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Volume 8 Gynecology & Obstetrics Gynecology Congress 2018
August 22-23, 2018
Page 32
Notes:
conferenceseries.com
August 22-23, 2018 Tokyo, Japan
5 th Asia Pacific
Gynecology and Obstetrics Congress
Three-dimensional power Doppler angiography characteristic in validating the preoperative accuracy of
myometrial and cervical involvement in women with endometrial cancer: A preliminary study
Background & Aim: The lead vessel and infiltrating vessels are findings in endometrial cancer that are well visualized by three-
dimensional power Doppler angiography. Vessel diameter and length may be utilized as markers for deep myometrial and or
cervical involvement. The purpose of this study is to determine the accuracy of lead vessel and infiltrating vessel dimensions in
assessing the depth of myometrial invasion in endometrial cancer and its cervical involvement.
Participants &Methods: All women histo-pathologically diagnosed with endometrial cancer, undergoing surgical staging, with
informed consent were included. Sonography using GE Voluson S8 system for describing the uterus and endometrial thickness
were followed by a 3D power Doppler Angiography to analyze the depth of myometrial invasion and presence or absence of
cervical involvement. Vessel diameter and length in transverse and sagittal plane were measured by calipers. Predictive values
and operating characteristics (sensitivity, specificity, positive and negative predictive values) were computed.
Results: A total of eleven cases (superficial n=5; deep=6) were identified. The cut-off for lead vessel and infiltrating vessel in the
sagittal view was (diameter >0.28; length >0.47) and for the transverse view was (diameter >0.36, length >0.5). Among the four
measurements, the sagittal diameter (98.3%), sagittal length (100%) and the transverse length (100%) measurements of the lead
and infiltrating vessel gives the highest predictive accuracy.
Conclusion & Significance: Three-dimensional power Doppler angiography measurement of the lead and infiltrating vessels
are associated with improved accuracy and reliability in predicting deep myometrial invasion.
Biography
Nelinda Catherine Perez Pangilinan is the Section Head of Ob-Gyn Ultrasound, Rizal Medical Center, Philippines. She is the Vice-President of the Philippine
Society of Ultrasound in Obstetrics and Gynecology. Her interests include gynecology & obstetrics, gynecologic oncology and reproductive health.
NelindaCatherine Perez Pangilinan
Philippine Society of Ultrasound in Obstetrics and Gynecology, Philippines
Rizal Medical Center, Philippines
Nelinda Catherine Perez Pangilinan, Gynecol Obstet 2018, Volume 8
DOI: 10.4172/2161-0932-C3-029