Role of CT in the Management of Recurrent Ovarian Cancer

Funt, Stacey A.; Hricak, Hedvig; Abu‐Rustum, Nadeem R.; Mazumdar, Madhu; Felderman, Howard; Dennis, S.

doi:10.2214/ajr.182.2.1820393

Cited by 43 publications

(16 citation statements)

References 16 publications

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“…PET/CT is useful in assessing persisting ovarian cancer and serves as a complementary imaging technique when CT or MRI findings are inconclusive or negative [28]. Unlike in primary ovarian cancer, in recurrent disease ascites is a less common finding, and more often an indicator of extensive peritoneal recurrence [29].…”

Section: Retroperitoneal Presacral Diseasementioning

confidence: 99%

ESUR guidelines: ovarian cancer staging and follow-up

et al. 2010

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Section: Retroperitoneal Presacral Diseasementioning

confidence: 99%

ESUR guidelines: ovarian cancer staging and follow-up

et al. 2010

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“…This modality of assessment, in experienced hands, has been shown to have PPV of 87% and NPV of 100% [20][21][22]. However, laparoscopic assessment requires an experienced surgical team and laparoscopic resources.…”

Section: Discussionmentioning

confidence: 99%

Mini-laparotomy in advanced ovarian cancer

et al. 2011

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Optimal cytoreduction (OCR) remains the gold standard treatment of ovarian cancer. Current radiological imaging has limited sensitivity and specificity in prediction of achieving OCR prior to surgery. This prospective pilot study included 50 patients with advanced ovarian carcinoma. Prior to the main laparotomy, a mini-laparotomy-just large enough to allow a hand in-was performed. A decision was then made as to whether achieving OCR is "possible", "not possible" or lastly "unsure". Formal laparotomy then followed. At the end of the formal laparotomy, cytoreduction was regarded as either "optimal" or "suboptimal" based on residual disease. Out of 45 cases where results were deemed suitable for analysis, 27 were regarded as "OCR possible", out of which OCR was achieved in 24 cases following full laparotomy. Ten were commented upon as "unsure" and only in three cases OCR was feasible. Eight were classed as "OCR not possible" and in none of these OCR was obtained. The only noted complication associated with minilaparotomy was bleeding in just three cases (6%). The sensitivity, specificity, PPV and NPV of mini-laparotomy were 100%, 73%, 89% and 100%, respectively. However, when "unsure", only in 30% OCR was achieved. We concluded that mini-laparotomy is a safe, simple and effective technique for predicting feasibility of OCR. This simple technique could obviate the need for full laparotomy in patients who may benefit from neo-adjuvant chemotherapy.

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“…На рентгено-граммах линии перелома могут остаться неза-меченными на фоне снижения плотности кост-ного вещества, особенно при суперпозиции газа в кишечнике. Кроме того, при обзорной рентге-нографии костей таза могут быть пропущены неполные переломы, которые отчетливо опреде-ляются при КТ в костном режиме: визуализация кортикального слоя кости позволяет выявить переломы, включая неполные [4,5] [2]. Визуализация симметричных изме-нений не должна вызывать сомнения в диагно-зе, так как остеопоротические переломы часто симметричны [14].…”

Section: рис 7 (unclassified

“…Задачей лучевых методов визуализации до лечения яв-ляется стадирование злокачественного процес-са для планирования терапии и хирургического лечения, а после лечения (хирургического, хи-миотерапии, лучевой терапии) -оценка эффек-тивности лечения. Важно, чтобы лучевой диа-гност был готов правильно оценить результаты обследования пациенток после химиотерапии, лучевой терапии или их комбинации, избегая ошибок в дифференциальном диагнозе патоло-гических изменений после лечения и в случае рецидива заболевания [2,3]. Одним из таких осложнений лечения являются остеопенические переломы.…”

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58 Year-Old Woman With a History of Hysterectomy and Pelvic Irradiation for Cervical Cancer Presenting With Pelvic Fractures

Leschinskaya¹,

Николаев²,

Kudryashova³

et al. 2018

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ель исследования. Продемонстрировать такие осложнения лучевой терапии, как остеопенические переломы, выявить трудности в их диагностике, а так-же оценить диагностические возможности различных лучевых методов визу-ализации. Материалы и методы. Представлено клиническое наблюдение, демонстрирую-щее трудности диагностики стресс-переломов после лучевой терапии у пациентки с оперированным раком шейки матки в анамнезе.Результаты. Отражены преимущества и недостатки различных лучевых мето-дов в диагностике остеопенических переломов по данным литературы, а также целесо-образность соблюдения рекомендаций ACR.Выводы. Приведенный клинический пример показал эффективное использова-ние при стресс-переломах гибридной технологии ОФЭКТ/КТ.Ключевые слова: осложнения лучевой терапии, стресс-перелом, остеопениче-ский перелом, МРТ таза, ОФЭКТ/КТ. urpose. The presented clinical case demonstrates the difficulties in the diagnosis of stress fractures in a patient after radiation therapy for cervical cancer. We present the advantages and disadvantages of various diagnostic methods in the diagnosis of stress fractures according to the literature, as well as the feasibility of the ACR recommendations. The presented clinical case demonstrates the value of SPECT/CT hybrid technology in diagnosis of stress fractures.Keywords: complications after radiation therapy, stress-fracture, iinsufficiency fracture, MRI and SPECT/CT of the pelvis.Corresponding author: O. V. Leschinskaya, Nikolaev A.E., Kudryashova N.E., Moiseeva L.V., Zabavskaya O.A.,

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Role of CT in the Management of Recurrent Ovarian Cancer

Abstract: In patients with recurrent ovarian carcinoma considered for secondary cytoreductive surgery, preoperative CT can be helpful in identifying the extent of the disease and can be used as an adjunct to treatment planning and management decisions.

Cited by 43 publications

References 16 publications

ESUR guidelines: ovarian cancer staging and follow-up

ESUR guidelines: ovarian cancer staging and follow-up

Mini-laparotomy in advanced ovarian cancer

58 Year-Old Woman With a History of Hysterectomy and Pelvic Irradiation for Cervical Cancer Presenting With Pelvic Fractures

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