Heron C W, Husband J E, Williams M P, Dobbs H J, Cosgrove D O
Department of Radiology (Cancer Research Campaign Radiology Research Group), Royal Marsden Hospital, Sutton, Surrey, UK.
Clin Radiol. 1988 Sep;39(5):496-501. doi: 10.1016/s0009-9260(88)80211-3.
The results of computed tomography (CT) and other imaging techniques performed on 70 patients who were investigated for suspected recurrent carcinoma of the cervix are reported. Recurrent disease was present in 39 patients. In 29, there was local recurrence with or without distant metastases and there was distant recurrence only in 10. Computed tomography correctly assessed the presence of local recurrent disease in 85% of patients. Six equivocal, two false positive and two false negative CT examinations in the assessment of local recurrence were due either to difficulty in differentiating recurrent disease from changes following radiotherapy, or to the failure of CT to detect small areas of local recurrent disease. Ultrasound and lymphangiography each detected recurrence in one patient which was missed by CT, but this was the most reliable technique for the detection of both local and distant recurrent disease.
报告了对70例因怀疑宫颈癌复发而接受检查的患者进行计算机断层扫描（CT）及其他成像技术检查的结果。39例患者存在复发性疾病。其中29例有局部复发，伴或不伴有远处转移，仅10例有远处复发。CT正确评估了85%患者局部复发性疾病的存在。在评估局部复发时，6例CT检查结果不明确，2例假阳性，2例假阴性，原因要么是难以将复发性疾病与放疗后的改变区分开来，要么是CT未能检测到局部复发性疾病的小区域。超声和淋巴管造影分别在1例患者中检测到CT遗漏的复发情况，但这是检测局部和远处复发性疾病最可靠的技术。
