Abstract

SISO, Saúl et al. Evaluación de parametrios con TAC RMN y examen físico en cáncer de cuello uterino. Rev. venez. oncol. [online]. 2009, vol.21, n.1, pp.11-15. ISSN 0798-0582.

OBJECTIVE: Compare the utility of tomography, resonance and physical examination in evaluation of affectation parametrials in the cervix cancer. Establish sensitivity, specificity of tomography in parametrial affectation. METHODS: The following one is a comparative prospective study in which 15 patients with diagnosis of cervix cancer, confirmed evaluated its histological, without previous treatment and least of 2 cm. to those who gynecological physical examination was realized, resonance of pelvis and tomography of abdomen-pelvis with oral and intravenous contrast. RESULTS: The totalof evaluated parametrials was 30, 12 were appraised free of infiltration with the resonance vs. 13 with tomography, 13 made an impression to be partially infiltrated by resonance vs. 11 with tomography and 5 made an impression to be infiltrated until the pelvic wall according to the resonance vs. 6 according to the tomography. Altogether the evaluation of both studies agreed in 28 of 30 parametrials (93 %). Physical examination they impressed free 10, partially affected 13 and infiltration until pelvic wall 7. CONCLUSIONS: With the obtained results it would seem tomography could have a value significant in evaluation of parametrials and that is to consider itself like an option in case of not counting on resonance, on the other hand that provides information of the rest of the abdominal cavity: Status para-aortic lymph nodes, renal, hepatic morphology that is of extreme value in staging, prognostic and management; limiting the number studies to these patients and therefore costs and time.

Keywords : Cancer; parametrial; magnetic resonance; computed tomography.