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Radiology in the Diagnosis, Staging, and Management of Gynecologic Malignancies
Book chapter   Open access

Radiology in the Diagnosis, Staging, and Management of Gynecologic Malignancies

Monzer M. Abu-Yousef, Retta E. Pelsang, Nina A. Mayr and Thomas J. Barloon
The Global Library of Women's Medicine
2009
DOI: 10.3843/GLOWM.10266
url
https://doi.org/10.3843/GLOWM.10266View
Published (Version of record) Open Access

Abstract

Routine clinical, laboratory, and radiologic examinations for gynecologic malignancies are performed for the purpose of tumor detection, diagnosis, and accurate staging, so as to enable optimal treatment planning. Specific radiologic examinations for each malignancy depend on the site, histology, grade, and pattern and extent of spread based on clinical evaluation. In this chapter, we will discuss each of the three major gynecologic malignancies: cervical, uterine, and ovarian cancers. We will give a brief background, review imaging (ultrasound and magnetic resonance) anatomy, present the most common sites of spread, and evaluate the effectiveness of clinical staging. We will also discuss the roles of the various imaging techniques in terms of the following: indications, advantages, limitations in diagnosis and staging, use in treatment planning, evaluation of tumor regression and recurrence, and detection of treatment complications. Finally, we will discuss the role of radiologically guided percutaneous procedures such as fine-needle aspiration in the diagnosis of tumor, its spread, and recurrence; percutaneous nephrostomy and ureteral stenting for draining obstructed renal units; and aspiration and drainage of abscesses and other postoperative fluid collections.

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