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Diagnostic performance of ultrasonography in pre-operative assessment of lymph nodes in patients with cervical cancer.

Filip FruhaufDavid CibulaRoman KocianMichal ZikanPavel DundrJiri JarkovskyDaniela Fischerova
Published in: International journal of gynecological cancer : official journal of the International Gynecological Cancer Society (2024)
Ultrasonography performed by an experienced sonographer can be considered a sufficient diagnostic tool for pre-operative assessment of lymph nodes in patients with cervical cancer, showing similar diagnostic accuracy in detection of pelvic macrometastases as reported for other imaging methods (18F-fluorodeoxyglucose positron emission tomography/CT or diffusion-weighted imaging/MRI). It had low sensitivity for detection of small-volume macrometastases (largest diameter <5 mm) and micrometastases. The accuracy of para-aortic assessment was comparable to that for pelvic lymph nodes, and assessment of the para-aortic region should be an inseparable part of the examination protocol.
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