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Updated: Jan 21, 2026
05:52
Sentinel Lymph Node Mapping and Biopsy for Endometrial Cancer at Early Stage with Laparoscopy
Published on: August 19, 2021
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Imaging and Staging of Endometrial Cancer
S C Faria1, C E Devine1, B Rao1
1Department of Diagnostic Radiology, The University of Texas M. D. Anderson Cancer Center, Houston, TX.
Seminars in Ultrasound, CT, and MR
|August 4, 2019
Summary
Accurate imaging is crucial for staging endometrial cancer, the most common female pelvic cancer. Advanced techniques like MRI help assess disease extent, guide treatment, and monitor for recurrence.
Area of Science:
- Gynecologic Oncology
- Radiology
- Medical Imaging
Background:
- Endometrial carcinoma is the most common female pelvic malignancy in the US.
- Accurate staging is vital for treatment planning and predicting outcomes in gynecologic malignancies.
- Preoperative imaging aids in assessing local disease extent and detecting distant metastases.
Purpose of the Study:
- To review the role of various imaging modalities in the staging of endometrial cancer.
- To highlight how imaging influences treatment decisions and patient management.
- To discuss the utility of imaging in monitoring treatment response and detecting recurrence.
Main Methods:
- Review of established and emerging imaging techniques for endometrial cancer staging.
- Discussion of transvaginal ultrasound, computed tomography (CT), and magnetic resonance imaging (MRI).
- Inclusion of positron emission tomography/computed tomography (PET/CT) and positron emission tomography/magnetic resonance imaging (PET/MRI).
Main Results:
- Cross-sectional imaging, particularly MRI, can identify myometrial invasion and cervical stromal involvement, potentially altering management.
- Imaging evaluates lymph node status and detects local and distant metastatic disease at diagnosis.
- Imaging is essential for post-treatment monitoring and early detection of recurrent endometrial cancer.
Conclusions:
- Preoperative imaging is indispensable for comprehensive staging of endometrial cancer.
- Advanced imaging techniques improve the accuracy of disease assessment, guiding optimal therapeutic strategies.
- Imaging plays a critical role throughout the patient care continuum, from diagnosis to surveillance.
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