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Reliability of magnetic resonance imaging for bladder or rectum invasion in cervical cancer.

Kim, WY; Chang, SJ; Chang, KH; Yoo, SC; Lee, EJ; Ryu, HS
The Journal of reproductive medicine, 56(11-12):485-490, 2011
Journal Title
The Journal of reproductive medicine
OBJECTIVE: To find out whether a negative finding on magnetic resonance imaging (MRI) can rule out bladder or rectum mucosal invasion safely without cystoscopy or sigmoidoscopy.

STUDY DESIGN: We retrospectively reviewed the medical records of patients with cervical cancer between January 2005 and December 2009. MRI findings on bladder or rectum were classified as follows: (1) definite evidence of mucosal invasion, (2) suggestive of mucosal invasion or (3) no evidence of mucosal invasion. We correlated MRI findings with the cystoscopy and sigmoidoscopy findings.

RESULTS: A total of 257 patients were enrolled in this study. Sixteen patients had at least suspicious bladder invasion, and 1 patient had definite rectal invasion on MRI. Of these 17 patients, 6 patients had actual bladder mucosa invasion, and 1 patient had rectal mucosa invasion. The remaining 240 had negative MRI, cystoscopy and sigmoidoscopy findings. The MRI sensitivity, specificity, positive predictive value, negative predictive value and accuracy of bladder or rectum mucosal invasion were 100%, 96.0%, 41.25%, 100% and 96.1%, respectively.

CONCLUSION: Skipping cystoscopy or sigmoidoscopy based on the absence of invasion on MRI is safe enough without concern for understaging.
MeSH terms
AdultAgedAged, 80 and overCystoscopyFemaleHumans*Magnetic Resonance ImagingMiddle AgedNeoplasm MetastasisNeoplasm StagingRectal Neoplasms/*secondaryRepublic of Korea/epidemiologyRetrospective StudiesSensitivity and SpecificitySigmoidoscopyUrinary Bladder Neoplasms/*secondaryUterine Cervical Neoplasms/epidemiology/etiology/*pathologyYoung Adult
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Obstetrics & Gynecology
Journal Papers > School of Medicine / Graduate School of Medicine > Medical Science
Journal Papers > School of Medicine / Graduate School of Medicine > Radiology
AJOU Authors
장, 석준장, 기홍유, 승철이, 은주유, 희석
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