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宫颈癌的影像学检查与分期

Imaging and Staging of Cervical Cancer.

作者信息

Devine Catherine, Viswanathan Chitra, Faria Silvana, Marcal Leonardo, Sagebiel Tara L

机构信息

The University of Texas MD Anderson Cancer Center, Diagnostic Radiology, Houston, TX.

The University of Texas MD Anderson Cancer Center, Diagnostic Radiology, Houston, TX.

出版信息

Semin Ultrasound CT MR. 2019 Aug;40(4):280-286. doi: 10.1053/j.sult.2019.03.001. Epub 2019 Mar 5.

Abstract

Cervical carcinoma remains a common gynecologic malignancy. Physical examination has historically served as the predominant tool for staging and assessment, in part due to lack of availability of additional diagnostic resources in many parts of the world. Cross-sectional imaging in the evaluation of cervical cancer has become standard of care in developed countries, and has recently been incorporated into the official staging classification of the International Federation of Gynecology and Obstetrics. This article will describe the use of computed tomography, magnetic resonance imaging, and positron emission tomography/computed tomography and positron emission tomography/magnetic resonance imaging in cervical cancer patients, review optimal techniques for MR evaluation of the cervix, and describe key aspects of staging and management of cervical carcinoma.

摘要

宫颈癌仍然是一种常见的妇科恶性肿瘤。历史上,体格检查一直是分期和评估的主要手段,部分原因是世界上许多地区缺乏其他诊断资源。在发达国家,横断面成像在宫颈癌评估中已成为标准治疗手段,并且最近已被纳入国际妇产科联合会的官方分期分类中。本文将描述计算机断层扫描、磁共振成像、正电子发射断层扫描/计算机断层扫描以及正电子发射断层扫描/磁共振成像在宫颈癌患者中的应用,回顾宫颈磁共振评估的最佳技术,并描述宫颈癌分期和管理的关键方面。

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