Purpose
The role of Magnetic Resonance Imaging (MRI) in gynecologic oncology has evolved during the past two decades. There is now a substantial body of evidence that MRI is useful in evaluating malignant conditions of the pelvis.(1,2,3) MRI has been shown to be superior than CT in staging of endometrial and cervical carcinoma.(4) Although sonography remains the primary imaging modality for the characterization of adnexal masses as benign or malign; MR imaging is an important modality as a problem-solving technique up to %90 accuracy ratio ....
Methods and Materials
This was a prospective study between December 2008 and June 2009.62 consecutive patients (age range, 18-75 years; mean age, 50 years) with clinically, Ultrasonography (transabdominal or transvaginal) or Computed tomography depicted pelvic masses were referred for pelvic MR imaging from the gynecologic oncology clinic at our institution. In all cases, the pelvic masses were examined by pelvic MRI and LAVA sequence after complete gynecologic and US assessment, which included a full medical history and clinical examination, full gynecologic examination, and appropriate laboratory tests. Patients are...
Results
20 patients were diagnosed as hitopathologically.The histopathologic diagnoses were: Serous and hemorrhagic cysts-endometrioma (8 patient), myoma (7 patient) ,adenoyosis (6 patient: 5 focal,1 diffuse), enflamatuar pathologies (1 patient :tuboovarian abscess),teratoma(3 patient),endometrium ca (4 patient),ovarian ca (7 patient),cervix ca (3 patient).Some of these pathologies were together .We diagnosed 25 patients with typical radiologic appearence and clinically follow up as a certain diagnose.These patients were: Myoma (14 patient),hemorrhagic cyst-endometrioma (9 patient),follicule and retention cyst (4 patient),teratoma (3 patient). Seventeen more patients were either lost to follow-up or...
Conclusion
The role of MRI in gynecologic mass which were the great part of pelvic mass has been increased. Endometrial carcinoma is the fourth most common female cancer and the most common malignancy of the female reproductive tract. MRI is not officially incorporated in the International Federation of Gynecology and Obstetrics (FIGO) staging system, but is already widely accepted as the most reliable imaging technique for the diagnosis, staging, treatment planning, and follow-up of endometrial cancer (1,2,3) Cervical carsinoma is the third most common gynecologic malignancy...
References
Sala E, Wakely S, Senior E, Lomas D. MRI of malignant neoplasms of the uterine corpus and cervix. AJR 2007; 1881577-1587 Hricak H, Mendelson E, Bohm-Velez M et al. Role of imaging in cancer of the cervix. American College of RadiologyACR appropriateness criteria. Radiology 2000; 215 (supp):925-930Hricak H, Mendelson E, Bohm-Velez M et al. Endometrial cancer of the uterus. American College of Radiology. ACR appropriateness criteria. Radiology 2000; 215 (supp):947-953Kinkel K, Ariche M, Tardivon AA, et al. Differentiation between recurrent tumor and benign conditions after...
Personal Information
Selim Serter MDCelal Bayar UniversityRadiology departmentCBU Manisa
[email protected]