G. Houvenaeghel et al., PELVIC STAGING OF ADVANCED AND RECURRENT GYNECOLOGIC CANCERS - CONTRIBUTION OF ENDOSONOGRAPHY, Gynecologic oncology, 55(3), 1994, pp. 393-400
From January 1988 to December 1992, 106 patients with advanced gynecol
ogic cancer were preoperatively explored by clinical examination (CE)
and endosonography (ESG) under anesthesia and by computed tomography (
CT). Sixty-one tumors were primary and 45 recurrent; the main location
s were cervical (73 cases), ovarian (10 cases), and endometrial (8 cas
es). All the patients were operated. This prospective study compares t
he data from clinical and imaging examinations with the histologic fin
dings and the surgical reports. Accuracy of the CE, ESG, cytoscopy, an
d CT was respectively 79, 90, 82, and 80% for vesical involvement (ESG
versus CT: P < 0.05). For vesicovaginal septum extension, accuracy of
ESG (92%) was statistically better than that of CE (80%) and CT (77%)
. Accuracy of the CE, ESG, and CT was respectively 93, 97, and 89% for
rectal involvement (ESG versus CT: P < 0.02). For rectovaginal septum
extension, accuracy of ESG (96%) was statistically better than that o
f CE (85%) and CT (85%). Endosonography is valuable in the assessment
of regional staging of advanced gynecologic cancers. Since it is reali
zed during the clinical examination under anesthesia, this low-cost pr
ocedure is easily performed and provided no discomfort to the patients
. (C) 1994 Academic Press, Inc.