Integration of PET/CT Into the Preoperative Evaluation of Patients With Early Cervical Cancer Does Not Decrease the Proportion of Patients With Positive Lymph Nodes Found After Surgery. Issue 8 (1st October 2014)

• Record Type: Journal Article
• Authors: Gemer, Ofer; Eitan, Ram; Gdalevich, Michael; Mamanov, Ala; Piura, Benjamin; Rabinovich, Alex; Levavi, Hanoch; Saar-Ryss, Bozhena; Halperin, Reuvit; Finci, Shahar; Beller, Uzi; Bruchim, Ilan; Levy, Tally; Ben-Shachar, Inbar; Meirovitz, Amichai; Arie, Alon Ben; Lavie, Ofer
• Is Part Of: International journal of gynecological cancer. Volume 24:Issue 8(2014)
• Page Start: 1461
• Page End: 1465
• Publication Date: 2014-10-01
• Subjects: Cervical cancer -- PET/CT -- Surgery -- Lymph nodes; Generative organs, Female -- Cancer -- Periodicals; 616.99465
• DOI: 10.1097/IGC.0000000000000251
• Languages: English
• ISSNs: 1048-891X

Abstract

Abstract : Purpose: The aim of this study was to evaluate whether preoperative positron emission tomography/computed tomography (PET/CT) in patients with early-stage cervical carcinoma reduced the proportion of patients with metastatic lymph nodes identified after surgery. Patients and Methods: This is a multicenter case-control study of 599 patients with early cervical cancer who underwent radical hysterectomy and pelvic lymphadenectomy at 1 of 10 gynecological oncology units in Israel. The patients were divided into 2 groups according to whether or not they underwent a preoperative PET/CT. The primary outcome was the proportion of patients with nodal involvement. The 2 groups were compared with regard to the clinical and histological variables. Results: Of the 599 patients who underwent surgery, 180 (36%) had preoperative PET/CT study. There were no significant differences between the PET/CT and control groups with regard to clinical and histological risk factors. The proportion of patients with involved nodes was similar in the control and PET/CT groups (20.8% vs 19%; P = 0.73) as well as the proportion of patients receiving adjuvant radiotherapy/chemoradiation (58.3% vs 55.1%; P = 0.55). Conclusions: Preoperative PET/CT in patients with early cervical cancer does not reduce proportion of patients with metastatic nodal involvement and the employment of multimodality treatment. Prospective clinical trials comparing management based on PET/CT findings are warranted.