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/ http://journalarticle.ukm.my/5179/ http://journalarticle.ukm.my/5179/1/04-MS1056%2814-17%29.pdf

id	ukm-5179
recordtype	eprints
spelling	ukm-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/
repository_type	Digital Repository
institution_category	Local University
institution	Universiti Kebangasaan Malaysia
building	UKM Institutional Repository
collection	Online Access
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/ http://journalarticle.ukm.my/5179/ http://journalarticle.ukm.my/5179/1/04-MS1056%2814-17%29.pdf
first_indexed	2023-09-18T19:43:34Z
last_indexed	2023-09-18T19:43:34Z
_version_	1777405750585327616

The Role of Computed Tomography (CT) Scan in Assessment of the Parametrial Involvement in Early Stage Cervical Carcinoma

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