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Update on imaging of ovarian cancer
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Orientador(es)
Resumo(s)
This review will make familiar with new concepts
in ovarian cancer and their impact on radiological
practice. Disseminated peritoneal spread and ascites are
typical of the most common (70–80 %) cancer type, highgrade
serous ovarian cancer. Other cancer subtypes differ
in origin, precursors, and imaging features. Expert sonography
allows excellent risk assessment in adnexal masses.
Owing to its high specificity, complementary MRI
improves characterization of indeterminate lesions. Major
changes in the new FIGO staging classification include
fusion of fallopian tube and primary ovarian cancer and the
subcategory stage IIIA1 for retroperitoneal lymph node
metastases only. Inguinal lymph nodes, cardiophrenic
lymph nodes, and umbilical metastases are classified as
distant metastases (stage IVB). In multidisciplinary conferences
(MDC), CT has been used to predict the success of
cytoreductive surgery. Resectability criteria have to be
specified and agreed on in MDC. Limitations in detection
of metastases may be overcome using advanced MRI
techniques.
Descrição
Palavras-chave
Ovarian neoplasm/diagnosis Neoplasm staging Ovarian neoplasm/therapy Diagnostic imaging Computed tomography Diagnostic imaging
Contexto Educativo
Citação
Forstner, Rosemarie; Meissnitzer, Matthias; Cunha, Teresa Margarida. Update on Imaging of Ovarian Cancer, Current Radiology Reports, 4, 6, 1-11, 2016.
Editora
Springer