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Prostate cancer
• 71% of nodal mets did not fulfil
size criteria
Cervix cancer
Size criteria are unreliable
Harisinghani et al, NEJM, 2003
Benedetti, 1996
Zerhouni EA, Radiology, 1996
Normal sized node may
contain a metastasis
• 80% of nodal mets < 10mm
Rectal cancer
• RDOG study – 322 patients
• sensitivity 38%