Masselot J, Galakhoff C, George M, Haie C, Michel G
Rev Fr Gynecol Obstet. 1987 Feb;82(2):79-84.
The authors try to specify the place of Tomodensitometry in utero-ovarian cancers. The examination technique presents no particularities: at best, the interval and the depth of the cuts must be selected. In cervical cancers, the poor appreciation on TDM of adnexal and vaginal involvement renders this examination unsuitable for staging. On the contrary, it is absolutely necessary in order to make the diagnosis of recurrences. In cancers of the body of the uterus, almost always operated on, TDM presents very little interest for the initial work-up except for patients who are difficult to examine or are going to undergo irradiation. As for ovarian tumors, TDM may be useful to detect intra-hepatic metastases before the first operation, to monitor patients undergoing chemotherapy: peritoneal carcinosis is inconstantly detected and TDM cannot replace a second look.
作者试图明确体层摄影术在子宫卵巢癌中的地位。该检查技术并无特殊之处：充其量，必须选择扫描间隔和深度。在宫颈癌中，体层摄影术对附件和阴道受累情况评估不佳，使得该检查不适用于分期。相反，为了诊断复发，它是绝对必要的。在子宫体癌中，几乎总是进行手术治疗，除了难以检查或即将接受放疗的患者外，体层摄影术对初始检查几乎没有意义。至于卵巢肿瘤，体层摄影术可能有助于在首次手术前检测肝内转移，监测接受化疗的患者：腹膜癌转移的检测并不稳定，体层摄影术不能替代二次探查。
