Role of imaging in the routine management of endometrial cancer. Academic Article uri icon

Overview

abstract

  • Endometrial cancer is the most common gynecologic cancer in women today. It is surgically staged, and while surgery is the primary treatment modality, the identification of disease extent-in particular extrauterine spread-prior to surgery is important to optimize treatment decision making. Ultrasound and MRI are useful for evaluating the extent of local disease, while CT and PET are used for detecting lymph node or distant metastases. Diffusion-weighted MRI has also been used for detecting small metastatic deposits in lymph nodes and omentum. Extrauterine soft tissue involvement can be detected by ultrasound, CT, MRI, and PET. Recently, intraoperative visualization techniques, such as sentinel lymph node mapping, are increasingly used to avoid extensive surgical staging without compromising treatment. Imaging is also used for planning adjuvant treatment and detection of postoperative residual disease in high-risk patients, monitoring and detecting recurrent disease, and in post-treatment surveillance of asymptomatic patients with high risk of relapse.

publication date

  • October 1, 2018

Research

keywords

  • Endometrial Neoplasms
  • Magnetic Resonance Imaging
  • Positron-Emission Tomography
  • Tomography, X-Ray Computed
  • Ultrasonography

Identity

PubMed Central ID

  • PMC6636928

Scopus Document Identifier

  • 85054771439

Digital Object Identifier (DOI)

  • 10.1002/ijgo.12618

PubMed ID

  • 30306593

Additional Document Info

volume

  • 143 Suppl 2

issue

  • Suppl 2