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Congress: ECR25
Poster Number: C-19456
Type: Poster: EPOS Radiologist (educational)
Authorblock: D. P. Fernandes; Coimbra/PT
Disclosures:
Diogo Pereira Fernandes: Nothing to disclose
Keywords: Genital / Reproductive system female, Oncology, Pelvis, MR, Education, Staging, Structured reporting, Education and training, Multidisciplinary cancer care
Learning objectives To review cervical cancer's demographic, pathologic, and clinical characteristics. To demonstrate the importance of magnetic resonance imaging (MRI) in cervical cancer staging. Show MRI images for each stage.
Read more Background Cervical cancer (CC) is the fourth most frequently diagnosed cancer and the fourth leading cause of cancer death in women worldwide, and it is ranked 14th among all cancers, affecting mainly young and middle-aged women [1]. It is strongly related to the country's economic status and social structure, representing the second most common cancer in low- and middle-income countries, and the third most common cause of cancer deaths [2].There are ten major histopathologic subtypes of CC, but the most common...
Read more Findings and procedure details STAGE I [4, 6, 12, 15]- Tumor confined to the cervix.- IA – microinvasive disease not visible at MRI, with measured deepest invasion ≤ 5 mm (Figure 1) [fig 1] .          - IA1: tumor measures ≤ 3 mm in depth          - IA2: tumor depth > 3 mm and ≤ 5 mm- Involvement of vascular/lymphatic spaces does not change the staging.- Stage IA is eligible for conization.- IB: measurable disease was usually seen at MRI, with the deepest invasion ≥ 5 mm limited to...
Read more Conclusion Cervical cancer represents a significant global health challenge, necessitating comprehensive strategies for prevention, early detection, and multidisciplinary management.The role of imaging is not only limited to diagnosis and staging but also encompasses disease assessment and prognostication.Due to its excellent soft tissue contrast and ability to determine the local extent of the primary tumor, MRI is the imaging modality of choice for initial staging, treatment response evaluation, detection of tumor recurrence, and complications of cervical cancer.The precision offered by MRI staging...
Read more References 1 - Brisson M, Drolet M. Global elimination of cervical cancer as a public health problem. Lancet Oncol. 2019 Mar;20(3):319-321. doi: 10.1016/S1470-2045(19)30072-5. Epub 2019 Feb 19. PMID: 30795952.2 - Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2018 Nov;68(6):394-424. doi: 10.3322/caac.21492. Epub 2018 Sep 12. Erratum in: CA Cancer J Clin. 2020 Jul;70(4):313. doi: 10.3322/caac.21609....
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