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Title: CT of the normal and abnormal parametria in cervical cancer

Abstract

To evaluate CT criteria for differentiating a cervical cancer confined to the cervix from a lesion that invades the parametria, 16 patients with newly diagnosed, untreated cervical cancer were studied with CT. Twenty-five parameria were confined by radical hysterectomy, transvaginal parametrial fine-needle aspiration cytology, or excretory urography. In 17 tumor-positive parametria, CT findings associated with parametrial tumor invasion were: 1) irregularity or poor definition of the lateral cervical margins; 2) prominent parametrial soft-tissue strands; 3) obliteration of the periureteral fat plane; and 4) an eccentric parametrial soft-tissue mass. Irregularity of the cervical margins and prominent parametrial strands were seen most commonly with parametrial tumor invasion, but were also occasionally seen with parametrial inflammation. On the basis of the criteria developed in this report, CT may be used as an adjunct to the physical examination in differentiating stage I cervical cancer from more advanced disease in selected patients.

Authors:
; ; ;
Publication Date:
Research Org.:
Virginia Commonwealth Univ., Richmond
OSTI Identifier:
6501083
Resource Type:
Journal Article
Journal Name:
AJR, Am. J. Roentgenol.; (United States)
Additional Journal Information:
Journal Volume: 143:3
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; 59 BASIC BIOLOGICAL SCIENCES; NEOPLASMS; DIAGNOSIS; UROGENITAL SYSTEM DISEASES; UTERUS; COMPUTERIZED TOMOGRAPHY; PATHOLOGICAL CHANGES; SURGERY; WOMEN; ANIMALS; BODY; DIAGNOSTIC TECHNIQUES; DISEASES; FEMALE GENITALS; FEMALES; MAMMALS; MAN; MEDICINE; ORGANS; PRIMATES; TOMOGRAPHY; VERTEBRATES; 550602* - Medicine- External Radiation in Diagnostics- (1980-); 550900 - Pathology

Citation Formats

Vick, C W, Walsh, J W, Wheelock, J B, and Brewer, W H. CT of the normal and abnormal parametria in cervical cancer. United States: N. p., 1984. Web. doi:10.2214/ajr.143.3.597.
Vick, C W, Walsh, J W, Wheelock, J B, & Brewer, W H. CT of the normal and abnormal parametria in cervical cancer. United States. https://doi.org/10.2214/ajr.143.3.597
Vick, C W, Walsh, J W, Wheelock, J B, and Brewer, W H. 1984. "CT of the normal and abnormal parametria in cervical cancer". United States. https://doi.org/10.2214/ajr.143.3.597.
@article{osti_6501083,
title = {CT of the normal and abnormal parametria in cervical cancer},
author = {Vick, C W and Walsh, J W and Wheelock, J B and Brewer, W H},
abstractNote = {To evaluate CT criteria for differentiating a cervical cancer confined to the cervix from a lesion that invades the parametria, 16 patients with newly diagnosed, untreated cervical cancer were studied with CT. Twenty-five parameria were confined by radical hysterectomy, transvaginal parametrial fine-needle aspiration cytology, or excretory urography. In 17 tumor-positive parametria, CT findings associated with parametrial tumor invasion were: 1) irregularity or poor definition of the lateral cervical margins; 2) prominent parametrial soft-tissue strands; 3) obliteration of the periureteral fat plane; and 4) an eccentric parametrial soft-tissue mass. Irregularity of the cervical margins and prominent parametrial strands were seen most commonly with parametrial tumor invasion, but were also occasionally seen with parametrial inflammation. On the basis of the criteria developed in this report, CT may be used as an adjunct to the physical examination in differentiating stage I cervical cancer from more advanced disease in selected patients.},
doi = {10.2214/ajr.143.3.597},
url = {https://www.osti.gov/biblio/6501083}, journal = {AJR, Am. J. Roentgenol.; (United States)},
number = ,
volume = 143:3,
place = {United States},
year = {Sat Sep 01 00:00:00 EDT 1984},
month = {Sat Sep 01 00:00:00 EDT 1984}
}