臨床婦人科産科71巻4号

2017年04月発行

増刊号 産婦人科画像診断トレーニング─この所見をどう読むか？ 悪性腫瘍

症例：子宮頸がん➌

著者： 田中智人¹ 大道正英¹

所属機関： ¹大阪医科大学産婦人科学教室

ページ範囲：P.281 - P.284

この画像をどう読むか？

症例1

患者　43歳，1経妊0経産．

現病歴　子宮頸がんⅠB1期（扁平上皮癌）に対して手術予定．

FDG-PET/CT像を図1に示す．

症例2

患者　35歳，未経妊．

現病歴　子宮頸がんⅠB1期（腺癌）に対して手術予定．

FDG-PET/CT像を図2に示す．

Q　それぞれの画像から推定される診断は何か？

解答，解説は次のぺージに☞

参考文献

1）Choi HJ, et al : Comparison of the accuracy of magnetic resonance imaging and positron emission tomography/computed tomography in the presurgical detection of lymph node metastases in patients with uterine cervical carcinoma : a prospective study. Cancer 106 : 914─922, 2006

2）Sironi S, et al : Lymph node metastasis in patients with clinical early-stage cervical cancer : detection with integrated FDG PET/CT. Radiology 238 : 272─279, 2006

3）Park JY, et al : Comparison of the validity of magnetic resonance imaging and positron emission tomography/computed tomography in the preoperative evaluation of patients with uterine corpus cancer. Gynecol Oncol 108 : 486─492, 2008

4）Kitajima K, et al : Accuracy of integrated FDG-PET/contrast-enhanced CT in detecting pelvic and paraaortic lymph node metastasis in patients with uterine cancer. Eur Radiol 19 : 1529─1536, 2009

5）Chung HH, et al : Role of integrated PET-CT in pelvic lymph node staging of cervical cancer before radical hysterectomy. Gynecol Obstet Invest 67 : 61─66, 2009

6）Kitajima K, et al : Comparison of DWI and PET/CT in evaluation of lymph node metastasis in uterine cancer. World J Radiol 28 : 207─214, 2012

7）NCCN guidelines, cervical cncer. https://www.nccn.org/professionals/physician_gls/f_guidelines.asp

8）Tanaka T, et al : The detection of sentinel lymph nodes in laparoscopic surgery for uterine cervical cancer using 99m-technetium-tin colloid, indocyanine green, and blue dye. J Gynecol Oncol（in press）