Accuracy on internal examination and ultrasound in pre-operative assessment of patients with early stage non-bulky cervical carcinoma in a tertiary hospital.
- Author:
De Castro-Tan JAYNET
;
Sicam RENEE
;
Santiago-San Juan FILOMENA
;
Panlilio-Vitriolo REGINA
;
Comia LEOVEGILDO
;
Avila JOSE
;
Oras Celestrell MAY
;
Dalawangbayan Maria Luisa F
;
Coseng-Feir KRISTINE
;
Balgos Athena D
;
Silva AUDIE
- Publication Type:Journal Article, Original
- MeSH: Human; Female; Middle Aged; Adult; Uterine Cervical Neoplasms; Prognosis; Hysterectomy; Ultrasonography; Vagina; Lymph Nodes
- From: Philippine Journal of Obstetrics and Gynecology 2012;36(1):11-18
- CountryPhilippines
- Language:English
-
Abstract:
OBJECTIVE: This study aimed to determine the accuracy of internal examination and ultrasound in early stage cervical cancer. Specific objectives were to determine the accuracy of internal examination and sonography in measuring tumor size and the accuracy of sonography in detecting vaginal involvement, stromal invasion, parametrial and lymph node involvement by comparing them with the surgicopathologic findings.
MATERIALS AND METHODS: 35 patients diagnosed with early stage cervical cancer for radical hysterectomy with bilateral salpingooophorectomy were recruited. Presence of poor prognostic factors was determined by internal examination and sonography and compared with the surgicopathologic result.
RESULTS: Ultrasound and internal examination have an accuracy of 74% and 68%, respectively. Ultrasound accuracy in detecting more than one third stromal invasion is 68%, vaginal involvement is 85%, parametrial involvement is 92% and lymph node involvement is 100%.
CONCLUSION: Ultrasound can be recommended as an adjunct to internal examination in the preoperative assessment of early stage cervical cancer.