PET and Cervical Cancers
NEWLY DIAGNOSED
Early Stage (I-IIA)
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
Advanced Stage (IIB-IIIB)
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
Knowledge of natural history of GYN Cancers and Lymph Nodal Spread : Vital