Effectiveness of Transvaginal Sonoelastography in Differentiation between Normal Cervix, Cervical Intraepithelial Neoplasia and Cancer Cervix | ||||
The Egyptian Journal of Hospital Medicine | ||||
Article 138, Volume 88, Issue 1, July 2022, Page 3148-3154 PDF (246.73 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/ejhm.2022.246916 | ||||
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Authors | ||||
Mohamed Fathy Abo Hashim; Mohamed Lotfy Al Sayed; Ahmed Nashat Fatah Allah ; Mohamed Ibrahem Amin | ||||
Abstract | ||||
Background: Early cervical cancer is mainly treated with surgery, whereas middle- and late-stage of cervical intraepithelial neoplasia (CIN) is mainly treated with radiotherapy. Therefore, accurate preoperative diagnosis and staging of cervical lesions are crucial to patients with cervical lesions. Objective: The present study aimed to assess transvaginal sonoelastography in differentiation between normal cervix, CIN and cancer cervix. Patients and methods: A Case-control study carried out in Departments of Obstetrics & Gynecology and Radiology, Zagazig University Hospitals. Women were classified into three groups: Group A: 20 cases with normal cervix, group B: 10 cases with CIN and group C: 10 cases with cancer cervix. Results: There was non-significant difference between studied groups as regards age and smoking. While there was significant difference regarding family history, weakened immune system, endometrial thickness and strain ratio. Conclusion: Real time elastography (RTE) strain ratio (SR) of the uterine cervix, performed with a silicone ED as a reference material, seems a reliable method for distinguishing between a normal cervix and malignancy. The technique also showed promising results as a complementary investigation in diagnosing CIN. | ||||
Keywords | ||||
Sonoelastography; Transvaginal; Cervical cancer | ||||
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