Is there a role for magnetic resonance imaging in the evaluation of inguinal lymph node metastases in patients with vulva carcinoma?

Relevance of computerized tomography in the preoperative evaluation of patients with vulvar cancer: a prospective study

“…This is in accordance with a retrospective study, which could not recommend a CT scan in the preoperative examination of vulvar carcinoma, due to low sensitivity and specificity in the diagnosis of lymph node metastases [11]. Preoperative palpation of the groin [15] and other imaging modalities, such as PET/CT [8, 9] and MRI [10], have also shown to be inaccurate in the detection of inguinal lymph node metastases. Currently, the only technique that appear to be effective in the detection of lymph node metastases, is either the sentinel node procedure or inguinal femoral lymphadenectomy [16, 17].…”

Current controversies in the management of patients with early-stage vulvar cancer

“…Computed tomography (CT) scanning performed less well with a sensitivity of 58% and specificity of 75% in this same group of patients [12]. The use of MRI for determining inguinal node status has shown a sensitivity of 52-87% and a specificity of 85-89% [13,14 ]. A recent review on PET in gynecological cancer found a sensitivity of 67-75% and a specificity of 62-95% for detection of inguinofemoral lymph node metastases but only two studies have involved PET in patients with vulvar cancer [15,16,17 ].…”

Impact sur la survie de la procédure du ganglion sentinelle dans le cancer de la vulve : analyse de la SEER database

“…Cependant, à ce jour, aucune technique ne permet de pré dire de maniè re fiable l'envahissement ganglionnaire inguinal [5] : la palpation du creux inguinal a une sensibilité de 57 % et une spé cificité de 62 %, l'é chographie du creux inguinal est opé rateur dé pendant, la cytologie é cho-guidé e est associé e à trop de fauxné gatifs, l'IRM ne permet pas de diffé rentier les ganglions sains des ganglions pathologiques par les sé quences T1 et T2 [10], la lymphographie par ré sonance magné tique utilisant des Ultra Small Iron Oxide Particles (USIOP) est efficace pour dé tecter des ganglions envahis dans les cancers du pé nis, mais son application n'est pas dé montré e pour le cancer de la vulve [11] tout comme le PET-TDM [12].…”