[Evaluation of prognostic factors in preoperative therapy of endometrial carcinoma]

The authors evaluated in a group of 23 women with carcinoma of the endometrium the possibility of reliable assessment of prognostic factors and their part in the selection of a suitable surgical method. They used computed tomography for preoperative assessment of the extent of myometrial invasion which is considered from the prognostic aspect an important factor of first order. They also evaluated the contribution of CT to assessment of the state of regional lymph nodes and to assess the stage of the disease. They proved the reliability of CT in the assessment of myometrial invasion in 87% and a significant contribution to the assessment of the stage of the disease. Preoperative histological assessment of the subtype and grading of the endometrial carcinoma made it possible to differentiate patients with a low and high risk of development of a malignant neoplasm.