Cervical cancer treatment stage 1.

Preliminary report.

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BolboacaClaudia OrdeanuViorica M. NagyZsolt FeketeLiliana ChioreanSorin M Dudea Abstract Aims: The aim of this study was to evaluate the use of pre and post-therapy transrectal and transvaginal ultrasonography TRUS, TVUS with contrast enhancement and strain elastography compared cervical cancer treatment stage 1 clinical examination and magnetic reso- nance imaging MRI in the assessment of advanced stage cervical cancer.

Cervical cancer treatment stage 1 included patients were examined clinically and underwent abdomino-pelvic contrast enhanced MRI and multimodal US examinations TRUS with strain elastography and contrast enhanced TVUS at the time of diagnosis and after radiochemotherapy.

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Pathology was the golden standard. Results: Eight patients accomplished the inclusion criteria. In papillomavirus douleurs cases the tumor stage was identi- cal on clinical and MRI examinations.

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In all cases parametrial in ltration was diagnosed by all pre-treatment examinations. No signi cant differences were observed in tumor size between clinical, US and MRI exams either at baseline or post-therapy, in native or post-contrast examinations.

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The size of the tumor evaluated pre-treatment proved to be signi cantly smaller post-contrast in both US and MRI examinations compared with the native images. Post-therapy, no signi cant differences were observed on US measured tumor dimensions when comparing native with post-contrast images.

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Oppositely, signi cant smaller dimensions were observed on post-contrast MRI compared with native scans. Conclusions: TRUS is cervical cancer treatment stage 1 in the estimation of pre-therapy cervical cancer dimension.

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The post therapy tumor evaluation is better performed with MRI. The use of intravenous contrast agents on both examinations did not improved the accuracy of tumor evaluation pre- or post-therapy.

Cervical Cancer Staging