[Value of computerized tomography for the assessment of the parametrium in cervical cancer]

The clinical and CT appearances of the parametrium in 79 patients with carcinoma of the cervix were compared with the histological findings obtained at surgery. The accuracy of CT in stages T1/T2a was 46.6%, in category T2b 64.9% and in category T3b 66.6%. Clinical examination showed fewer errors. CT does not contribute to the evaluation of infiltration of the parametrium from carcinoma of the cervix, nor can it correct the findings on palpation. Tumour infiltration and operability are not demonstrated with sufficient accuracy by CT.