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Review

Useful MRI Findings for Minimally Invasive Surgery for Early Cervical Cancer

1
Department of Radiology, Sungkyunkwan University School of Medicine, Samsung Medical Center, Seoul 06351, Korea
2
Department of Obstetrics & Gynecology, Sungkyunkwan University School of Medicine, Samsung Medical Center, Seoul 06351, Korea
*
Authors to whom correspondence should be addressed.
Academic Editor: Gennaro Cormio
Cancers 2021, 13(16), 4078; https://doi.org/10.3390/cancers13164078
Received: 8 June 2021 / Revised: 4 August 2021 / Accepted: 8 August 2021 / Published: 13 August 2021
(This article belongs to the Special Issue Management of Early Stage Cervical Cancer)
Radical hysterectomy and lymph node dissection are extensive procedures with severe post-operative morbidities and should be avoided on patients with low risk of recurrence. Still, due to lack of good prognostic tools, radical surgery is performed on most patients with early stage cervical cancer, leading to overtreatment and unnecessary morbidities. The recent International Federation of Gynecology and Obstetrics (FIGO) staging system accepts the use of magnetic resonance imaging (MRI) in addition to physical examination. Currently, 3 Tesla (3T) MRI is available widely and, due to its high soft tissue contrast, can provide more useful information on precise estimation of tumor size and metastasis than can physical examination in patients with cervical cancer. Therefore, this imaging modality can help gynecologic oncologists to determine whether minimally invasive surgery is necessary and can be used for early detection of small recurrent cancers.
According to the recent International Federation of Gynecology and Obstetrics (FIGO) staging system, Stage III cervical cancer indicates pelvic or paraaortic lymph node metastasis. Accordingly, the new FIGO stage accepts imaging modalities, such as MRI, as part of the FIGO 2018 updated staging. Magnetic resonance imaging (MRI) is the best imaging modality to estimate the size or volume of uterine cancer because of its excellent soft tissue contrast. As a result, MRI is being used increasingly to determine treatment options and follow-up for cervical cancer patients. Increasing availability of cancer screening and vaccination have improved early detection of cervical cancer. However, the incidence of early cervical cancers has increased compared to that of advanced cervical cancer. A few studies have investigated if MRI findings are useful in management of early cervical cancer. MRI can precisely predict tumor burden, allowing conization, trachelectomy, and simple hysterectomy to be considered as minimally invasive treatment options for early cervical cancer. This imaging modality also can be used to determine whether there is recurrent cancer following minimally invasive treatments. The purpose of this review is to highlight useful MRI features for managing women with early cervical cancer. View Full-Text
Keywords: early cervical cancer; magnetic resonance imaging; minimally invasive surgery early cervical cancer; magnetic resonance imaging; minimally invasive surgery
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MDPI and ACS Style

Park, B.K.; Kim, T.-J. Useful MRI Findings for Minimally Invasive Surgery for Early Cervical Cancer. Cancers 2021, 13, 4078. https://doi.org/10.3390/cancers13164078

AMA Style

Park BK, Kim T-J. Useful MRI Findings for Minimally Invasive Surgery for Early Cervical Cancer. Cancers. 2021; 13(16):4078. https://doi.org/10.3390/cancers13164078

Chicago/Turabian Style

Park, Byung K., and Tae-Joong Kim. 2021. "Useful MRI Findings for Minimally Invasive Surgery for Early Cervical Cancer" Cancers 13, no. 16: 4078. https://doi.org/10.3390/cancers13164078

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