The role of imaging in pelvic exenteration for gynecological cancers.
Pamela I Causa AndrieuSungmin WooEric Rios-DoriaYukio SonodaSoleen GhafoorPublished in: The British journal of radiology (2021)
Pelvic exenteration (PE) is one of the most challenging gynecologic oncologic surgeries and is an overriding term for different procedures that entail radical en bloc resection of the female reproductive organs and removal of additional adjacent affected pelvic organs (bladder, rectum, anus, etc.) with concomitant surgical reconstruction to restore bodily functions. Multimodality cross-sectional imaging with MRI, PET/CT, and CT plays an integral part in treatment decision-making, not only for the appropriate patient selection but also for surveillance after surgery. The purpose of this review is to provide a brief background on pelvic exenteration in gynecologic cancers and to familiarize the reader with the critical radiological aspects in the evaluation of patients for this complex procedure. The focus of this review will be on how imaging can aid in treatment planning and guide management.
Keyphrases
- rectal cancer
- pet ct
- high resolution
- cross sectional
- decision making
- magnetic resonance imaging
- end stage renal disease
- contrast enhanced
- positron emission tomography
- public health
- computed tomography
- prostate cancer
- case report
- mass spectrometry
- endometrial cancer
- minimally invasive
- magnetic resonance
- prognostic factors
- image quality
- preterm birth
- replacement therapy