Hsiao Yi-Hsuan, Yang Shun-Fa, Chen Ya-Hui, Chen Tze-Ho, Tsai Horng-Der, Chou Ming-Chih, Chou Pang-Hsin
Institute of Medicine, Chung Shan Medical University, Taichung, Taiwan.
School of Medicine, Chung Shan Medical University, Taichung, Taiwan.
J Cancer. 2021 Feb 22;12(8):2181-2189. doi: 10.7150/jca.49479. eCollection 2021.
Cervical cancer is a common gynecologic malignancy worldwide. It is the fourth for both incidence and mortality. For cervical cancer, imaging and pathology assessments are incorporated in the revised 2018 Federation of Gynecology and Obstetrics (FIGO) staging system. Uses of imaging techniques for the pre-treatment work-up of cervical cancer have been increasing. Among imaging techniques for the evaluation of cervical cancer, ultrasound is cheaper, faster and widely available than other imaging techniques such as computed tomography (CT) or magnetic resonance imaging (MRI). Advanced technique in ultrasound, such as three-dimension (3D) ultrasound and color Doppler, have improved the clinical application of ultrasound in cervical cancer. Ultrasound may provide highly accurate information on detecting tumor presence and evaluating local tumor extent if performed by ultrasound-trained gynecologists; the experience of readers is also critical for correct pretreatment staging and assessment of response to treatment. Sonographic images could be useful to predict response of neoadjuvant chemotherapy, radiotherapy, chemotherapy and concurrent chemoradiotherapy in patients with cervical cancer. This review article attempted to present the most updated specific applications of ultrasound in cervical cancer.
宫颈癌是全球常见的妇科恶性肿瘤。其发病率和死亡率均位居第四。对于宫颈癌，影像检查和病理评估已纳入2018年修订的国际妇产科联盟（FIGO）分期系统。宫颈癌治疗前检查中影像技术的应用一直在增加。在评估宫颈癌的影像技术中，超声比计算机断层扫描（CT）或磁共振成像（MRI）等其他影像技术更便宜、更快捷且更易于获得。超声的先进技术，如三维（3D）超声和彩色多普勒，改善了超声在宫颈癌中的临床应用。如果由接受过超声培训的妇科医生进行检查，超声在检测肿瘤存在和评估局部肿瘤范围方面可能提供高度准确的信息；阅片者的经验对于正确的治疗前分期和治疗反应评估也至关重要。超声图像有助于预测宫颈癌患者新辅助化疗、放疗、化疗及同步放化疗的反应。本文综述试图介绍超声在宫颈癌中最新的具体应用。
