CT diagnosis of recurrence after operation of early-stage cervical carcinoma
LI Xiang-sheng1, ZHOU Chun-wu2, DAI Jing-rui2, ZHAO Xin-ming2, JIANG Li-ming2
1.Department of CT, Air Force General Hospital of PLA, Beijing 100036, China;2.Department of Diagnostic Radiology, Cancer Hospital, Chinese Academy of Medical Sciences, Beijing 100021, China
Abstract：Objective: To investigate the typical and atypical CT manifestations of recurrent cervical carcinoma. Methods: 125 patients with recurrent cervical carcinoma, all received contrast spiral CT examination, were collected, and their CT manifestations were analyzed retrospectively. Results: There were 23 cases of local recurrence, of which 9 cases were located in vaginal cuff, 8 cases located in surgical bed, 5 cases located in pelvic side wall, one case located in anterior abdominal wall. They all appeared as irregular mass, of which 12 cases had obvious necrosis. There were 79 cases with lymph node metastasis, of which 6 cases had local recurrence simultaneously, 10 cases had distant metastasis simultaneously, 9 cases had both local recurrence and distant metastasis simultaneously. There were 23 cases of distant metastasis, of which 11 cases were of hepatic metastasis, 6 cases of pulmonary metastasis, 3 cases of adrenal metastasis, 2 cases of bone metastasis, 1 case of peritoneal metastasis. Conclusion: The most common appearance of recurrent cervical carcinoma is lymph node metastasis. CT can detect recurrent cervical carcinoma, and can demonstrate morphology and extent of the recurrent disease, which is of great value in diagnosis and determination of the extent of recurrence disease.
2007, Vol. 18 
