European Journal of Obstetrics & Gynecology and Reproductive Biology
Volume 148, Issue 2 , Pages 182-185 , February 2010

Preoperative assessment of complete tumour resection by magnetic resonance imaging in patients undergoing pelvic exenteration

  • Dirk Michael Forner

      Affiliations

    • Kaiserswerther Diakonie, Florence Nightingale Hospital, Kreuzbergstraße 79, D-40489 Duesseldorf, Germany
    • Corresponding Author InformationCorresponding author at: Kaiserswerther Diakonie, Florence Nightingale Hospital, Obstetrics and Gynaecology, Kreuzbergstraße 79, D-40489 Duesseldorf, Germany. Tel.: +49 211 4092519; fax: +49 211 4092254.
    • ,
  • Ansgar Meyer

      Affiliations

    • Radiologisches Netzwerk Rheinland/Standort Klinikum Leverkusen, Am Gesundheitspark 11, D-51375 Leverkusen, Germany
    • ,
  • Bjoern Lampe

      Affiliations

    • Kaiserswerther Diakonie, Florence Nightingale Hospital, Kreuzbergstraße 79, D-40489 Duesseldorf, Germany
    • Tel.: +49 211 4092519; fax: +49 211 4092254.

Received 6 May 2009 ,Revised 17 August 2009 ,Accepted 19 October 2009.

References 

  1. Brunschwig A. Complete excision of pelvic viscera for advanced carcinoma. Cancer. 1948;1:177–183
  2. Follen M, Levenback CF, Iyer RB, et al. Imaging in cervical cancer. Cancer. 2003;98:2028–2038
  3. Bipat S, Glas AS, van der Velden J, Zwinderman AH, Bossuyt PM, Stoker J. Computed tomography and magnetic resonance imaging in staging of uterine cervical carcinoma: a systematic review. Gynecol Oncol. 2003;91:59–66
  4. Rockall AG, Ghosh S, Alexander-Sefre F, et al. Can MRI rule out bladder and rectal invasion in cervical cancer to help select patients for limited EUA?. Gynecol Oncol. 2006;101:244–249
  5. Vorgias G, Katsoulis M, Argyrou K, et al. Preoperative imaging of primary intra-abdominal gynaecological malignancies. Diagnostic accuracy of CT-scan and MRI. A Greek cohort study. Eur J Gynaecol Oncol. 2002;23:139–144
  6. Hoeckel M, Dornhofer N. Pelvic exenteration for gynaecological tumours: achievements and unanswered questions. Lancet Oncol. 2006;7:837–847
  7. Park JY, Choi HJ, Jeong SY, Chung J, Park JK, Park SY. The role of pelvic exenteration and reconstruction for treatment of advanced or recurrent gynecologic malignancies: Analysis of risk factors predicting recurrence and survival. J Surg Oncol. 2007;96:560–568
  8. Chang SD. Imiging of the vagina and vulva. Radiol Clin North Am. 2002;40:637–658
  9. Sheu MH, Chang CY, Wang JH, Yen MS. Preoperative staging of cervical carcinoma with MR imaging: a reappraisal of diagnostic accuracy and pitfalls. Eur Radiol. 2001;11:1828–1833
  10. Birstow RE, Lagasse LD. Cytoreductive surgery: pelvis. In:  Bristow RE,  Karlan BE editor. Surgery for ovarian cancer: principles and practice. Taylor & Francis; 2005;
  11. Michniewicz K, Oellinger J. MRI, CT and sonography in the diagnosis of cervical carcinoma. Zentralbl Gynakol. 2001;123:222–228
  12. Ozsarlak O, Tjalma W, Schepens E, et al. The correlation of preoperative CT, MR imaging, and clinical staging (FIGO) with histopathology findings in primary cervical carcinoma. Eur Radiol. 2003;13:2338–2345
  13. Schäffer U, Pilch H, Hawighorst H, Schlenger K, Tanner B, Knapstein PG. Evaluation of maximal tumor diameter of primary uterine cervical cancer with conventional and dynamic magnetic resonance imaging and clinical palpation in comparison to whole mount specimen findings. Geburtsh Frauenheilk. 2001;61:167–172
  14. Narayan K, Hicks RJ, Jobling T, Bernshaw D, McKenzie AF. Relation between FIGO stage, primary tumor volume, and presence of lymph node metastases in cervical cancer patients referred for radiotherapy. Int J Gynecol Cancer. 2003;13:657–663
  15. Shepherd JH, Ngan HYS, Neven P, Fryatt I, Woodhouse CRJ, Hendry WF. Multivariate analysis of factors affecting survival in pelvic exenteration. Int J Gynecol Cancer. 1994;4:361–370
  16. Forner DM, Lampe B. Intestinal complications after pelvic exenterations in gynecologic oncology. Int J Gynecol Cancer. 2009;19:958–962
  17. Narayan K, Hicks RJ, Jobling T, Bernshaw D, McKenzie AF. A comparison of MRI and PET scanning in surgically staged loco-regionally advanced cervical cancer: potential impact on treatment. Int J Gynecol Cancer. 2001;11:263–271
  18. Bellomi M, Bonomo G, Landoni F, et al. Accuracy of computed tomography and magnetic resonance imaging in the detection of lymph node involvement in cervix carcinoma. Eur Radiol. 2005;15:2469–2474
  19. Bipat S, Fransen GA, Spijkerboer AM, et al. Is there a role for magnetic resonance imaging in the evaluation of inguinal lymph node metastases in patients with vulva carcinoma?. Gynecol Oncol. 2006;103:1001–1006
  20. Hockel M. Laterally extended endopelvic resection. Novel surgical treatment of locally recurrent cervical carcinoma involving the pelvic side wall. Gynecol Oncol. 2003;91:369–377
  21. Marnitz S, Dowdy S, Lanowska M, Schneider A, Podratz K, Kohler C. Exenterations 60 years after first description. Int J Gynecol Cancer. 2009;19:974–977
  22. Diagnostics and therapy of cervical carcinoma. Available at: http://www.awmf-leitlinien.de [accessed January 2008].
  23. Ramirez PT, Modesitt SC, Morris M, et al. Functional outcomes and complications of continent urinary diversions in patients with gynecologic malignancies. Gynecol Oncol. 2002;85:285–291
  24. Crawford RA, Richards PJ, Reznek RH, Ngan HY, Shepherd JH. The role of CT in predicting the surgical feasibility of exenteration in recurrent carcinoma of the cervix. Int J Gynecol Cancer. 1996;6:231–234
  25. Marnitz S, Kohler C, Roth C, Fuller J, Hinkelbein W, Schneider A. Is there a benefit of pretreatment laparoscopic transperitoneal surgical staging in patients with advanced cervical cancer?. Gynecol Oncol. 2005;99:536–544
  26. Plante M, Roy M. Operative laparoscopy prior to a pelvic exenteration in patients with recurrent cervical cancer. Gynecol Oncol. 1998;69:94–99
  27. Robinson P, Carrington BM, Swindell R, Shanks JH, O’dwyer ST. Recurrent or residual pelvic bowel cancer: accuracy of MRI local extent before salvage surgery. Clin Radiol. 2002;57:514–522
  28. Taylor FG, Swift RI, Blomqvist L, Brown G. A systematic approach to the interpretation of preoperative staging MRI for rectal cancer. AJR Am J Roentgenol. 2008;191:1827–1835
  29. Strassburg J. Magnetic resonance imaging in rectal cancer: the MERCURY experience. Tech Coloproctol. 2004;8:s16–s18
  30. Menell JH, Chi DS, Hann LE, Hricak H. The use of MRI in the diagnosis and management of a bulky cervical carcinoma. Gynecol Oncol. 2003;89:517–521

PII: S0301-2115(09)00638-1

doi: 10.1016/j.ejogrb.2009.10.022

European Journal of Obstetrics & Gynecology and Reproductive Biology
Volume 148, Issue 2 , Pages 182-185 , February 2010

Article Tools