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Стадирование является важнейшим этапом обследования больных раком шейки матки (РШМ), так как позволяет выбрать метод лечения и определить прогноз заболевания. В последнее время клиническое стадирование все чаще дополняют томографическими методами (КТ и МРТ). Это обусловлено способностью томографических методов, особенно МРТ, улучшить оценку анатомических структур таза, вовлекаемых в опухолевый процесс при распространении РШМ. В данной работе обсуждаются клиническое значение МРТ-стадирования РШМ, методические особенности проведения МРТ таза при стадировании РШМ и МРкритерии оценки распространенности процесса у больных РШМ
Ключевые слова:
рак шейки матки, МРТ-стадирование, методические особенности.
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Assessment of tumor stage plays the most important role in pretreatment examination of cervical cancer (CC), it is necessary for choice of the strategy of treatment and prognosis of the outcome. Recently, clinical staging is commonly supplemented with radiological methods (CT and MRI). The methods, especially MRI, allow making more precise assessment of anatomical structures of pelvis, involved in tumor process during the CC spread. In this article we discuss the clinical value of MRI in CC staging, methodological aspects of MRI of pelvis, and the MRI criterions of estimation of tumor spreading in patients with CC.
Keywords:
cervical carcinoma, MRIstaging, methodology.