Ultrasound monitoring of the surgical treatment effectiveness in patients with cervical and uterine cancers

Aim: The aim of the study was to determine ultrasound criteria for progression of cervical cancer and uterine cancer in patients after surgical and complex treatment with dynamic observation. Materials and methods: The study included 10 patients with diagnosis of cervical and uterine cancers. The patients underwent surgical and complex treatment. Standard and advanced ultrasound technologies were used to identify early progression of these diseases. Elastography for stiffness assessment was performed using ultrasound diagnostic systems Hitachi Arietta V70, Toshiba Aplio 500. Results: Based on the obtained results, a number of ultrasound-derived criteria for recurrences of cervical and uterine cancers as focal lesions after complex treatment were found. They allowed to detect suspected disease progression up to clinical manifestations. Differential diagnostics showed benign postoperative changes, and ultrasound examination showed their specific sighs. Additionally, ultrasound criteria were defined for the unchanged vaginal stump after surgical treatment. The signs were presented both in standard gray-scale mode and using advanced ultrasound technologies - elastography and stiffness measurements. Conclusion: Multiparametric ultrasound examination with standard grayscale imaging mode including elastography and stiffness assessment is a reliable way to improve the quality of preclinical diagnosis of recurrences and metastases of cervical and uterine cancers after complex treatment, as well as differential diagnosis of benign postoperative changes.

ultrasound diagnosis, recurrence of focal lesions, cervical cancer, uterine cancer, elastography, stiffness coefficient, postoperative changes, oncology