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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...

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Main Authors: Mohamad Nasir Shafiee,, Nazimah Idris,, Rushdan Mohd Noor,
Format: Article
Language:English
Published: Department of Surgery, UKM Medical Centre 2012
Online Access:http://journalarticle.ukm.my/5179/1/04-MS1056%2814-17%29.pdf
http://journalarticle.ukm.my/5179/
http://jsurgacad.com/
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spelling my-ukm.journal.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/
institution Universiti Kebangsaan Malaysia
building Perpustakaan Tun Sri Lanang Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Kebangsaan Malaysia
content_source UKM Journal Article Repository
url_provider http://journalarticle.ukm.my/
language English
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.
format Article
author Mohamad Nasir Shafiee,
Nazimah Idris,
Rushdan Mohd Noor,
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
author_facet Mohamad Nasir Shafiee,
Nazimah Idris,
Rushdan Mohd Noor,
author_sort Mohamad Nasir Shafiee,
title 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_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_sort role of computed tomography (ct) scan in assessment of the parametrial involvement in early stage cervical carcinoma
publisher Department of Surgery, UKM Medical Centre
publishDate 2012
url http://journalarticle.ukm.my/5179/1/04-MS1056%2814-17%29.pdf
http://journalarticle.ukm.my/5179/
http://jsurgacad.com/
_version_ 1643736338728484864
score 13.211869

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