Michniewicz K, Oellinger J
Frauenklinik des Oskar-Ziethen-Krankenhauses, Berlin-Lichtenberg.
Zentralbl Gynakol. 2001 Apr;123(4):222-8. doi: 10.1055/s-2001-14784.
Carcinoma of the cervix is the fourth most common cancer in women. Accurate staging of the disease is essential in selecting optimal therapy. The clinical staging based on the criteria of the FIGO is inaccurate. With MRI an excellent imaging of the tumour spread within the cervix can be achieved, also tumour extension to the parametria and infiltration of the neighbouring structures as bladder and rectum. MRI is the method of choice in the preoperative staging of cervical cancer. Computed tomography and sonography have lower staging value compared to the MRI. An advantage of CT, compared with MRI, is the high accuracy in investigations of patients with ureteral obstruction and hydronephrosis. Both methods MRI and CT are comparable in assessing pelvic and paraaortic lymph node metastases.
宫颈癌是女性中第四常见的癌症。准确对该疾病进行分期对于选择最佳治疗方案至关重要。基于国际妇产科联盟（FIGO）标准的临床分期并不准确。通过磁共振成像（MRI）能够很好地显示肿瘤在宫颈内的扩散情况，还能显示肿瘤向宫旁组织的延伸以及对膀胱和直肠等邻近结构的浸润。MRI是宫颈癌术前分期的首选方法。与MRI相比，计算机断层扫描（CT）和超声检查的分期价值较低。与MRI相比，CT的一个优势在于对输尿管梗阻和肾积水患者的检查具有较高的准确性。在评估盆腔和腹主动脉旁淋巴结转移方面，MRI和CT这两种方法具有可比性。
