Современные аспекты лучевой диагностики рака шейки матки

Abstract

Background: For the first time on a large clinical material it is studied the possibility of a comprehensive survey of radiation diagnosis of patients with advanced cervical cancer. The role of the modern methods of radiation survey in determining the prevalence of cancer was clarified. A comparative analysis of the information content of the ultrasound, CT and MRI in the diagnosis of specific lesions and retroperitoneal lymph node involvement in the pathological process of the urinary system was maid. The place of diagnostic imaging in the evaluation of the effectiveness of treatment for cervical cancer was established. It was studied in detail radiation pattern of complete and partial remission stabilization of disease progression as well. Material and methods: The present paper summarizes the results of studies conducted at the radiology department clinic of Odessa National Medical University. The work is based on a survey of 120 patients with advanced cervical cancer. Diagnosis of the disease in all cases was verified histologically. The age of 66.6% of patients accounted for 4-5 decades of life. The majority of the examinees was established stage III cervical cancer (66.7%), double-sided version of the parametrium (56%), mixed form of tumor growth (57.5%). According to the histological structure squamous cancer constituted 44.2%. Results: Algorithm og the diagnosis was formulated according to the radial semiotics stage of the disease, has been developed clear MRI/CT - criteria characterizing infiltration parametrial tissue, tumor invasion into the bladder and rectum, the spread of tumors in the body of the uterus and vagina. Conclusions: On the basis of the results was formulated algorithm of ray examination, practical recommendations for gynecologists.