Fractional curettage, hysteroscopy and imaging techniques: transvaginal sonography (TVS), magnetic resonance imaging (MRT) and computed tomography (CT) in the diagnosis of cervical canal involvement in cases of endometrial carcinoma

The value of preoperative diagnostic procedures (FC, hysteroscopy, TVS, MRI , CT) used to evaluate cervical canal involvement in cases of endometrial c arcinoma was assessed. The results of these diagnostic method were compared to postoperative pathologic examination results. Evaluation of the cervix by CT was limited. High NPV of the rest of the met hods together with their negative results allowed us to exclude cervical in filtration with a high probability. Alas, none of them was adequate to conf irm the presence of cervical involvement because of their low PPV which ran ged from 8.3% (hysteroscopy) to 50% (MRI). Among all these diagnostic: procedures TVS was relatively efficient (77.8%) , specific (78%), sensitive (75%) and inexpensive. This method is preferabl e in the evaluation of possible cervical infiltration.