Department of Radiological, Oncological and Pathological Science, Umberto I Hospital, "La Sapienza" University of Rome, Viale Regina Elena 324, 00161, Rome, Italy.
Department of Gynaecological, Obstetrical and Urological Science, Umberto I Hospital, "La Sapienza" University of Rome, Viale Regina Elena 324, 00161, Rome, Italy.
Abdom Radiol (NY). 2019 Mar;44(3):1091-1102. doi: 10.1007/s00261-018-1677-y.
Ovarian cancer is one of the most aggressive gynaecologic malignancies in women worldwide. The lack of proper screening programs and the characteristic abdominal spreading with minimal clinical symptoms give rise of its high lethality. Most patients show advanced disease at diagnosis and have a poor prognosis. The surveillance of ovarian cancer patients after initial treatment is a challenging question in clinical practice and there is no consensus in literature about the most appropriate follow-up strategy for these women. The role of Imaging has become increasingly important, allowing to properly monitor patients, distinguishing the different relapse patterns, thus guiding the correct management and therapy. In this review, we report and analyze the scientific evidence about the role of the different imaging modalities now available in the follow-up strategy and management of Epithelial Ovarian Cancer patients with recurrent disease.
卵巢癌是全球女性中最具侵袭性的妇科恶性肿瘤之一。由于缺乏适当的筛查计划以及其特征性的腹部扩散和最小的临床症状，导致其致死率很高。大多数患者在诊断时已处于晚期疾病状态，预后较差。在初始治疗后对卵巢癌患者进行监测是临床实践中的一个难题，目前文献中对于这些女性最适当的随访策略尚无共识。影像学的作用变得越来越重要，它可以正确监测患者，区分不同的复发模式，从而指导正确的管理和治疗。在这篇综述中，我们报告和分析了关于不同影像学手段在复发性上皮性卵巢癌患者的随访策略和管理中的作用的科学证据。
