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- Title
Imaging in Vulval Cancer.
- Authors
Ha, Minah; Eva, Lois
- Abstract
Simple Summary: Vulval cancer is a rare gynaecological cancer, accounting for 3% of all gynaecological malignancies. The aim of this publication was to review the current evidence for the role of imaging in the diagnosis and staging of vulval cancer. We found that there is insufficient evidence to support the routine use of imaging for the assessment of primary vulval tumours. For nodal staging, there is no ideal imaging modality that shows superiority over other modalities. For the assessment of distant metastases, CT CAP and PET/CT have the most evidence supporting their use. Vulval cancer is a rare gynaecological cancer, accounting for 3% of all gynaecological malignancies, with 47,000 cases in 2022 globally. Various imaging modalities are widely used in conjunction with clinical assessment in the diagnosis and staging of vulval cancers; however, there is significant heterogeneity in which modalities are recommended in international guidelines, reflecting the paucity of evidence in this area. We reviewed the current evidence for the role of imaging in vulval cancer. A systematic search of the literature was performed on the PubMed database using the MeSH terms 'vulval neoplasm' and 'diagnostic imaging'. We found that there is insufficient evidence to support the routine use of imaging for primary vulval tumours. For nodal assessment, there is no ideal imaging modality with sensitivity or specificity that is superior to other modalities. For distant metastases, CT CAP and FDG-PET/CT have the most evidence to support their use. In conclusion, the evidence for role of imaging in vulval cancer is limited by the heterogeneity of the study design and diagnostic criteria used in each study and the small sample size and retrospective nature of most studies.
- Subjects
LYMPH nodes; COMPUTED tomography; VULVAR tumors; POSITRON emission tomography computed tomography; METASTASIS; TUMOR classification; SENSITIVITY &; specificity (Statistics)
- Publication
Cancers, 2024, Vol 16, Issue 12, p2269
- ISSN
2072-6694
- Publication type
Article
- DOI
10.3390/cancers16122269