc.identifier.pmid19112574en_US
dc.identifier.scopus2-s2.0-68149097075en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage211en_US
dc.identifier.urihttps://doi.org/10.1007/s00404-008-0893-z
dc.identifier.urihttps://hdl.handle.net/20.500.14551/20013
dc.identifier.volume280en_US
dc.identifier.wosWOS:000267389700008en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringer Heidelbergen_US
dc.relation.ispartofArchives Of Gynecology And Obstetricsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectComputed Tomographyen_US
dc.subjectEndometrial Canceren_US
dc.subjectIntravenous Pyelographyen_US
dc.subjectRectoscopyen_US
dc.subjectLymph-Node Metastasisen_US
dc.subjectSerum Ca-125 Levelsen_US
dc.subjectPelvic Lymphadenectomyen_US
dc.subjectGynecologic Oncologyen_US
dc.subjectComputed-Tomographyen_US
dc.subjectCarcinomaen_US
dc.subjectSurveillanceen_US
dc.subjectDiagnosisen_US
dc.subjectSpreaden_US
dc.titleDo routine preoperative imaging techniques facilitate the operation in endometrial cancer?en_US
dc.typeArticleen_US

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