Publication details
DIAGNOSTIKA RECIDIV GYNEKOLOGICKÝCH ZHOUBNÝCH NÁDORŮ
| Title in English | DIAGNOSIS OF GYNAECOLOGICAL RECURRENCES MALIGNANT TUMORS |
|---|---|
| Authors | |
| Year of publication | 2023 |
| Type | Article in Periodical |
| Magazine / Source | Moderní gynekologie a porodnictví |
| MU Faculty or unit | |
| Citation | |
| Web | https://www.levret.cz/texty/casopisy/mgp/ |
| Keywords | gynaecological malignancies |
| Attached files | |
| Description | Patients who have completed gynaecological malignancy treatment are regularly are followed up in cancer prevention centers for a minimum of 5 years for monitoring physical condition, side effects of treatment and detection of possible recurrence of the disease. The aim of the dispensary is secondary and tertiary prevention (in addition to early detection relapse and to detect possible secondary or duplicate malignancy). Accurate determination of extent of recurrent disease is necessary to determine treatment strategy and decisions, whether it can be managed surgically. However, there is debate over the importance of preventive examinations. Local recommendations tend to reflect the habits of the workplace and are not evidence-based. Most relapses are detected based on clinical symptoms between the second and third year after primary treatment. Often symptoms appear between scheduled appointments and patients should be educated about this issue. Yet up to half of them, despite having symptoms of recurrent disease do not see a physician before their scheduled check-up. Ultrasound is the imaging modality of first choice in the diagnosis of gynaecological recurrence tumors. As part of the follow-up at cancer prevention centres, the patient should undergo an expert ultrasound examination consisting of both transvaginal and transabdominal examination. The aim of this article is to provide a comprehensive overview of the diagnostic options for recurrent cancer not only on the basis of symptomatology and gynecological examination, serum markers, but also with the use of imaging methods. In addition to ultrasound, the we will also discuss other modern imaging modalities that can be used in oncogynecology examinations. |