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Female pelvis: genital organs

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Gynecologic cancers account for 10–15 % of female malignancies, but the genital organs may also be affected in pelvic irradiation of other organs and in systemic treatment. Depending on cancer type and stage, surgery, radiotherapy, and chemotherapy are treatment options. Advances in therapy result in markedly improved survival rates in pelvic malignancies. In these patients treatmentrelated side effects are more common than recurrence, but their differentiation may be challenging. This is why it is pivotal that the radiologist is aware of the type of treatment and the spectrum of normal posttreatment fi ndings, pitfalls, and complications. Postirradiation sequelae may complicate the early phase but may also occur with a latency of many years. Side effects of targeted agents differ from those of classical cytotoxic agents, and particularly in the latter ovarian function may be impaired.

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Rosemarie Forstner; Teresa Margarida Cunha. Female Pelvis: Genital Organs, In Imaging of Complications and Toxicity Following Tumor Therapy, 215-230, ISBN: 978-3-319-12841-2. Berlin, Heidelberg: Springer International Publishing, 2015.

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Springer International Publishing

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