Which imaging technique should we use in the follow up of gynaecological cancer?

Antonia Carla Testa, Riccardo Manfredi, Vittoria Rufini, Alessia Di Legge, Bruna Anna Virgilio, Matteo Bonatti, Paoletta Mirk Fileni

Risultato della ricerca: Contributo in rivistaArticolo in rivista

13 Citazioni (Scopus)

Abstract

Follow-up routines after gynaecological cancer vary. The optimal approach is unknown, and no randomised-controlled trials comparing surveillance protocols have been published. In this chapter, we summarise the diagnostic performance of ultrasound, computed tomography, and magnetic resonance imaging in the follow up of women treated for ovarian or uterine cancers. Computed tomography is today the standard imaging method for the follow up of women treated for endometrial, cervical, or ovarian cancer. Six-monthly or annual follow-up examinations have not been shown to positively affect survival. Instead, a combination of transvaginal and transabdominal ultrasound examination with clinical examination might be a more cost-effective strategy for early detection of recurrence. Positron-emission tomography might play a role in women with clinical or serological suspicion of recurrence but without evidence of disease at conventional diagnostic imaging. To create guidelines, more studies, preferably randomised-controlled trials, on follow-up strategies are needed.
Lingua originaleEnglish
pagine (da-a)769-791
Numero di pagine23
RivistaBAILLIERE'S BEST PRACTICE & RESEARCH. CLINICAL OBSTETRICS & GYNAECOLOGY
Volume28
DOI
Stato di pubblicazionePubblicato - 2014

Keywords

  • computed tomography
  • gynaecological cancer recurrences
  • imaging techniques
  • magnetic resonance imaging
  • positron emission tomography
  • ultrasound

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