AROI-ESTRO GYN Teaching Course

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