Place of residence does not significantly influence radiological morphology of cervical cancer

Franciszek Burdan 1, Agnieszka Mocarska 2, Robert Klepacz 3, Jerzy Walocha 4, Tomasz Kubiatowski 2, Dariusz Surdyka 2, Dariusz Kieszko 2, Krzysztof Patyra 2, Iwonna Żelzowska-Cieślińska 2, Elżbieta Starosławska 2
1 - St. John’s Cancer Center; Lublin, Poland; Human Anatomy Department, Medical Univeristy of Lublin; Lublin, Poland
2 - St. John’s Cancer Center; Lublin, Poland
3 - Department of Clinical Pathomorphology, Medical University of Lublin; Lublin, Poland
4 -
Ann Agric Environ Med

ICID: 1230729
Article type: Original article
 
 
Introduction and objective. Cervical squamous cell carcinoma is one of the most common malignancies of women. Its incidence and morphology was analyzed based on the magnetic resonance (MR) data among rural and urban residents.
Materials and method. The study involved 61 Caucasian women (58.26±9.63 years) preliminary diagnosed with a cervical cancer without any previous treatment. Standard MR examination, including diffusion weighted imagining, apparent diffusion coefficient (ADC) value measurement and dynamic contrast enhancement, was performed.
Results. The rural residents (n=22) were insignificantly older. Their first and last menstruation were observed later and number of pregnancy was higher than in urban women (n=39). However, the incidence of miscarriage was insignificantly rarer. All the tumour linear diameters as well as its volume were insignificantly higher in rural women. The ADC value of the cervical tumor was insignificantly lower, while ADC of lymphatic nodules was higher in rural women. Insignificant changes in tumour grade between both examined groups were found in histological, clinical and radiological examinations. Place of residence did not influence any clinical symptoms nor tumour volume and its ADC. Colporrhoea and colpodynia were insignificantly more often observed in urban women, while parametrium, urinary bladder and rectal infiltrations were more commonly seen in rural residents. Higher risk of lymphatic spread to the internal iliac and parametral lymphatic nodes was reported in the rural community.
Conclusion. Cervical cancer had similar morphology and growth pattern, regardless of the place of residence. However, a insignificantly larger tumour size among rural residents may suggest a higher incidence of lymphatic spread, probably as a result of less aaccess to modern health care

DOI: 10.5604/12321966.1230729
  FULL TEXT STATS

Recommend this article to:

Name:
E-mail:
From:
Language:


Related articles in IndexCopernicus™
     cervical cancer [201 related records]
     rural-urban differences [0 related records]
     magnetic resonance [86 related records]
     oncology [68 related records]



 

Related articles

P Zielazny, P Zielińska,
Psychooncology in Poland...
Psycho-oncology is an interdisciplinary field of medicine that deals with the psychological aspects of cancer. Psycho-oncology is a sub-discipline of clinical oncology, psychiatry, clinical psychology and health psychology. It was formally establishe...
ABSTRACT
M Alam,
Composite Adverse Event Outcome in Pediatric Cance...
Objective:Pediatric cancer patients with prolonged febrile neutropenia have increased risk for severe, recurrent or new bacterial and fungal infection. The aim of this study was to identify the risk factors associated with adverse outcomes in this gr...
ABSTRACT
, ,
 COMPARATIVE ANALYSIS OF HYPERFRACTIONATED RA...
 BACKGROUND Cervical cancer is the most common gynaecological malignancy in women for which Concurrent chemoradiation followed by brachytherapy showed established benefits in both organ preservation and survival. The rationale behind hyper-f...
ABSTRACT