Abstract:
Introduction:
Cervical cancer (CC) is the second most common cancer and the third leading cause of cancer death among women in developing countries. In the Republic of Moldova it is the second
most common cancer in women after breast cancer. Committee for Gynecologic Oncology (FIGO) recently revised the CC staging guidelines (2018) which include more detail the imaging
characteristic of nodular lesions, allows the selection and evaluation of therapy, estimation of prognosis and estimation of treatment results. MRI can accurately assess morphological
changes: tumor size, parametric invasion, pelvic lateral wall, and lymph node invasion.
Purpose:
Elaboration of the imaging algorithm in assessing the degree of local invasion of
cervical cancer to determine the treatment strategy in correlation with the new FIGO
staging (Tab. 1).
Material and methods:
The prospective study included 92 patients with cervical cancer (morphologically confirmed) who
underwent pelvic MRI. Sensitivity and specificity were estimated for different parameters
depending on the new staging of CC (2018) (Tab.2). MRI results were correlated with biopsy
results as well as intraoperative results (Fig. 1, 2).
Conclusions:
According to the new staging guide, MRI allowed a more detailed assessment of morphological changes. It
gave an accuracy of (96.5%) for better delimitation and staging of cervical cancer compared to the old staging
guide (92.5%).
Description:
Department of Radiology and Imaging, USMF "Nicolae Testemitanu", Oncological Institute, imagistic clinic nr. 1, Oncological Institute, Clinical hospital Nr.3 ,,Sf. Treime'‘, Chisinau, Moldova,
State University of Medicine and Pharmacy "Nicolae Testemitanu", Chișinău, Republic of Moldova, Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină și Farmacie „Nicolae Testemițanu” din Republica Moldova, Ziua internațională a științei pentru pace și dezvoltare