Patel Shilpa, Liyanage Sidath H, Sahdev Anju, Rockall Andrea G, Reznek Rodney H
Department of Radiology, King George V Wing, Barts and The London NHS Trust, St Bartholomew's Hospital, West Smithfield, London EC1A 7BE UK.
Insights Imaging. 2010 Nov;1(5-6):309-328. doi: 10.1007/s13244-010-0042-7. Epub 2010 Sep 28.
In this article we review the ever increasing role of imaging in endometrial and cervical cancer. Magnetic resonance imaging (MRI) has emerged as the most widely used technique in the management of women with gynaecological cancer. In endometrial cancer, MRI is reliable in identifying myometrial and cervical invasion and extra-uterine disease, thereby informing preoperative surgical planning. In cervical cancer, MRI plays a crucial role in distinguishing early from advanced disease, thereby stratifying patients for surgery and chemoradiation. MRI is also valuable in assessing proximal extension of cervical tumours in young women with early stage disease for feasibility of fertility preserving surgery. In both cancers, imaging is used for diagnosing nodal metastases, detection of recurrence, and dealing with complications of both the disease and treatment.
在本文中，我们回顾了影像学在子宫内膜癌和宫颈癌中日益重要的作用。磁共振成像（MRI）已成为妇科癌症患者管理中使用最广泛的技术。在子宫内膜癌中，MRI在识别肌层和宫颈侵犯以及子宫外病变方面可靠，从而为术前手术规划提供信息。在宫颈癌中，MRI在区分早期和晚期疾病方面起着关键作用，从而对患者进行手术和放化疗分层。对于患有早期疾病的年轻女性，MRI在评估宫颈肿瘤的近端延伸以确定保留生育功能手术的可行性方面也很有价值。在这两种癌症中，影像学都用于诊断淋巴结转移、检测复发以及处理疾病和治疗的并发症。
