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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%