Transvaginal Ultrasound for Endometrial Carcinoma Screening - Current Evidence-based Data.

Abstract:

:The value of transvaginal ultrasound in gynaecological examinations is beyond dispute. But it is of particular forensic importance that the validity of this type of imaging with regard to the reliable detection of early-stage malignancy is properly understood. Vaginal ultrasound screening in asymptomatic patients for the early detection of endometrial carcinoma is not useful from a medical point of view, nor is it cost-efficient. However, even though the validity of transvaginal ultrasound for screening has currently not been proven, the method should still be an integral part of gynaecological examinations. ZUSAMMENFASSUNG:Die Wertigkeit der transvaginalen Ultraschalluntersuchung im Rahmen der gynäkologischen Untersuchung ist unbestritten. Es ist aber von besonderer auch forensischer Bedeutung, dass die Aussagekraft dieses Untersuchungsverfahrens im Hinblick auf das sichere Erkennen einer Krebserkrankung im Frühstadium sinnvoll eingeordnet wird. Unter Kosten-Nutzen-Gesichtspunkten ist ein generelles Screening bei asymptomatischen Patientinnen nicht sinnvoll. Zwar kann die transvaginale Sonografie das Ziel als Screeninginstrument zum gegenwärtigen Zeitpunkt nicht erreichen kann, sie bleibt aber integraler Bestandteil der gynäkologischen Untersuchung.

authors

Steiner E,Juhasz-Bösz I,Emons G,Kölbl H,Kimmig R,Mallmann P,für die AGO Uterus der DGGG .

doi

10.1055/s-0032-1328070

subject

Has Abstract

pub_date

2012-12-01 00:00:00

pages

1088-1091

issue

12

eissn

0016-5751

issn

1438-8804

journal_volume

72

pub_type

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