From the Department of Radiology, St Mary's Hospital, Imperial College Healthcare NHS Trust, Praed Street, London W2 1NY, England (M.Y.S., J.H.B.R., V.R.S., S.A.S., T.D.B., A.G.R., N.B.); and Division of Cancer, Department of Surgery and Cancer, Imperial College London, London, England (T.D.B., A.G.R., N.B.).
Radiographics. 2020 Oct;40(6):1807-1822. doi: 10.1148/rg.2020200013. Epub 2020 Sep 18.
Cervical cancer is the fourth most common cancer in women of all ages worldwide. The disease is staged using the International Federation of Gynecology and Obstetrics (FIGO) system, which was updated in 2018. The authors explain the key changes from the 2009 version and the rationale behind them. The changes have been made to reflect common clinical practice, differentiate prognostic outcomes, and guide treatment stratification. Treatment options are dependent on the stage of disease and include fertility-sparing and non-fertility-sparing surgical options as well as chemoradiotherapy for locally advanced disease. The updated FIGO staging gives added importance to MRI as a method of accurately measuring tumor size and depicting the presence of parametrial involvement. With the inclusion of lymph node involvement in the updated 2018 FIGO staging, cross-sectional imaging-and in particular, fluorodeoxyglucose PET/CT-has an increasing role in the depiction of nodal disease. Understanding the radiologic techniques used, the literature supporting them, and common imaging pitfalls ensures accurate staging of disease and optimization of treatment. RSNA, 2020 See discussion on this article by Javitt (pp 1823-1824).
宫颈癌是全球各年龄段女性中第四常见的癌症。该疾病采用国际妇产科联合会（FIGO）系统进行分期，该系统于 2018 年更新。作者解释了 2009 年版本的主要变化及其背后的原理。这些变化是为了反映常见的临床实践、区分预后结果以及指导治疗分层。治疗选择取决于疾病的阶段，包括保留生育能力和不保留生育能力的手术选择以及局部晚期疾病的放化疗。更新的 FIGO 分期更加重视 MRI，因为 MRI 是一种准确测量肿瘤大小并描述宫旁受累的方法。随着淋巴结受累被纳入更新的 2018 年 FIGO 分期，横断面成像——特别是氟脱氧葡萄糖 PET/CT——在描述淋巴结疾病方面的作用越来越大。了解所使用的放射学技术、支持它们的文献以及常见的成像误区可确保疾病的准确分期和治疗的优化。RSNA，2020 请参阅 Javitt 对此文章的讨论（第 1823-1824 页）。
