Vaginal cancer : Why should we care? Anatomy, staging and in-depth imaging-based review of vaginal malignancies focusing on MRI and PET/CT

Copyright © 2022 Elsevier Inc. All rights reserved..

Vaginal cancer often poses a challenge for clinical and radiological diagnosis, and its risk factors, progression, and treatment are still poorly established. Although vaginal malignancies are rare, even globally, their rates have increased due to the increased access to healthcare and the evolution of screening measures and diagnostic methods. Because the vaginal cavity is a virtual space, it can harbor lesions that often go unnoticed and, not infrequently, diagnosed belatedly. MRI and, more recently, PET/CT are part of the imaging armamentarium that have already been incorporated into the clinical staging and management of gynecological tumors, allowing excellent morphological characterization of the lesion, its topography and relationship with adjacent structures for the investigation of disease dissemination, overcoming limitations of clinical methods, such as speculum examination, usually restricted to observation only of the superficial characteristics of these lesions. Some vaginal neoplasms have characteristic MRI patterns, which, combined with expert knowledge of anatomy, allow identification of local macroscopic details (such as the mucosal, submucosal, and muscle layers). Furthermore, the application of PET/CT, already well established for identifying systemic disease, has a large impact on patient prognosis. The objective of this work is to review the epidemiological aspects of primary vaginal cancers and the imaging patterns of their main histological subtypes based on MRI and PET/CT, with a brief discussion of the local anatomy, oncological staging, and treatment.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:84

Enthalten in:

Clinical imaging - 84(2022) vom: 15. Apr., Seite 65-78

Sprache:

Englisch

Beteiligte Personen:

Albuquerque, Kamila Seidel [VerfasserIn]
Zoghbi, Karina Kuhl [VerfasserIn]
Gomes, Natália Borges Nunes [VerfasserIn]
Libânio, Bruna Brandão [VerfasserIn]
Souza E Silva, Tábata Xavit [VerfasserIn]
de Araújo, Eduardo Medeiros [VerfasserIn]
Lewin, Fabio [VerfasserIn]
Pedroso, Maria Helena Naves Inácio [VerfasserIn]
Torres, Ulysses S [VerfasserIn]
D'Ippolito, Giuseppe [VerfasserIn]
Racy, Douglas Jorge [VerfasserIn]
Bernardo, Graziela Campos Oliveira [VerfasserIn]

Links:

Volltext

Themen:

0Z5B2CJX4D
Cancer
Fluorodeoxyglucose F18
Imaging
Journal Article
MRI
Neoplasm
PET/CT
Review
Vagina

Anmerkungen:

Date Completed 08.03.2022

Date Revised 08.03.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.clinimag.2022.01.009

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM336832583