32. Imaging strategy in gynecologic tumors (cervix, uterus, ovarium).

From greek.doctor
  • Modalities
    • Ultrasound
      • Transvaginal
        • Ovary
        • Uterus
        • Endometriosis
      • Transabdominal
        • Second choice
      • Transrectal
    • CT with contrast
      • Preferred for staging of ovarian cc
    • MRi pelvis
      • Preferred for staging of endometrial, cervical, vulvar cc
  • Most important modality for oncological staging of all pelvic cancers
    • MRI
  • Ovarian cancer
    • Modality
      • Ultrasound
        • Preferably transvaginal
        • Abdominal or rectal also possible
      • CT abdomen & pelvis
        • For TNM staging
      • MRi
        • Only local staging (T and N)
  • Endometriosis
    • Modality
      • Transvaginal ultrasound
        • Ovarian cysts (chocolate cysts)
      • Laparoscopy
      • MRi
  • Endometrial cancer
    • Modality
      • Pelvic MRI
        • For TNM staging
      • Curettage + histology
  • Cervical cancer
    • Modality
      • Pelvic MRI
        • For TNM staging