PRİMER VAJİNAL KANSERDE VAJİNAL SU-BAZLI JEL YARDIMLI MANYETİK REZONANS GÖRÜNTÜLEME

Year 2016, Volume: 19 Issue: 3, 117 - 120, 21.05.2018

Yasin Durmuş Derman Başaran , Alper Karalök Günsu Kimyon Cömert İsmet Çiğdem Kılıç Osman Türkmen Ahmet Taner Turan Nurettin Boran

Abstract

İki vajinal squamoz hücreli karsinom olgusunun, vajene su-bazlı jel doldurularak alınan manyetik rezonans görüntülemelerinin, genel
anestezi altında yapılan fizik muayene bulgularına yapabileceği ek katkıları değerlendirdik. Sunduğumuz iki olgu da genel anestezi altında
yapılan fizik muayeneye göre evre 1 olarak değerlendirildi. Ardından her iki hastaya da vajene su-bazlı jel ile doldurup vajen duvarlarının
kollapsını engelleyen, bu sayede vajendeki tümör anatomisini ve yayılımını daha iyi gösteren bir teknikle manyetik rezonans
görüntüleme(MRG) yapıldı. Olgulardan birinin MRG bulgularında subvajinal dokulara infiltrasyon izlendi. Bu nedenle bu hastada cerrahi
tedaviden vazgeçtik ve primer kemoradyasyon ile tedaviye karar verdik. Vajinal su-bazlı jel ile yapılan pelvik MRG’nin vajinal kanser
olgularında tümör anatomisini ve paravajinal dokulara infiltrasyonu göstermede genel anestezi altında yapılan fizik muayeneye üstün
olduğuna ve bu nadir jinelkolojik kanserlerin daha ideal yönetimine katkı sağlayacağına inanmaktayız.  

Keywords

Vajinal kanser, Manyetik rezonans görüntüleme, Su-bazlı jel

MAGNETIC RESONANCE IMAGING GUIDES THE MANAGEMENT OF PRIMARY VAGINAL CANCER

Abstract

We report two cases of vaginal squamoz cell carcinoma with magnetic resonance imaging findings. Both of the patients were staged as
stage 1 with physical examination findings under general anesthesia. We performed magnetic resonance imaging for these patients filling
water-based gel to their vagina during the scan for preventing collapse of vaginal walls so that we could reveal the tumor anatomy and
extension more accurately. One of the patients MRI findings showed an infiltration through subvaginal tissues. So we abandoned surgical
treatment for this patient and choose radiotherapy. We think that, pelvic MRI performed with vaginal water-based gel can demonstrate
tumor infiltration to paravaginal tissues better than physical examination, which helps well-directed management of this rare gynecological
cancer

Keywords

Vaginal cancer, Magnetic resonance imaging, Water-based gel

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