Back to the list
Congress: ECR24
Poster Number: C-23351
Type: EPOS Radiologist (educational)
Authorblock: A. Mašková; Praha/CZ
Disclosures:
Adéla Mašková: Nothing to disclose
Keywords: Abdomen, Genital / Reproductive system female, Oncology, CT, Staging, Cancer, Multidisciplinary cancer care
Learning objectives CT is the best modality for staging ovarian cancer and should be the standard of care in assessing the extent of the disease and evaluating the feasibility of primary debulking surgery (PDS) in contrast to preoperative chemotherapy followed by interval debulking surgery (IDS).This guide aims to provide residents with: an understanding of what high-yield findings to keep in mind, as patients usually present with advanced disease knowledge about the underlying pathophysiology of peritoneal dissemination insights into how a disease-specific report for their surgical...
Read more Background This guide offers an overview of ovarian cancer staging, delves into the pathophysiology of metastatic spread, and highlights the importance of a disease-specific structured report.It places particular emphasis on identifying potential findings that may reduce the chances of complete surgical resection.We will present various cases of metastatic ovarian cancer, drawing from our clinical practice.
Read more Findings and procedure details CT is the modality of choice for staging ovarian cancer and serves as an imaging substitute for the International Federation of Gynecology and Obstetrics (FIGO) classification system (Fig. 1). [1]Scans of the chest, abdomen, and pelvis should be performed, usually done with both oral and intravenous contrast materials, except in cases where they are contraindicated. The use of positive oral contrast aids in visualizing bowel loops and identifying peritoneal deposits, particularly those involving the serosa and mesentery. Although, small calcified...
Read more Conclusion CT not only serves as an invaluable tool in aligning with the FIGO classification system but also plays a critical role in treatment decision-making in patients with ovarian cancer, especially in determining the feasibility of primary debulking surgery (PDS) versus neoadjuvant chemotherapy followed by interval debulking surgery (IDS).The high prevalence of advanced disease at initial presentation, with up to 70% of cases in FIGO stages III and IV, further emphasizes the need for precise staging to optimize surgical outcomes and...
Read more References [1] Onda T, Tanaka YO, Kitai S, et al. Stage III disease of ovarian, tubal and peritoneal cancers can be accurately diagnosed with pre-operative CT. Japan Clinical Oncology Group Study JCOG0602. Jpn J Clin Oncol. 2021;51(2):205-212.[2] Fernandes, Maria Clara et al. “CT of Ovarian Cancer for Primary Treatment Planning: What the Surgeon Needs to Know-Radiology In Training.” Radiology vol. 304,3 (2022): 516-526.[3] Berek JS, Kehoe ST, Kumar L, Friedlander M. Cancer of the ovary, fallopian tube, and peritoneum. Int J Gynaecol Obstet. 2018;143(Suppl 2):59–78.[4]...
Read more
GALLERY