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Estratificação do carcinoma do colo do útero pré e pós-terapêutica - uma perspectiva global
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Authors
Advisor(s)
Abstract(s)
O carcinoma do colo do útero é um dos
tumores malignos mais frequentes a nível
mundial.
Para garantir a uniformização de critérios entre
países com diferentes recursos, o estadiamento
deste tumor permanece clínico, segundo as
orientações da Federação Internacional de
Ginecologia e Obstetrícia, e tem por principal
objectivo a identificação das doentes que são
candidatas à cirurgia.
A avaliação radiológica é amplamente
recomendada, quando disponível, com o
objectivo de aumentar a acuidade do
diagnóstico, assegurando a optimização
terapêutica, sendo também recomendada no
seguimento.
Importa, assim, que o radiologista tenha
presente não só o protocolo técnico adequado
na suspeita de carcinoma do colo do útero e o
respectivo espectro de apresentação
radiológica, mas também algumas
características da própria doença e possíveis
abordagens terapêuticas, de forma a incluir no
seu relatório toda a informação relevante.
A ressonância magnética permanece o principal
pilar na avaliação radiológica destas doentes,
embora recentemente o papel da tomografia
computorizada por emissão de positrões tenha
vindo a ganhar relevo, sobretudo no que
respeita à avaliação ganglionar e ao despiste de
recidiva.
Neste artigo as autoras dão uma perspectiva
aprofundada da avaliação radiológica do
carcinoma do colo do útero, deste o
diagnóstico ao seguimento pós-terapêutico, à
luz dos estudos mais recentes.
Cervical carcinoma is one of the most common malignant tumours worldwide. To ensure uniformity of criteria between countries with different resources, the staging of this tumour remains clinical, according to the guidelines of the International Federation of Gynaecology and Obstetrics, whose main purpose is to identify the patients that are candidates for surgery. The imaging evaluation is widely recommended, when available, in order to increase the accuracy of clinical staging and ensure therapeutic optimization, as well as in patients follow-up. It is therefore important for the radiologist to be aware of the appropriate technical protocol for cervical cancer depiction and its radiological spectrum of presentation, as well as particular features of the disease and therapeutic approaches, to assure that all relevant information is included in the report. Magnetic resonance imaging remains the workhorse of radiologic evaluation of these patients, although recently the role of positron emission computed tomography has been gaining relevance, especially regarding lymph node evaluation and recurrence. In this paper the authors provide an in-depth perspective of the radiological assessment of cervical carcinoma, from diagnosis to followup, based on the latest studies.
Cervical carcinoma is one of the most common malignant tumours worldwide. To ensure uniformity of criteria between countries with different resources, the staging of this tumour remains clinical, according to the guidelines of the International Federation of Gynaecology and Obstetrics, whose main purpose is to identify the patients that are candidates for surgery. The imaging evaluation is widely recommended, when available, in order to increase the accuracy of clinical staging and ensure therapeutic optimization, as well as in patients follow-up. It is therefore important for the radiologist to be aware of the appropriate technical protocol for cervical cancer depiction and its radiological spectrum of presentation, as well as particular features of the disease and therapeutic approaches, to assure that all relevant information is included in the report. Magnetic resonance imaging remains the workhorse of radiologic evaluation of these patients, although recently the role of positron emission computed tomography has been gaining relevance, especially regarding lymph node evaluation and recurrence. In this paper the authors provide an in-depth perspective of the radiological assessment of cervical carcinoma, from diagnosis to followup, based on the latest studies.
Description
Keywords
Carcinoma do colo do útero Estadiamento Ressonância magnética Seguimento Cervical cancer Staging Magnetic resonance imaging Follow-up
Citation
Rita Lucas; Teresa Margarida Cunha. Pre and Post-Treatment Stratification of Cervical Cancer – A Global Perspective, Acta Radiológica Portuguesa, XXVI, 103, 29-36, 2014.