Value of computed tomography and lymphography in staging carcinoma of the uterine cervix
Marincek, B.; Devaud, M.C.; Triller, J.; Fuchs, W.A.
European Journal of Radiology 4(2): 118-121
1984
ISSN/ISBN: 0720-048X PMID: 6734609 Document Number: 235721
CT scanning was performed on 68 consecutive patients with newly diagnosed, untreated carcinoma of the uterine cervix (FIGO stage IB-IVA). Lymphography was performed in 61 cases. Surgical pathological correlation was obtained in 16 patients. CT and clinical stage accorded only in 68%, mainly because of CT errors in the determination of parametrial involvement. CT detected enlarged lymph nodes in 60.5%, compared to 39.5% of cases with lymphographically demonstrated nodal metastases; this discrepancy resulted mainly from the inability of CT to discriminate benign nodal changes. Our data suggest lymphography as radiological staging procedure in early stage (IB, IIA) carcinoma and the routine use of CT in advanced stage (IIB-IV) disease.