Atlas of Gynecologic Oncology Imaging

215 Pages·2014·25.558 MB·English

by  Hebert Alberto Vargas MD, Pier Luigi Di Paolo MD (auth.), Oguz Akin (eds.)

Oguz Akin
Editor
Atlas of
Gynecologic
Oncology Imaging
123
Atlas of Oncology Imaging
For further volumes:
http://www.springer.com/series/8759

Oguz Akin
Editor
Atlas of Gynecologic
Oncology Imaging
Editor
Oguz Akin, MD
Weill Medical College of Cornell University
New York , NY
USA
Department of Radiology
Body Imaging Service
Memorial Sloan-Kettering Cancer Center
New York , NY
USA
ISBN 978-1-4614-7211-7 ISBN 978-1-4614-7212-4 (eBook)
DOI 10.1007/978-1-4614-7212-4
Springer New York Heidelberg Dordrecht London
Library of Congress Control Number: 2013949540
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Foreword
Progress in cancer imaging is as relentless as the pounding of the waves against the seashore.
New techniques are constantly being added to the imaging armamentarium, and more and
more imaging biomarkers relevant to clinical decision-making are being discovered. As a
result, the radiologist’s job is daily becoming both more important and more challenging.
This Atlas of Gynecologic Oncology Imaging will be of value to radiologists and referring
physicians of all experience levels who seek to harness the growing powers of imaging for the
benefi t of patients.
Perhaps the most unique strength of this A tlas is that it was written entirely by gynecologic
imaging specialists who are members of the gynecologic oncology disease management team
at Memorial Sloan-Kettering Cancer Center (MSKCC). The text thus presents a coherent view
of the roles of standard and cutting-edge imaging techniques in gynecologic oncology,
developed in an institution with a multidisciplinary, team approach to cancer care.
Covering all modern cross-sectional modalities (CT, MRI, US, and PET), the A tlas
presents a rich array of images culled from MSKCC’s ample selection of straightforward and
challenging cases. It depicts normal anatomy as well as common gynecological tumors. For
each type of cancer, primary staging and recurrence patterns are illustrated. Also discussed is
the integration of fi ndings from different, yet complementary, imaging modalities. For every
cancer, at every stage of management, the authors list the pertinent fi ndings to include in the
radiology report. Throughout, the focus is on using imaging to inform the clinical
decision-making.
New York, NY, USA Hedvig Hricak, MD, PhD, Dr hc
New York, NY, USA Richard R. Barakat, MD
v

Contents
1 Ovarian Cancer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Hebert Alberto Vargas, Pier Luigi Di Paolo,
Asim Afaq, and Oguz Akin
2 Endometrial Cancer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Hebert Alberto Vargas, Pier Luigi Di Paolo,
Asim Afaq, and Oguz Akin
3 Cervical Cancer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
Irene A. Burger and Yulia Lakhman
4 Vaginal Cancer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105
Harpreet K. Pannu
5 Vulvar Cancer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133
Weining Ma
6 PET-CT Imaging in Gynecologic Malignancies . . . . . . . . . . . . . . . . . . . . . . . . . . . 157
Neeta Pandit-Taskar and Irene A. Burger
7 Image-Guided Intervention in Gynecologic Oncology. . . . . . . . . . . . . . . . . . . . . . 197
Duan Li
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 205
vii

Contributors
Asim Afaq , MD Department of Radiology, Memorial Sloan-Kettering Cancer Center,
New York, NY, USA
Oguz Akin , MD Weill Medical College of Cornell University, New York, NY, USA
Department of Radiology, Body Imaging Service, Memorial Sloan-Kettering Cancer Center,
New York, NY, USA
Irene A. Burger , MD Department of Radiology, University Hospital Zurich, Zurich,
Switzerland
Pier Luigi Di Paolo , MD Department of Radiology, Memorial Sloan-Kettering Cancer
Center, New York, NY, USA
Yulia Lakhman , MD Department of Radiology, Body Imaging Section,
Memorial Sloan-Kettering Cancer Center, Evelyn H. Lauder Breast Center,
New York, NY, USA
Duan Li , MD Department of Radiology, Memorial Sloan-Kettering Cancer Center,
New York, NY, USA
Weining Ma , MD Department of Radiology , Memorial Sloan-Kettering Cancer Center,
New York , NY, USA
Department of Radiology, NewYork-Presbyterian Hospital/Weill Cornell Medical Center
Diagnostic Radiology, New York, NY, USA
Neeta Pandit-Taskar , MD Department of Radiology, Memorial Sloan-Kettering Cancer
Center, New York, NY, USA
Harpreet K. Pannu, MD Department of Radiology, Memorial Sloan-Kettering Cancer
Center, New York, NY, USA
Hebert Alberto Vargas, MD Department of Radiology, Memorial Sloan-Kettering Cancer
Center, New York, NY, USA
ix