TAILIEUCHUNG - Radiological Assessment of Gynecologic Malignancies

The new toolkit focuses on relapse prevention, risks of secondhand smoke exposure and the health benefits of quitting smoking for mother and infant. It also emphasizes the potential and underlying issues related to relapse including postpartum depression, stress and miscarriage. An appendix for counselors to use as a reference tool during counseling sessions is also included in the toolkit. The toolkit contains materials that can be integrated into existing Quitline services to better address and reduce tobacco use for pregnant and postpartum women, as well as fact sheets on the health benefits of smoking cessation during pregnancy and postpartum, the. | Radiological Assessment of Gynecologic Malignancies Daniel J. Bell MBChB Harpreet K. Pannu MD KEYWORDS Gynecology Computed tomography Magnetic resonance imaging Ultrasonography Sonography Malignancy Patients with gynecologic malignancies are evaluated with a combination of clinical and diagnostic imaging methods. Imaging with ultrasonography US computed tomography CT and magnetic resonance MR has a role in detection of and characterizing gynecologic masses and can supplement clinical staging help in preoperative planning for surgery and assess patients for tumor recurrence. US has a primary role in detecting and characterizing endometrial and adnexal pathology. The role of CT is primarily to stage malignancy and detect recurrence although it can also detect larger gynecologic masses. MR imaging has added specificity over US for lesion characterization superior contrast resolution for visualizing uterine and adnexal masses and is also useful for staging gynecologic malignancies. This review focuses on the radiologic imaging of the 3 most common gynecologic tumors endometrial cervical and ovarian carcinomas. ENDOMETRIAL CARCINOMA Endometrial carcinoma is the most common gynecologic malignancy with approximately 40 000 new cases diagnosed in the United States each Pathologically and clinically endometrial cancer is divided into 2 main subtypes endometrioid Type I and nonendometrioid Type II tumors. Endometrioid histology is seen in 80 to 90 of Patients are usually perimenopausal and have risk factors associated with increased estrogen exposure such as nulliparity chronic anovulation and obesity. The tumors are confined as a rule to the uterus and have a good A version of this article was previously published in PET Clinics 5 4. Department of Radiology Memorial Sloan-Kettering Cancer Center 1275 York Avenue New York City NY 10065 USA Corresponding author. E-mail address belld@ Obstet Gynecol Clin N Am 38 2011 45-68 doi .

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