Department of Radiology, Al-Wakra hospital, Hamad Medical Corporation, PO Box: 82228, Doha, Qatar; Department of Radiology, Weil Cornell Medical College, Doha, Qatar.
Department of Radiology, University Hospitals Cleveland Medical Centre, Case Western Reserve University, Cleveland, OH 44106, USA.
Clin Imaging. 2020 Feb;59(2):157-166. doi: 10.1016/j.clinimag.2019.11.006. Epub 2019 Nov 28.
Metastasis to lymph nodes is an important determinant of survival in patients with gynecologic malignancies. Imaging plays a major role in the detection and differentiation of benign and malignant lymph nodes. This reflects in the staging of gynecologic cancers and management decisions. In this review, a brief outline of female pelvic nodal anatomy, pattern of spread, imaging features to predict nodal metastasis followed by current management strategies relevant to the radiologists will be discussed.
淋巴结转移是妇科恶性肿瘤患者生存的重要决定因素。影像学在检测和区分良性和恶性淋巴结方面发挥着重要作用。这反映在妇科癌症的分期和管理决策中。在这篇综述中,简要概述了女性盆腔淋巴结解剖、播散模式、预测淋巴结转移的影像学特征,以及与放射科医生相关的当前管理策略。