The cervical cancer is common gynecological cancer in developing countries.
Women infected with HPV have increased risk to develop cancer cervix.
Squamous-cell carcinoma (SCC) is the most common type according to histopathologic examination of this cancer. Extension of cervical cancer is based on clinical examination and radiology according to International Federation of Gynecology and Obstetrics (FIGO) staging.
Magnetic resonance imaging (MRI) is used to diagnose locoregional spread of cervical cancer.
Ttransvaginal ultrasound (TVUS) or transrectal ultrasound (TRUS) when performed by ultrasound-trained gynecologists may also provide accurate and detailed information on locoregional tumor spread .Transvaginal/transrectal ultrasound (TVUS/TRUS) has the advantage of being readily available at low cost and performed by the treating gynecologist.
AIM OF THE WORK
The aim of this study was to determine the diagnostic accuracy of ultrasound examination when compared to MRI in the evaluation of parametrium invasion in cervical cancer.
PATIENTS AND METHODS
PATIENTS:
The study included fifty patients proved to have cervical carcinoma by prior cervical biopsy and histopathologic examination at oncology unit of the Department of Obstetrics and Gynecology of Shatby Maternity university hospital, Alexandria, Egypt. The study protocol was approved by the Ethics Committee of faculty of medicine, Alexandria University.
Exclusioncriteria were
• Cases who had Contraindications to MRI. (Metallic implants- Claustrophobia- Pacemakers-Contrast allergy- Body weight).
• Recurrent cervical cancer.
• Past history of radio-chemotherapyrelated to cancer cervix.