The utility of post-diagnostic imaging in cases of atypical endometrial hyperplasia.

Abstract:

AIM:To contribute to the evidence base evaluating the usefulness of preoperative imaging in management of atypical endometrial hyperplasia. MATERIALS AND METHODS:A single-centre retrospective observational study was conducted comparing preoperative, post-diagnostic radiological staging with surgicopathological staging. The effect on patient management and any changes in final histological diagnosis were recorded. RESULTS:There were 38 patients who underwent preoperative imaging (32 magnetic resonance imaging [MRI], one MRI and computed tomography [CT], three CT, and two transvaginal ultrasound) for atypical endometrial hyperplasia from 2007 to 2018. Thirty-four women subsequently underwent surgery. The final histopathological diagnosis was upgraded to cancer in 35% (12/34) and downgraded in 38% (13/34). There was good concordance between preoperative CT/MRI and surgicopathological staging. Of the 12 patients with a malignant diagnosis, all were early-stage disease with 11/12 stage IA and 1/12 stage IB. CONCLUSION:Preoperative staging with CT/MRI for atypical endometrial hyperplasia contributed no useful additional information, made no change to patient management, and is therefore not indicated.

journal_name

Clin Radiol

journal_title

Clinical radiology

authors

Morley H,Griffin Y

doi

10.1016/j.crad.2020.03.022

subject

Has Abstract

pub_date

2020-07-01 00:00:00

pages

538-542

issue

7

eissn

0009-9260

issn

1365-229X

pii

S0009-9260(20)30123-9

journal_volume

75

pub_type

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