화학요법 전과 후의 자궁경부암의 자기공명영상
- Author(s)
- 김정식; 서수지; 최태진; 이태성; 서영욱
- Keimyung Author(s)
- Kim, Jung Sik; Suh, Soo Jhi; Choi, Tae Jin; Lee, Tae Sung; Suh, Young Wook
- Department
- Dept. of Radiology (영상의학)
Dept. of Medical Biophysics Engineering (의공학과)
Dept. of Obstetrics & Gynecology (산부인과학)
- Journal Title
- 대한방사선의학회지
- Issued Date
- 1992
- Volume
- 28
- Issue
- 6
- Abstract
- To evaluate usefulness of MR in assessment of tumor response to the chemotheraphy, we prospectively studied cases of cervical carcinoma with more than 2.5cm in diameter or stage IIb or more. Three courses of chemotherapy were performed with cisplatin and 5 F-U. MR images were obtained both before and after chemotherapy. Nine of 13 patients were undertaken radical hysterectomy after chemotherapy and MR examination. MR volumetry, stage and depth of stromal invasion were compared before and after chemotherapy. And in 9 patients who underwent radical hysterectomy, comparison of pathologic and MR imaging findings were also done. The results were following:
1) All tumors dectrased in volume (m = 80.5%).
2) Five tumors (38.5%) reduced in stage, IB → CIS (1); IIA → CIS (1), IIA → IB (2), IIB → IB (1).
3) Depth of stromal invasion in MRI correlated well with that of histo-pathologic specimen in 7 of the 9 patients.
Conclusively MR imaging is useful in assessement of tumor response to chemotherapy.
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