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转折点:导致泌尿生殖系统和妇科恶性肿瘤管理发生关键变化的重要肿瘤影像学发现。

The tipping point: Key oncologic imaging findings resulting in critical changes in the management of malignant genitourinary and gynecological tumors.

作者信息

Rouhezamin Mohammad Reza, Lee Susanna I, Harisinghani Mukesh, Uppot Raul N

机构信息

Radiology Research Fellow, Division of Interventional Radiology, Massachusetts General Hospital Boston, Harvard University, 55 Fruits ST, Boston, MA 02114, USA.

Associate Professor of Radiology, Abdominal Imaging Department, Massachusetts General Hospital, Boston, MA 02114, USA.

出版信息

Curr Probl Diagn Radiol. 2025 Mar-Apr;54(2):251-264. doi: 10.1067/j.cpradiol.2024.08.009. Epub 2024 Aug 13.

DOI:10.1067/j.cpradiol.2024.08.009
PMID:39183071
Abstract

OBJECTIVE

The purpose of this article is to review the staging systems for common malignant genitourinary and gynecological tumors, including renal cell carcinoma, urinary bladder carcinoma, as well as cervical, endometrial, and ovarian carcinoma, and to highlight the key imaging findings ("tipping points") that may alter patient management algorithms based on radiological staging.

CONCLUSION

There are identifiable imaging features for the common genitourinary and gynecological malignancies, including the size of the primary tumor, tumor extension, invasion of adjacent structures, lymph node involvement, and distant metastasis, which provide important prognostic information and determine patient management. Radiologists must be aware of these imaging findings ("tipping points") when interpreting staging examinations.

摘要

目的

本文旨在综述常见泌尿生殖系统及妇科恶性肿瘤的分期系统,包括肾细胞癌、膀胱癌以及宫颈癌、子宫内膜癌和卵巢癌,并着重介绍可能基于影像学分期改变患者治疗方案的关键影像学表现(“转折点”)。

结论

常见泌尿生殖系统及妇科恶性肿瘤存在可识别的影像学特征,包括原发肿瘤大小、肿瘤扩展、邻近结构侵犯、淋巴结受累及远处转移,这些特征提供重要的预后信息并决定患者的治疗方案。放射科医生在解读分期检查时必须了解这些影像学表现(“转折点”)。

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