基于MRI盆腔瘢与复发鉴别诊断分析.pdfVIP

Treatedpelvis:Scarversusrecurrence.

CarolineReinhold,MD,MSc

Objectives:Thiscase-basedcoursewillallowtheattendeestodifferentiatetumour

recurrencefromscarposttherapyingynecologicalmalignanciesandrectalcancer.

•ReviewtheMRimagingprotocol

•Functionalimagingtodifferentiatescarfromrecurrence

•Morphologicalfeaturestodifferentiatescarfromrecurrence

1.GynecologicalMalignancies:

Gynecologicalmalignanciesarecommonaccountingfor10-15%ofallfemale

malignancies[Kehoe,2006].Gynecologicalcancersareusuallytreatedbysurgery,

chemotherapyand/orradiotherapy.Themanagementofpatientswithmalignant

gynecologicaldiseasedependsuponthegradeandstageofthemalignancy,aswellasthe

organoforigin.

Inendometrialcancer,earlystageandlowgradediseaseisusuallytreatedby

surgeryalone,whereasmoreadvancedstagesorgradesaretreatedwithacombinationof

surgeryandradiotherapy.Patientswithcervicalcancerreceivechemo-radiotherapywhen

tumourspresentwithanadvancedstage(2Bormore),orexceed4cminmaximal

diameterirrespectiveofthestage.Inovariancancer,chemotherapyhasanimportantrole

inneoadjuvanttherapypriortosurgeryinnonresectablecases,andalsoinpatientswhere

optimalsurgicalresectionhasnotbeenachieved.

a.SurgicalManagement

Hysterectomyisoneofthemostcommonabdominalproceduresperformedfor

femalepelvicmalignancies.Thetypeofhysterectomywillvarydependingonthetype

治疗骨盆：疤痕复发。

卡罗琳・莱因霍尔德，医学博士，理学硕士

目标：这个基于病例的课程将使学员能够区分妇科恶性肿瘤和直肠癌治疗后的肿瘤

复发和疤痕。

•回顾MR成像协议

•功能成像区分疤痕和复发

•区分疤痕和复发的形态特征

1.妇科恶性肿瘤：

妇科恶性肿瘤很常见，占所有女性恶性肿瘤的10‑15%[Kehoe，2006]。妇

科癌症通常通过手术、化