IMR Press / EJGO / Volume 23 / Issue 2 / pii/2002132

European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on as a courtesy and upon agreement with S.O.G.

Original Research

Preoperative imaging of primary intra-abdominal gynaecological malignancies. Diagnostic accuracy of CT-scan and MRI.

A Greek cohort study

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1 Department of Gynaecology, Metaxa Memorial Cancer Hospital, Piraeus (Greece)
2 Department of Biostatistics, Metaxa Memorial Cancer Hospital, Piraeus (Greece)
Eur. J. Gynaecol. Oncol. 2002, 23(2), 139–144;
Published: 10 April 2002

Objectives: To determine the radiological modalities that provide at the initial workout the most accurate information regarding the operability and the type of operation for patients with primary cervical, endometrial, and ovarian carcinomas. Patients and Methods: The medical records of 611 patients with gynaecological cancer were reviewed. The preoperative radio­logical findings were compared with the intraoperative and pathological ones. The diagnostic accuracy of CT and MRI at various sites was evaluated for all three kinds of carcinoma in combination. Results: MRI was more accurate than CT in determining cervical enlargement (82% vs 73%), parametrial invasion (91 % vs 74%) and the only examination that could evaluate cervical tumour size as well as cervical stromal and myometrial infiltration. Regar­ding lymph node involvement their results were similar (86% vs 88%). Both methods were comparably accurate in evaluating ovarian tumours (82% vs 84%), ascites (82% vs 81%), omental (73% vs 77%) and mesenterial infiltration (88% vs 93%). They also proved to be highly accurate (100% vs 98%) in the evaluation of solid abdominal organs. Conclusions: Non-enchanced MRI should only be used for the preoperative evaluation of a patient with cervical carcinoma, while CT with intravenous and per os contrast media for one with ovarian cancer. Regarding patients with endometrial cancer, no high-reso­lution method is required for endometrioid grade I tumours, while contrast-enchanced MRI should be employed for all other cases.

Preoperative evaluation
Ovarian carcinoma
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