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Estadiamento do carcinoma do endométrio - o que há de novo?
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Advisor(s)
Abstract(s)
O carcinoma do endométrio é um dos tumores
malignos mais frequentes na mulher, sendo
inclusivamente o tumor maligno mais frequente
do sistema reprodutor feminino.
Apesar de o seu estadiamento permanecer
cirúrgico, existem factores prognósticos
reconhecidos para presença de doença extrauterina
e recidiva pós-cirúrgica, a maior parte
dos quais podem ser determinados no período
pré-operatório. Esta avaliação permite estratificar
os doentes em um grupo de baixo risco e outro
grupo de risco médio/alto, aos quais podem ser
aplicados diferentes protocolos terapêuticos.
A Ressonância Magnética é a técnica radiológica
de eleição para avaliação e planeamento cirúrgico
destas doentes, tendo um papel fundamental na
determinação de um dos factores prognósticos
mais importantes, a profundidade de invasão do
miométrio.
Para além das sequências morfológicas e da
informação fornecida pelo estudo com contraste
endovenoso, a difusão e o mapa de ADC têmse
revelado, de acordo com os estudos mais
recentes, sequências fundamentais na avaliação
rigorosa radiológica destas doentes, pelo que
a sua inclusão no protocolo de Ressonância
Magnética dirigido ao carcinoma do endométrio
se tornou mandatória.
Neste artigo, as autoras pretendem fazer uma
revisão sobre os aspectos do carcinoma do
endométrio em Ressonância Magnética, com
particular ênfase no conhecimento introduzido
pelos estudos mais recentes.
Endometrial cancer is one of the most frequent tumours in women, inclusively being the most frequent tumour of the female reproductive system. Although its staging remains surgical, there are some known prognostic factors related to extrauterine disease and post-surgical relapse, most of which can be determined during the preoperative period. This evaluation allows stratification of patients into a low risk group and a medium/high risk group, and different therapeutic protocols may be applied to these different groups. Magnetic Resonance is the best imaging technique for evaluation and surgical planning of these patients, playing a fundamental role in determining one of the most important prognostic factors, depth of myometrial invasion. Besides the morphologic sequences and the information given by administration of Gadolinium, Diffusion-weighted imaging and the ADC Map have become, according to recent studies, fundamental sequences in the rigorous evaluation of these patients, and that is why its inclusion in the Magnetic Resonance protocol for endometrial cancer study has become mandatory. In this paper, the authors intend to review the aspects of endometrial cancer in Magnetic Resonance, with a special emphasis on the knowledge introduced by recent studies.
Endometrial cancer is one of the most frequent tumours in women, inclusively being the most frequent tumour of the female reproductive system. Although its staging remains surgical, there are some known prognostic factors related to extrauterine disease and post-surgical relapse, most of which can be determined during the preoperative period. This evaluation allows stratification of patients into a low risk group and a medium/high risk group, and different therapeutic protocols may be applied to these different groups. Magnetic Resonance is the best imaging technique for evaluation and surgical planning of these patients, playing a fundamental role in determining one of the most important prognostic factors, depth of myometrial invasion. Besides the morphologic sequences and the information given by administration of Gadolinium, Diffusion-weighted imaging and the ADC Map have become, according to recent studies, fundamental sequences in the rigorous evaluation of these patients, and that is why its inclusion in the Magnetic Resonance protocol for endometrial cancer study has become mandatory. In this paper, the authors intend to review the aspects of endometrial cancer in Magnetic Resonance, with a special emphasis on the knowledge introduced by recent studies.
Description
Keywords
Carcinoma do endométrio Estadiamento Ressonância magnética Endometrial cancer Staging Magnetic resonance
Pedagogical Context
Citation
Catarina Costa; Teresa Margarida Cunha. Endometrial Cancer Staging – What Is New?, Acta Radiológica Portuguesa, XXVIII, 107, 13-20, 2016.