By Hebert Alberto Vargas MD, Pier Luigi Di Paolo MD (auth.), Oguz Akin (eds.)
This publication offers a entire visible evaluate of pathologic sickness adaptations of the 5 major sorts of gynecologic cancers: ovarian, endometrial, cervical, vaginal, and vulvar. by utilizing cross-sectional imaging modalities, together with computed tomography, magnetic resonance imaging, ultrasound, and positron emission tomography, it depicts general anatomy in addition to universal gynecological tumors. for every kind of melanoma, facets akin to basic staging, recurrence styles, and findings from diverse but complementary imaging modalities are explored. Atlas of Gynecologic Oncology Imaging offers a coherent viewpoint of the jobs of ordinary and state-of-the-art imaging recommendations in gynecologic oncology through a multidisciplinary method of melanoma care. that includes over six hundred photos, this publication is a important source for diagnostic radiologists, radiation oncologists, and gynecologists.
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Additional resources for Atlas of Gynecologic Oncology Imaging
7 Key changes in the 2009 FIGO Staging System for Endometrial Cancer Imaging type Relative to endometrium T1WI T2WI T1WI+C Relative to myometrium T1WI T2WI T1WI+C Diffusion-weighted MRI FIGO 2009 Stage IA: myometrial invasion = none OR < 50 % Stage IB: myometrial invasion ≥50 % Characteristics of endometrial cancer Isointensity Intermediate signal intensity Earlier enhancement Variable intensity Hyperintensity Less and more delayed enhancementa Hyperintensity (hypointensity on ADC map) ADC apparent diffusion coefficient, T1WI T1-weighted imaging, T1WI+C T1-weighted imaging with contrast enhancement, T2WI T2-weighted imaging a Maximum contrast between hyperintense myometrium and hypointense endometrial tumor occurs 50–120 s after contrast medium administration; this is the most important phase for accurate assessment of the depth of myometrial invasion.
The presence of an intact enhancing cervical mucosa excludes stromal invasion FIGO 1988 Stage IA: myometrial invasion = none Stage IB: myometrial invasion = <50 % Stage IC: myometrial invasion ≥50 % Stage II: cervical stromal Stage IIA: endocervical invasion (without subgrouping in glandular invasion stage IIA or IIB). Tumors with Stage IIB: cervical stromal endocervical glandular invasion invasion are considered stage I tumors Stage IIIC is divided into: Stage IIIC: any Stage IIIC1: pelvic lymph lymphadenopathy (pelvic or node involvement retroperitoneal) Stage IIIC2: para-aortic lymph node involvement FIGO International Federation of Gynecology and Obstetrics.
Vargas et al. b c Fig. 23 Metastases to the ovary in a 45-year-old woman with a history of colon cancer are seen on imaging performed because of rising tumor markers. An axial T2-weighted MR image (a), a fat-suppressed T1-weighted image after intravenous gadolinium (b), and a fused (PET/CT) image (c) demonstrate a right ovarian mass (arrows). Pathology confirmed metastatic adenocarcinoma consistent with a colonic primary tumor 1 Ovarian Cancer a b Fig. 24 Right adnexal, mixed solid/cystic mass (arrow) was identified on a contrast-enhanced CT scan of the pelvis (a) in a 44-year-old woman.