Gynae BT_Lucknow_2018

PET and Cervical Cancers

NEWLY DIAGNOSED

➢ Advanced Stage (IIB-IIIB)

➢ Early Stage (I-IIA)

➢ Radical RT + CT ➢ Pelvic Radiation ➢ 30-45% para aortic node+ve ➢ CT/MRI limitations ➢ Can PET identify at least 30% ➢ Tailor multi-modality treatment Rx

➢ Surgery / RT ➢ >50 % require Adj. Rx ➢ 20-30 % pelvic node +ve ➢ CT/MRI limitations ➢ Can PET identify these 20-30 % patients? ➢ Avoid morbidity of multi- modality Rx

Knowledge of natural history of GYN Cancers and Lymph Nodal Spread : Vital