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外阴癌分期:欧洲泌尿生殖放射学会(ESUR)指南

Vulvar cancer staging: guidelines of the European Society of Urogenital Radiology (ESUR).

作者信息

Nikolić Olivera, Sousa Filipa Alves E, Cunha Teresa Margarida, Nikolić Marijana Basta, Otero-García M Milagros, Gui Benedetta, Nougaret Stephanie, Leonhardt Henrik

机构信息

Center of Radiology, Clinical Center of Vojvodina, Faculty of Medicine, University of Novi Sad, Hajduk Veljkova 1-9, 21000, Novi Sad, Serbia.

Department of Radiology, Centro Hospitalar Universitário de Lisboa Central, Alameda Santo António Dos Capuchos, 1169-050, Lisboa, Portugal.

出版信息

Insights Imaging. 2021 Sep 22;12(1):131. doi: 10.1186/s13244-021-01075-6.

DOI:10.1186/s13244-021-01075-6
PMID:34550489
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8458511/
Abstract

OBJECTIVE

The aim of the Female Pelvic Imaging Working Group of the European Society of Urogenital Radiology (ESUR) was to develop imaging staging guidelines for vulvar cancer and to propose standardised MRI protocols and reporting.

METHODS

The guidelines recommended from the ESUR in this article resulted from a questionnaire analysis regarding imaging staging of vulvar cancer that was answered by all members of the Female Pelvic Imaging Working Group. Only the answers with an agreement equal to or more than 80% were considered. Additionally, the literature was reviewed to complement and further support our conclusions.

RESULTS

The critical review of the literature and consensus obtained among experts allows for recommendations regarding imaging staging guidelines, patient preparation, MRI protocol, and a structured MRI report.

CONCLUSIONS

Standardising image acquisition techniques and MRI interpretation reduces ambiguity and ultimately improves the contribution of radiology to the staging and management of patients with vulvar cancer. Moreover, structured reporting assists with the communication of clinically relevant information to the referring physician.

摘要

目的

欧洲泌尿生殖放射学会(ESUR)女性盆腔影像工作组的目标是制定外阴癌的影像分期指南,并提出标准化的MRI检查方案和报告。

方法

本文中ESUR推荐的指南源于一项关于外阴癌影像分期的问卷调查分析,女性盆腔影像工作组的所有成员都参与了回答。仅考虑那些同意率等于或超过80%的答案。此外,还查阅了文献以补充和进一步支持我们的结论。

结果

对文献的严格审查以及专家间达成的共识,使得我们能够就影像分期指南、患者准备、MRI检查方案以及结构化MRI报告提出建议。

结论

标准化图像采集技术和MRI解读可减少模糊性,并最终提高放射学在外阴癌患者分期和管理中的作用。此外,结构化报告有助于向转诊医生传达临床相关信息。

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Gynecol Oncol. 2021 May;161(2):449-453. doi: 10.1016/j.ygyno.2021.02.005. Epub 2021 Feb 20.
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Real-time ultrasound virtual navigation in 3D PET/CT volumes for superficial lymph-node evaluation: innovative fusion examination.三维 PET/CT 容积实时超声虚拟导航在浅表淋巴结评估中的应用:创新融合检查。
Ultrasound Obstet Gynecol. 2021 Nov;58(5):766-772. doi: 10.1002/uog.23613. Epub 2021 Oct 6.
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The role of preoperative computerized tomography (CT) scan of the pelvis and groin in the management of clinically early staged vulva squamous cell carcinoma.
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Cancers (Basel). 2025 Jan 8;17(2):186. doi: 10.3390/cancers17020186.
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Patterns of care for vulvar cancer and insights from revised FIGO staging: a retrospective study.外阴癌的护理模式及国际妇产科联盟(FIGO)修订分期的见解:一项回顾性研究
World J Surg Oncol. 2024 Dec 18;22(1):329. doi: 10.1186/s12957-024-03612-1.
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Eur Radiol. 2025 May;35(5):2681-2691. doi: 10.1007/s00330-024-10940-z. Epub 2024 Aug 25.
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Gynecol Oncol. 2020 May;157(2):444-449. doi: 10.1016/j.ygyno.2020.01.031. Epub 2020 Jan 24.
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Ultrasound Obstet Gynecol. 2019 Oct;54(4):545-551. doi: 10.1002/uog.20364. Epub 2019 Aug 31.
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Cancer of the vulva.外阴癌。
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