Imaging in gynaeoncology

Question 1

First line imaging for patient attending with possible cervical cancer recurrence

Answer 1

MRI (better at delineating between active cancer and fibrosis)

Question 2

First line imaging for staging in cervical cancer

Answer 2

MRI for local invasion and lymph node involvement, CT for distant metastases

Question 3

Role of MRI in endometrial cancer

Answer 3

Preoperative risk stratification (extent of invasion and lymph node involvement)

Question 4

Imaging for staging cervical cancer

Answer 4

MRI - local invasion and lymph nodes

CT for distant metastases

Question 5

Which imaging is recommended for staging in ovarian cancer?

Answer 5

CT scan

Question 6

Role of MRI in ovarian cancer

Answer 6

Determining between malignant and benign ovarian disease in patients with indeterminate adenexal mass

Question 7

Role of ultrasound in ovarian cancer

Answer 7

In calculation of risk of malignancy index

Question 8

Which imaging modality is recommended for assessing a patient for suspected recurrence of ovarian cancer?

Answer 8

CT

Question 9

Role of MRI in vulval or vaginal cancer?

Answer 9

Pre-operative risk stratification (assessment of extent of local invasion and lymph node involvement)

Question 10

What proportion of women with postmenopausal bleeding have endometrial cancer?

Answer 10

10%

Question 11

In a patient on sequential HRT, when should TVUSS be performed to assess ET?

Answer 11

In the first half of the cycle when the endometrium is the thinness

Question 12

Which type of cervical cancer avidly uptakes FDG?

Answer 12

Squamous cell (NOT ADENOCARCINOMA)

Question 13

Which imaging modality is first line for assessing recurrence in endometrial cancer?

Answer 13

CT/PET