The Role of Computed Tomography (CT) Scan in Assessment of the Parametrial Involvement in Early Stage Cervical Carcinoma
This retrospective study is aimed at evaluating the role of CT scan in predicting parametrium involvement in early stage of cervical carcinoma. It was conducted in a Gynaecologic Oncology Centre, Hospital Alor Star from January 2004 till December 2008. All patients with operable stage I and II cervi...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Department of Surgery, UKM Medical Centre
2012
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| Online Access: | http://journalarticle.ukm.my/5179/1/04-MS1056%2814-17%29.pdf |
| _version_ | 1825725503063982080 |
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| author | Mohamad Nasir Shafiee, Nazimah Idris, Rushdan Mohd Noor, |
| author_facet | Mohamad Nasir Shafiee, Nazimah Idris, Rushdan Mohd Noor, |
| author_sort | Mohamad Nasir Shafiee, |
| collection | UKM |
| description | This retrospective study is aimed at evaluating the role of CT scan in predicting parametrium involvement in early stage of cervical carcinoma. It was conducted in a Gynaecologic Oncology Centre, Hospital Alor Star from January 2004 till December 2008. All patients with operable stage I and II cervical cancer had pelvic CT scan for evaluation of parametrium involvement before undergoing radical hysterectomy and pelvic lymphadenectomy. Parametrial streakiness or presence of infiltration suggested local invasion. Following radical hysterectomy, the specimens sent for histological confirmation and the correlation between the CT scan finding and the histopathology result was studied. The result revealed a total of 104 patients with operable stage cervical carcinoma had pelvic CT scan. The sensitivity and the specificity of CT scan in assessing parametrial involvement was 33.3% and 84.8%, respectively. In conclusion, CT scan had high specificity but low sensitivity in determining parametrial involvement in early stage of cervical cancer. Hence, routine preoperative pelvic CT scan has a limited role in assessing parametrial involvement in early stage cervical carcinoma. |
| first_indexed | 2024-03-06T03:56:26Z |
| format | Article |
| id | ukm.eprints-5179 |
| institution | Universiti Kebangsaan Malaysia |
| language | English |
| last_indexed | 2024-03-06T03:56:26Z |
| publishDate | 2012 |
| publisher | Department of Surgery, UKM Medical Centre |
| record_format | dspace |
| spelling | ukm.eprints-51792016-12-14T06:37:48Z http://journalarticle.ukm.my/5179/ The Role of Computed Tomography (CT) Scan in Assessment of the Parametrial Involvement in Early Stage Cervical Carcinoma Mohamad Nasir Shafiee, Nazimah Idris, Rushdan Mohd Noor, This retrospective study is aimed at evaluating the role of CT scan in predicting parametrium involvement in early stage of cervical carcinoma. It was conducted in a Gynaecologic Oncology Centre, Hospital Alor Star from January 2004 till December 2008. All patients with operable stage I and II cervical cancer had pelvic CT scan for evaluation of parametrium involvement before undergoing radical hysterectomy and pelvic lymphadenectomy. Parametrial streakiness or presence of infiltration suggested local invasion. Following radical hysterectomy, the specimens sent for histological confirmation and the correlation between the CT scan finding and the histopathology result was studied. The result revealed a total of 104 patients with operable stage cervical carcinoma had pelvic CT scan. The sensitivity and the specificity of CT scan in assessing parametrial involvement was 33.3% and 84.8%, respectively. In conclusion, CT scan had high specificity but low sensitivity in determining parametrial involvement in early stage of cervical cancer. Hence, routine preoperative pelvic CT scan has a limited role in assessing parametrial involvement in early stage cervical carcinoma. Department of Surgery, UKM Medical Centre 2012 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/5179/1/04-MS1056%2814-17%29.pdf Mohamad Nasir Shafiee, and Nazimah Idris, and Rushdan Mohd Noor, (2012) The Role of Computed Tomography (CT) Scan in Assessment of the Parametrial Involvement in Early Stage Cervical Carcinoma. Journal of Surgical Academia, 2 (1). pp. 14-17. ISSN 2231-7481 http://jsurgacad.com/ |
| spellingShingle | Mohamad Nasir Shafiee, Nazimah Idris, Rushdan Mohd Noor, The Role of Computed Tomography (CT) Scan in Assessment of the Parametrial Involvement in Early Stage Cervical Carcinoma |
| title | The Role of Computed Tomography (CT) Scan in Assessment of the Parametrial Involvement in Early Stage Cervical Carcinoma |
| title_full | The Role of Computed Tomography (CT) Scan in Assessment of the Parametrial Involvement in Early Stage Cervical Carcinoma |
| title_fullStr | The Role of Computed Tomography (CT) Scan in Assessment of the Parametrial Involvement in Early Stage Cervical Carcinoma |
| title_full_unstemmed | The Role of Computed Tomography (CT) Scan in Assessment of the Parametrial Involvement in Early Stage Cervical Carcinoma |
| title_short | The Role of Computed Tomography (CT) Scan in Assessment of the Parametrial Involvement in Early Stage Cervical Carcinoma |
| title_sort | role of computed tomography ct scan in assessment of the parametrial involvement in early stage cervical carcinoma |
| url | http://journalarticle.ukm.my/5179/1/04-MS1056%2814-17%29.pdf |
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