By Hebert Alberto Vargas MD, Pier Luigi Di Paolo MD (auth.), Oguz Akin (eds.)
This publication offers a finished visible overview of pathologic disorder diversifications of the 5 major different types of gynecologic cancers: ovarian, endometrial, cervical, vaginal, and vulvar. by using cross-sectional imaging modalities, together with computed tomography, magnetic resonance imaging, ultrasound, and positron emission tomography, it depicts common anatomy in addition to universal gynecological tumors. for every form of melanoma, points comparable to fundamental staging, recurrence styles, and findings from assorted but complementary imaging modalities are explored. Atlas of Gynecologic Oncology Imaging offers a coherent point of view of the jobs of normal and state of the art imaging innovations in gynecologic oncology through a multidisciplinary method of melanoma care. that includes over six hundred photographs, this e-book is a beneficial source for diagnostic radiologists, radiation oncologists, and gynecologists.
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21 27-year-old woman who presented with dyspareunia. Axial (a) and coronal (b) T2-weighted MR images and an axial, fat-suppressed T1-weighted image following intravenous gadolinium (c) demonstrate a heterogeneous, predominantly solid, enhancing pelvic mass (arrows). A. Vargas et al. b c Fig. 23 Metastases to the ovary in a 45-year-old woman with a history of colon cancer are seen on imaging performed because of rising tumor markers. An axial T2-weighted MR image (a), a fat-suppressed T1-weighted image after intravenous gadolinium (b), and a fused (PET/CT) image (c) demonstrate a right ovarian mass (arrows).
Org O. A. Vargas et al. , depth of myometrial invasion) and evaluation of recurrence Evaluation of metastatic disease Positron emission tomography (PET) Advantages Readily available Cost-effective Usually well tolerated Fast Reproducible More widely available than MRI Superb contrast resolution No ionizing radiation Depicts both anatomy and function Whole-body evaluation Disadvantages Operator-dependent Limited accuracy in staging endometrial cancer Involves ionizing radiation Contrast resolution is not as good as ultrasound or MRI More expensive and less readily available than ultrasound or CT Radiation from both CT and PET component of the examination 2 Endometrial Cancer a 35 b c Fig.
Axial (a) and sagittal (b) T2-weighted images of the pelvis, axial contrast-enhanced CT scans of the pelvis (c, d), and a fat-suppressed T2-weighted MR image (e) and f a diffusion-weighted MR image (f) of the upper abdomen demonstrate diffuse peritoneal carcinomatosis including implants in the umbilicus, liver, spleen, and pelvis (arrows). Ascites is also present (asterisks) 26 Fig. 26 The usefulness of imaging in the assessment of complications from ovarian cancer can be seen in this example of a 54-year-old woman with high-grade papillary serous carcinoma of the ovary presenting with bowel obstruction.