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847 The importance of color doppler transvaginal ultrasound in the preoperative evaluation of endometrial cancer
  1. Susana Saraiva1,
  2. Maria Oliveira2,
  3. Sofia Pedrosa3,
  4. Sofia Raposo3,
  5. Rita Sousa3 and
  6. Luis Sá3
  1. 1Centro Hospitalar de Entre o Douro e Vouga, Santa Maria Da Feira, Portugal
  2. 2Centro Hospitalar de Baixo Vouga, Aveiro, Portugal
  3. 3Instituto Português de Oncologia - Francisco Gentil, Coimbra, Portugal


Introduction/Background Endometrial carcinoma (EC) is the most common gynecological malignancy in developed countries. Gynecological ultrasound, accessible and harmless to the patient, is a crucial tool in studying the endometrium in symptomatic women and/or those with risk factors for EC. The Color Doppler score represents the subjective assessment of vascularity and is scored from 1 (absent) to 4 (abundant).

Methodology Retrospective cohort study of 37 women with EC undergoing surgical treatment at this institution between 2017 and 2022. Patient characteristics were evaluated, and the correlation between transvaginal ultrasound Color Doppler and surgical stage was assessed. Statistical analysis was performed using SPSS®.

This study evaluated the correlation between endometrial Color Doppler score and surgical stage.

Results Thirty-seven women underwent surgical treatment for EC, with a mean age of 67.2 years and BMI corresponding to grade I obesity. 92% (n=34) of patients had hypertension and 94.6% (n=35) were postmenopausal.

The relationship between Color Doppler score on transvaginal ultrasound and surgical stage was assessed in 33 women. All women had Doppler scores of 1 or 2. The majority of women (42%, n=14) had FIGO stage IA, 39% (n=13) had stage IB, 15% (n=5) had stage II, and 3% (n=1) had stage IIIA. Although with low statistical correlation, a higher Doppler score was associated with a higher surgical stage of EC (τ=0.288, p=0.068).

Conclusion The results demonstrate that a higher Doppler score is associated with a higher surgical stage, as described in the literature. Despite our small sample, this study reinforces the importance of systematic use of Color Doppler score in the ultrasound evaluation of the endometrium.

Disclosures No disclosures.

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