Effectiveness of Transvaginal Sonoelastography in Differentiation between Normal Cervix, Cervical Intraepithelial Neoplasia and Cancer Cervix

Abo Hashim, Mohamed Fathy; Al Sayed, Mohamed Lotfy; Fatah Allah, Ahmed Nashat; Amin, Mohamed Ibrahem

doi:10.21608/ejhm.2022.246916

Effectiveness of Transvaginal Sonoelastography in Differentiation between Normal Cervix, Cervical Intraepithelial Neoplasia and Cancer Cervix

Document Type : Original Article

Authors

10.21608/ejhm.2022.246916

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.

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