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Preoperative diagnosis of cervical cystic lesions using magnetic resonance imaging: a retrospective study.
Omi, Makiko; Tanaka, Yumiko Oishi; Kurihara, Nozomi; Sugiyama, Yuko; Tonooka, Akiko; Kanno, Motoko; Fusegi, Atsushi; Aoki, Yoichi; Netsu, Sachiho; Abe, Akiko; Tanigawa, Terumi; Okamoto, Sanshiro; Nomura, Hidetaka; Kanao, Hiroyuki.
Afiliación
  • Omi M; Department of Gynecologic Oncology, Cancer Institute Hospital, 3-8-31, Ariake, Koto-Ku, Tokyo, 135-8550, Japan. makiko.omi@jfcr.or.jp.
  • Tanaka YO; Diagnostic Imaging Department, Cancer Institute Hospital, Tokyo, Japan.
  • Kurihara N; Department of Clinical Planning and Strategy, Cancer Institute Hospital, Tokyo, Japan.
  • Sugiyama Y; Department of Cytology, Cancer Institute Hospital, Tokyo, Japan.
  • Tonooka A; Department of Pathology, Cancer Institute Hospital, Tokyo, Japan.
  • Kanno M; Department of Gynecologic Oncology, Cancer Institute Hospital, 3-8-31, Ariake, Koto-Ku, Tokyo, 135-8550, Japan.
  • Fusegi A; Department of Gynecologic Oncology, Cancer Institute Hospital, 3-8-31, Ariake, Koto-Ku, Tokyo, 135-8550, Japan.
  • Aoki Y; Department of Gynecologic Oncology, Cancer Institute Hospital, 3-8-31, Ariake, Koto-Ku, Tokyo, 135-8550, Japan.
  • Netsu S; Department of Gynecologic Oncology, Cancer Institute Hospital, 3-8-31, Ariake, Koto-Ku, Tokyo, 135-8550, Japan.
  • Abe A; Department of Gynecologic Oncology, Cancer Institute Hospital, 3-8-31, Ariake, Koto-Ku, Tokyo, 135-8550, Japan.
  • Tanigawa T; Department of Gynecologic Oncology, Cancer Institute Hospital, 3-8-31, Ariake, Koto-Ku, Tokyo, 135-8550, Japan.
  • Okamoto S; Department of Gynecologic Oncology, Cancer Institute Hospital, 3-8-31, Ariake, Koto-Ku, Tokyo, 135-8550, Japan.
  • Nomura H; Department of Gynecologic Oncology, Cancer Institute Hospital, 3-8-31, Ariake, Koto-Ku, Tokyo, 135-8550, Japan.
  • Kanao H; Department of Gynecologic Oncology, Cancer Institute Hospital, 3-8-31, Ariake, Koto-Ku, Tokyo, 135-8550, Japan.
BMC Womens Health ; 24(1): 460, 2024 Aug 19.
Article en En | MEDLINE | ID: mdl-39160498
ABSTRACT

BACKGROUND:

We conducted this study to clarify the magnetic resonance imaging (MRI) characteristics of lobular endocervical glandular hyperplasia (LEGH) and Nabothian cysts.

METHODS:

This study included 48 patients who underwent hysterectomy at our institution between 2016 and 2020 for suspected LEGH. Histopathological studies confirmed the presence of 25 Nabothian cysts and 23 cases of LEGH. We retrospectively analyzed five characteristic MRI

findings:

(1) located at the upper cervical canal, (2) positioned within the cervical stroma, (3) not circumscribing the cervical canal, (4) low- to iso-intensity on T1-weighted images (T1WI), and (5) "cosmos" or "microcystic" pattern. We compared the diagnostic accuracy of these findings for LEGH and Nabothian cysts using sensitivity, specificity, and predictive values. Combinations of findings were also calculated.

RESULTS:

The characteristics "cosmos" or "microcystic" pattern, lesion not circumscribing the cervical canal, and low/iso-intensity on T1WI had a sensitivity and specificity greater than 50%. The sensitivity was 73.9% and specificity 84.0% when a combination of "cosmos" or "microcystic" pattern and lesion not circumscribing the cervical canal was present.

CONCLUSION:

The coexistence of a "cosmos" or "microcystic" pattern and not circumscribing the cervical canal was the most characteristic finding that distinguished LEGH from Nabothian cysts. When neither of these findings is present, Nabothian cyst can be suspected.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Imagen por Resonancia Magnética / Cuello del Útero / Sensibilidad y Especificidad / Quistes Límite: Adult / Aged / Female / Humans / Middle aged Idioma: En Revista: BMC Womens Health Asunto de la revista: SAUDE DA MULHER Año: 2024 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Imagen por Resonancia Magnética / Cuello del Útero / Sensibilidad y Especificidad / Quistes Límite: Adult / Aged / Female / Humans / Middle aged Idioma: En Revista: BMC Womens Health Asunto de la revista: SAUDE DA MULHER Año: 2024 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Reino Unido