MCQ Radiology Answer 13

Explanation:

Endometrial carcinoma is the most common gynaecological malignancy, followed by cervical carcinoma. Most of them present early, 75-80% in stage I, and have a good prognosis. Endometrial carcinoma accounts for 7-14% of post menopausal bleeding. FIGO staging is surgical and pathological based as clinical staging is inaccurate. FIGO does not consider imaging in the staging. However, the role of MRI in the diagnosis of myometrial and cervical invasion is increasing recognised. The incidence of nodal involvement is 3% with stage IB and 40% with stage IC and MRI may play an important role in this. Lymphadenectomy is done for Grade I/II with more than 50% myometrial invasion and for all grade III disease.A large randomised ASTEC (A Study in the Treatment of Endometrial Cancer) is being carried out to address role of lymhadenectomy and post-operative radiotherapy.

Category: Radiology MCQs