Computed Tomography in Malignant Endometrial Neoplasms

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Abstract
Malignant uterine neoplasms are the most common invasive gynecological malignancies. The prongosis depends on the history, the grade and the stage. Recent reports have stressed that a small percentage of patients with clinically low stage disease have unsuspected metastases. Patients (61) with konw malignant uterine neoplasms were retrospectively reviewed. In 18 patients with preoperative computed tomographic examinations, these scans detected unsuspected omental metastases in 2 and pelvic adenopathy in 3. There was 1 false positive and 1 false negative examination. Computed tomography was superior to the clinical examination in defining the extent of the tumor in 5 patients. Computed tomography was also helpful in evaluating patients with suspected recurrent disease.