By Oguz Akin
This ebook offers a finished visible overview of pathologic sickness diversifications of the 5 major sorts of gynecologic cancers: ovarian, endometrial, cervical, vaginal, and vulvar. by using cross-sectional imaging modalities, together with computed tomography, magnetic resonance imaging, ultrasound, and positron emission tomography, it depicts common anatomy in addition to universal gynecological tumors. for every kind of melanoma, facets equivalent to fundamental staging, recurrence styles, and findings from varied but complementary imaging modalities are explored. Atlas of Gynecologic Oncology Imaging provides a coherent point of view of the jobs of ordinary and state-of-the-art imaging options in gynecologic oncology through a multidisciplinary method of melanoma care. that includes over six hundred pictures, this publication is a worthwhile source for diagnostic radiologists, radiation oncologists, and gynecologists.
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Sample text
A. Vargas et al. b c Fig. 13 FIGO stage IB endometrial cancer in a 66-year-old woman with postmenopausal vaginal bleeding. Axial (a) and oblique coronal (b) T2-weighted MR images and a sagittal, fat-suppressed T1-weighted image following intravenous gadolinium (c) demonstrate an endometrial soft tissue mass (arrows) with deep (>50 %) myometrial invasion. Pathology showed endometrioid adenocarcinoma 2 Endometrial Cancer a 49 b c d Fig. 14 51-year-old woman presenting with vaginal discharge and crampy abdominal pain.
Vargas et al. g h Fig. 19 (continued) a b c Fig. 20 16-year-old girl with pelvic pain. Axial T2-weighted MR image (a) and fat-suppressed axial T1-weighted images before (b) and after (c) the administration of intravenous gadolinium demonstrate a mixed cystic and solid mass (M) with thick, heterogeneous septations and enhancing solid nodules (arrows). Pathology was consistent with an immature teratoma 1 Ovarian Cancer 21 a b Fig. 22 This coronal CT scan shows diffuse abdominal and pelvic masses consistent with tumor recurrence in a 57-year-old woman.
The most common imaging findings are thickening of the junctional zone (>12 mm on the midsagittal plane on T2-weighted MRI has an accuracy of 85 % and specificity of 96 % [6]) and the presence of “microcysts” in the myometrium measuring 3–7 mm. Pitfall: Physiologic myometrial contractions may simulate the presence of adenomyosis. The use of antiperistaltic medication or repeat imaging a few minutes after the initial acquisition have been b proposed as methods to circumvent this issue, as myometrial contractions should subside and adenomyosis persists following such maneuvers.