Letter to the editor (Scientific journals)
Staging of primary cervical cancers: the role of nuclear medicine
Belhocine, Tarik; Kridelka, Frédéric; Thille, Alain et al.
2003In Critical Reviews in Oncology/Hematology, 46 (3), p. 275-284
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Keywords :
cervical cancer; positron emission tomography; F-18-fluorodeoxyglucose; lymphatic mapping; sentinel lymphadenectomy
Abstract :
[en] In nuclear medicine, [F-18]-fluorodeoxyglucose positron emission tomography ((18)FDG PET) and lymphatic mapping and sentinel lymphadenectomy (LM/SL) may significantly improve the staging of primary cervical cancers. Indeed, the disease progresses in a 'level by level' fashion to regional nodes through the lymphatic channels, and also to extra-nodal sites via the hematogenous stream. Additionally, the sub-optimal efficacy of routine radiological protocols, while new combined therapies are proving to be more efficient, stresses the need for alternative staging procedures. Current data suggest that LM/SL accurately reflects the regional lymph node status in early stage cervical cancers, and thus could avoid unnecessary complete lymphadenectomies. Also, whole body (18)FDG PET may provide valuable insights on extra-pelvic and distant tumor spreading, with a significant impact on treatment choices. If these promising results are confirmed on large controlled trials, LM/SL and (18)FDG PET imaging could be incorporated in the routine staging work-up of primary cervical cancers. (C) 2003 Elsevier Science Ireland Ltd. All rights reserved.
Disciplines :
Oncology
Hematology
Author, co-author :
Belhocine, Tarik
Kridelka, Frédéric ;  Université de Liège - ULiège > Département des sciences cliniques > Gynécologie et obstétrique
Thille, Alain ;  Centre Hospitalier Universitaire de Liège - CHU > Imagerie médicale
De Barsy, Caroline
Foidart-Willems, Jacqueline
Hustinx, Roland  ;  Université de Liège - ULiège > Département des sciences cliniques > Médecine nucléaire
Rigo, Pierre ;  Université de Liège - ULiège > Département des sciences de la motricité > Pathologie générale et médecine nucléaire
Language :
English
Title :
Staging of primary cervical cancers: the role of nuclear medicine
Publication date :
June 2003
Journal title :
Critical Reviews in Oncology/Hematology
ISSN :
1040-8428
eISSN :
1879-0461
Publisher :
Elsevier Science Inc, New York, United States - New York
Volume :
46
Issue :
3
Pages :
275-284
Peer reviewed :
Peer Reviewed verified by ORBi
Available on ORBi :
since 03 February 2009

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