link
Bookmarks
Cervical Carcinoma
Jade Wong-You-Cheong, MBChB, MRCP, FRCR
To access 4,300 diagnoses written by the world's leading experts in radiology, please log in or subscribe.Log inSubscribe
0
9
2
3

KEY FACTS

  • Imaging

    • Top Differential Diagnoses

      • Pathology

        • Clinical Issues

          TERMINOLOGY

          • Definitions

            • Pap smear: Papanicolaou test; cervical cytology to screen for cervical neoplasia
            • Loop electrosurgical excision procedure (LEEP)
              • Allows outpatient biopsy of abnormal areas detected at colposcopy
            • Cone biopsy: Removal of cone of tissue, including transformation zone
              • Used for diagnosis (abnormal Pap smear) and therapy (CIN stage 2, 3)
            • Trachelectomy: Surgical removal of cervix, upper vagina, parametrium, pelvic lymph nodes
              • Performed in early stage CxCA (up to stage 1B), preserves fertility

          IMAGING

          • General Features

            • Ultrasonographic Findings

              • CT Findings

                • MR Findings

                  • Nuclear Medicine Findings

                    • Imaging Recommendations

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          • Staging, Grading, & Classification

                            • Gross Pathologic & Surgical Features

                              • Microscopic Features

                                • Prognostic factors

                                  CLINICAL ISSUES

                                  • Presentation

                                    • Demographics

                                      • Natural History & Prognosis

                                        • Treatment

                                          DIAGNOSTIC CHECKLIST

                                          • Consider

                                            • Image Interpretation Pearls

                                              Selected References

                                              1. Dutta S et al: Image-guided radiotherapy and -brachytherapy for cervical cancer. Front Oncol. 5:64, 2015
                                              2. Koh WJ et al: Cervical Cancer, Version 2. J Natl Compr Canc Netw. 13(4):395-404, 2015
                                              3. Kusmirek J et al: PET/CT and MRI in the imaging assessment of cervical cancer. Abdom Imaging. ePub, 2015
                                              4. Epstein E et al: Early-stage cervical cancer: tumor delineation by magnetic resonance imaging and ultrasound - a European multicenter trial. Gynecol Oncol. 128(3):449-53, 2013
                                              5. Thomeer MG et al: Clinical examination versus magnetic resonance imaging in the pretreatment staging of cervical carcinoma: systematic review and meta-analysis. Eur Radiol. 23(7):2005-18, 2013
                                              6. Freeman SJ et al: The revised FIGO staging system for uterine malignancies: implications for MR imaging. Radiographics. 32(6):1805-27, 2012
                                              7. Mahantshetty U et al: Trans-abdominal ultrasound (US) and magnetic resonance imaging (MRI) correlation for conformal intracavitary brachytherapy in carcinoma of the uterine cervix. Radiother Oncol. 102(1):130-4, 2012
                                              8. Park SB et al: Sonographic findings of uterine cervical lymphoma manifesting as multinodular lesions. Clin Imaging. 36(5):636-8, 2012
                                              9. Sahdev A: Cervical tumors. Semin Ultrasound CT MR. 31(5):399-413, 2010
                                              10. Testa AC et al: Transvaginal ultrasonography and magnetic resonance imaging for assessment of presence, size and extent of invasive cervical cancer. Ultrasound Obstet Gynecol. 34(3):335-44, 2009
                                              11. Murad M et al: Primary lymphoma of the cervix. J Coll Physicians Surg Pak. 15(6):364-5, 2005
                                              Related Anatomy
                                              Loading...
                                              Related Differential Diagnoses
                                              Loading...
                                              References
                                              Tables

                                              Tables

                                              KEY FACTS

                                              • Imaging

                                                • Top Differential Diagnoses

                                                  • Pathology

                                                    • Clinical Issues

                                                      TERMINOLOGY

                                                      • Definitions

                                                        • Pap smear: Papanicolaou test; cervical cytology to screen for cervical neoplasia
                                                        • Loop electrosurgical excision procedure (LEEP)
                                                          • Allows outpatient biopsy of abnormal areas detected at colposcopy
                                                        • Cone biopsy: Removal of cone of tissue, including transformation zone
                                                          • Used for diagnosis (abnormal Pap smear) and therapy (CIN stage 2, 3)
                                                        • Trachelectomy: Surgical removal of cervix, upper vagina, parametrium, pelvic lymph nodes
                                                          • Performed in early stage CxCA (up to stage 1B), preserves fertility

                                                      IMAGING

                                                      • General Features

                                                        • Ultrasonographic Findings

                                                          • CT Findings

                                                            • MR Findings

                                                              • Nuclear Medicine Findings

                                                                • Imaging Recommendations

                                                                  DIFFERENTIAL DIAGNOSIS

                                                                    PATHOLOGY

                                                                    • General Features

                                                                      • Staging, Grading, & Classification

                                                                        • Gross Pathologic & Surgical Features

                                                                          • Microscopic Features

                                                                            • Prognostic factors

                                                                              CLINICAL ISSUES

                                                                              • Presentation

                                                                                • Demographics

                                                                                  • Natural History & Prognosis

                                                                                    • Treatment

                                                                                      DIAGNOSTIC CHECKLIST

                                                                                      • Consider

                                                                                        • Image Interpretation Pearls

                                                                                          Selected References

                                                                                          1. Dutta S et al: Image-guided radiotherapy and -brachytherapy for cervical cancer. Front Oncol. 5:64, 2015
                                                                                          2. Koh WJ et al: Cervical Cancer, Version 2. J Natl Compr Canc Netw. 13(4):395-404, 2015
                                                                                          3. Kusmirek J et al: PET/CT and MRI in the imaging assessment of cervical cancer. Abdom Imaging. ePub, 2015
                                                                                          4. Epstein E et al: Early-stage cervical cancer: tumor delineation by magnetic resonance imaging and ultrasound - a European multicenter trial. Gynecol Oncol. 128(3):449-53, 2013
                                                                                          5. Thomeer MG et al: Clinical examination versus magnetic resonance imaging in the pretreatment staging of cervical carcinoma: systematic review and meta-analysis. Eur Radiol. 23(7):2005-18, 2013
                                                                                          6. Freeman SJ et al: The revised FIGO staging system for uterine malignancies: implications for MR imaging. Radiographics. 32(6):1805-27, 2012
                                                                                          7. Mahantshetty U et al: Trans-abdominal ultrasound (US) and magnetic resonance imaging (MRI) correlation for conformal intracavitary brachytherapy in carcinoma of the uterine cervix. Radiother Oncol. 102(1):130-4, 2012
                                                                                          8. Park SB et al: Sonographic findings of uterine cervical lymphoma manifesting as multinodular lesions. Clin Imaging. 36(5):636-8, 2012
                                                                                          9. Sahdev A: Cervical tumors. Semin Ultrasound CT MR. 31(5):399-413, 2010
                                                                                          10. Testa AC et al: Transvaginal ultrasonography and magnetic resonance imaging for assessment of presence, size and extent of invasive cervical cancer. Ultrasound Obstet Gynecol. 34(3):335-44, 2009
                                                                                          11. Murad M et al: Primary lymphoma of the cervix. J Coll Physicians Surg Pak. 15(6):364-5, 2005