A retrospective analysis comparing clinical staging with magnetic resonance imaging staging in patients with cervical cancer

Authors

  • John Sauer Tygerberg Hospital and University of Stellenbosch
  • Hannah Simonds University of Cape Town
  • Haynes Van der Merwe Tygerberg Hospital and University of Stellenbosch
  • Reetha Hattingh Tygerberg Hospital and University of Stellenbosch

Keywords:

cervix cancer, MRI, surgical staging

Abstract

This single-institution retrospective study compares the accuracy of clinical and magnetic resonance imaging (MRI) staging of cervical cancer. For patients who underwent surgery, MRI and clinical staging were compared to final pathological stage. Pathological stage was utilised as the reference standard. One hundred and twenty-eight patients underwent MRI and 45 proceeded to surgery. There was concurrence between MRI staging and pathological stage in only 29.3% of patients. MRI overestimated staging in 53.6% of the patients, and underestimated staging in 17.1%. The comparison between clinical staging and pathological stage indicated concurrences in 43.9% of the patients. Stage was overestimated in 19.5% and was underestimated in 36.6%. There was no statistically significant difference between the two staging options.

Author Biographies

  • John Sauer, Tygerberg Hospital and University of Stellenbosch
    MBChB, MMED (RadOnc) Division of Radiation Oncology Department of Medical Imaging and Clinical Oncology Tygerberg Hospital and University of Stellenbosch
  • Hannah Simonds, University of Cape Town
    MBChB, MRCP, FRCR Division of Radiation Oncology Department of Medical Imaging and Clinical Oncology Tygerberg Hospital and University of Stellenbosch; and Department of Radiation Oncology Groote Schuur Hospital and University of Cape Town
  • Haynes Van der Merwe, Tygerberg Hospital and University of Stellenbosch
    MBChB, MMed(O&G), FCOG Division of Radiation Oncology Department of Medical Imaging and Clinical Oncology Tygerberg Hospital and University of Stellenbosch
  • Reetha Hattingh, Tygerberg Hospital and University of Stellenbosch
    MBChB, MMed (Rad) Division of Radiation Oncology Department of Medical Imaging and Clinical Oncology Tygerberg Hospital and University of Stellenbosch

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Published

2013-02-17

Issue

Vol. 5 No. 1 (2013)

Section

Original Research

License

South African Journal of Gynaecological Oncology (SAJGO) Copyright is held by South African Society of Gynaecologic Oncology (SASGO). Copyright of the articles is held by the authors. The work is licensed under a Creative Commons Attribution-Non-Commercial Works 4.0 South Africa License (CC BY NC). Material submitted for publication in the SAJGO is accepted provided it has not been published elsewhere. The SAJGO does not hold itself responsible for statements made by the authors. The opinions expressed in this publication are those of the authors. They do no purport to reflect the opinions or views of SASGO or its members.