Ultrasonography in assessing the cervical cancer extent

Y A Smirnov; T M Bogacheva; R G Valeev

doi:10.17816/KMJ1699

Kazan medical journal ›› 2012, Vol. 93 ›› Issue (5) : 735 -738. DOI: 10.17816/KMJ1699

Theoretical and clinical medicine

research-article

Ultrasonography in assessing the cervical cancer extent

Author information +

History +

PDF

Abstract

Aim. To study the potentials of complex ultrasonography in assessing the extent of cervical cancer, defining typical ultrasonographic features of cervical cancer. Methods. 75 patients with the diagnosis of morphologically confirmed cervical cancer were examined. Continuous sampling method was used to recruit the patients. Patients underwent transabdominal, transvaginal and transrectal ultrasonography with the use of color Doppler and power Doppler modes. Results. 57 (76,5%) patients were diagnosed with squamous cell non-keratinous carcinoma, 12 (16%) - with squamous cell keratinous carcinoma, 6 (8%) - with adenocarcinoma. 43 (57,3%) patients had cancer stages I-II, 32 (42,7%) - cancer stages III-IV. The certain features of ultrasonographic images were found at different stages of cervical cancer. At cancer stage I the most typical findings were: low echogenicity area, diffuse heterogeneity of stroma, area of hypervascularity at the place of cervical cancer. Increased blood flow at the cancer site is typical for cervical cancer because of tumor vasculature hyperplasia and neoangiogenesis, the increase in number of blood vessels is proportional to tumor size. Cervix hypertrophy, fuzzy and irregular contouring, no flexion angle between the fundus and cervix were characteristic for cervical cancer stages II-III. Corpus uteri echo-structure at the tumor site portrays the tumor structure. Infiltrates in parametrium can be seen. At stage IV tumor spreads to urine bladder and rectum walls. In advanced stages uretеrs can be involved, pyelectasis and ureterectasis can develop. Conclusion. Complex ultrasonography allows to diagnose cervical cancer quite reliably and to estimate the extent of cervical cancer.

Keywords

cervical cancer / ultrasonography / Doppler ultrasonography

Cite this article

Download citation ▾

Y A Smirnov, T M Bogacheva, R G Valeev. Ultrasonography in assessing the cervical cancer extent. Kazan medical journal, 2012, 93(5): 735-738 DOI:10.17816/KMJ1699

登录浏览全文

4963

注册一个新账户忘记密码

References

Publishing order | Descend order by publishing year | Descend order by cited within

[1]	Валиахметова Ч.Х., Пушкарёв В.А., Решетова Л.А., Тарасова Т.Ю. Эпидемиология и профилактика рака шейки матки в Республике Башкортостан // Креативн. онкол. и хирург. Электрон. науч.-практ. ж. - http://eoncosurg.com/?p=1190.

[2]	Зыкин Б.И., Медведев М.В. Допплерография в гинекологии. - М.: Реальное время, 2000. - С. 69-86.

[3]	Исамухамедова М.А., Мамадалиева Я.М., Халиков С. Значение эхографии в оценке степени распространённости рака шейки матки III-IV стадии // Ультразв. и функционал. диагност. - 2000. - №2. - С. 155.

[4]	Кулаков В.И., Паавонен Й., Прилепская В.Н. Профилактика рака шейки матки. Руководство для врачей. - М.: МЕДпресс-информ, 2008. - 56 с.

[5]	Куковенко Е.М., Саркисов С.Э. Возможности трансвагинального ультразвукового исследования и цервикогистероскопии в диагностике полипов цервикального канала // Ультразв. диагн. - 2003. - №1. - С. 41-46.

[6]	Митьков В.В., Медведев М.В. Клиническое руководство по ультразвуковой диагностике. - М.: Видар, 1997. - Т. 3. - С. 222-225.

[7]	Медведев М.В., Зыкин Б.И., Хохолин В.Л., Стручкова Н.Ю. Дифференциальная ультразвуковая диагностика в гинекологии. - М.: Видар, 1997. - С. 63.

[8]	Фёдорова Е.В., Липман А.Д. Применение цветового допплеровского картирования и допплерометрии в гинекологии. - М.: Видар, 2002. - 100 с.

[9]	Чекалова М.А., Зуев В.М. Ультразвуковая диагностика в онкогинекологии. - М.: Русский врач, 2004. - С. 36-38.