Journal of the Korean Society of Radiology (대한영상의학회지)

The Korean Society of Radiology (대한영상의학회)
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Uterine Cervical Cancer: Emphasis on Revised FIGO Staging 2018 and MRI

자궁경부암: 개정된 2018 FIGO 병기와 자기공명영상을 중심으로

  • Weon Jang (Department of Radiology, Jeonbuk National University Hospital) ;
  • Ji Soo Song (Department of Radiology, Jeonbuk National University Hospital)
  • 장원 (전북대학교병원 영상의학과) ;
  • 송지수 (전북대학교병원 영상의학과)
  • Received : 2021.06.14
  • Accepted : 2021.09.17
  • Published : 2021.09.01
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Abstract

Uterine cervical cancer is a common gynecological cancer prevalent in Korea. Early detection, precise diagnosis, and appropriate treatment can affect its prognosis. Imaging approaches play an important role in staging, treatment planning, and follow-up. MRI specifically provides the advantage of assessing tumor size and disease severity with high soft tissue contrast. The revised version of the International Federation of Gynecology and Obstetrics (FIGO) staging system has been introduced in 2018, which incorporates subdivided primary tumor size and lymph node metastasis. In this review, the staging of uterine cervical cancer based on previous studies, the recently revised FIGO staging, and various post-treatment images are primarily described using MRI.

자궁경부암(uterine cervical cancer)은 발생 빈도가 높은 부인암 중 하나로서 병변의 조기발견과 정확한 병기설정 및 치료가 예후에 큰 영향을 미치며 영상 검사는 병기설정 및 치료계획과 추적 관찰에 있어 중요한 역할을 하고 있다. 특히 자기공명영상은 높은 연부 조직의 대조도를 통해 병변의 크기와 침범 정도를 파악하는 데 유용하다. 2018년 국제 산부인과 학회(International Federation of Gynecology and Obstetrics; 이하 FIGO)에서 병기설정이 개정되었으며, 원발종양의 크기를 세분화하고 림프절 전이를 포함하게 되었다. 본 종설에서는 이전 연구 및 최근 개정된 FIGO 병기를 바탕으로 한 자궁경부암의 병기설정과 여러 가지 치료 후 영상에 대해 자기공명영상 소견을 중심으로 기술하고자 한다.

Keywords

References

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