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Congress: ECR25
Poster Number: C-18575
Type: Poster: EPOS Radiologist (educational)
Authorblock: A. Oliveras Fornós, J. García Prieto, D. Romea Torralba, S. Orlando, R. Cortada Lluelles, A. Mayol Cabre, J. B. Nieto Jimenez, J. A. G. Herve, A. M. Rodriguez Arana; Barcelona/ES
Disclosures:
Adrià Oliveras Fornós: Nothing to disclose
Julia García Prieto: Nothing to disclose
Delia Romea Torralba: Nothing to disclose
Stefania Orlando: Nothing to disclose
Roger Cortada Lluelles: Nothing to disclose
Ana Mayol Cabre: Nothing to disclose
Juan Bosco Nieto Jimenez: Nothing to disclose
Jordi Alexis Guingant Herve: Nothing to disclose
Ana Maria Rodriguez Arana: Nothing to disclose
Keywords: Genital / Reproductive system female, Oncology, Pelvis, CT, MR, PET-CT, Staging, Treatment effects, Cancer
Learning objectives - To review the basic anatomy of the vulva as well as the most common appearances of vulvar malignancy.- To highlight the role of different imaging techniques in staging, follow-up and recurrence of vulvar cancer.- To provide a multimodality overview of challenging cases in order to identify the key imaging findings for an accurate diagnosis.
Read more Background Vulvar carcinoma is a rare malignancy affecting mainly postmenopausal women. Imaging plays a key role in diagnosis assessing tumor characteristics, depth of invasion and extent of disease and is also essential on follow-up and recurrence. We will provide a multimodality imaging review highlighting the strengths and applications of MRI, CT, and PET-CT, reviewing normal anatomy, FIGO classification and the main imaging findings to look for recurrence.
Read more Findings and procedure details Introduction  Primary vulvar malignancy is a rare gynecological neoplasm constituting 5–8% of cases.   It is the fourth most common gynecological malignancy that usually affects post-menopausal women with a median age of 68 years, but there has been a concerning rise in the incidence of vulvar cancer in younger women, which is often linked to human papillomavirus (HPV) infection.  The most common form of vulvar cancer is squamous cell carcinoma, which makes up approximately 90% of cases. Less frequently, we encounter melanoma, basal cell carcinoma, and other rarer types.   Risk factors Several key risk factors contribute to the development of vulvar cancer:   Age: As mentioned, vulvar cancer predominantly affects older women, particularly those over 60.   HPV Infection: up...
Read more Conclusion The integration of MRI, CT, and PET-CT is essential in the management of vulvar carcinoma. Each modality contributes unique insights that enhance diagnostic accuracy and treatment planning. Accurate diagnosis can improve patient outcomes and ensure prompt interventions.
Read more References - Olawaiye AB, Cuello MA, Rogers LJ. Cancer of the vulva: 2021 update. Int J Gynecol Obstet. 2021; 155(Suppl. 1): 7–18. https://doi.org/10.1002/ijgo.13881- Virarkar, M.; Vulasala, S.S.; Daoud, T.; Javadi, S.; Lall, C.; Bhosale, P. Vulvar Cancer: 2021 Revised FIGO Staging System and the Role of Imaging. Cancers 2022, 14, 2264. https://doi.org/10.3390/ cancers14092264  - Viswanathan, C., Kirschner, K., Truong, M., Balachandran, A., Devine, C., & Bhosale, P. (2013). Multimodality Imaging of Vulvar Cancer: Staging, Therapeutic Response, and Complications. American Journal Of Roentgenology, 200(6), 1387-1400. https://doi.org/10.2214/ajr.12.9714- Nikolić O, Sousa FAE, Cunha TM, Nikolić MB, Otero-García...
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