J Korean Radiol Soc.
1994 Jan;30(1):169-173.
Air in Vagina: Significance in the Staging of Uterine Cervical Carcinoma
Abstract
- PURPOSE
To evaluate tlne significance of vaginal air seen on CT scan in
preoperative staging of uterine cervical carcinoma.
METHODS
AND MATERIALS: A comparison was made between CT findings of
vaginal air and true vaginal involvement status in 85 patients with uterine cervical
carcinoma. CT findings were analyzed in terms of the presence or absence of vaginal
air, number of CT slices in which vaginal air was seen, shape of vaginal air, and relation
of vaginal airto cervical mass.
RESULTS
Vaginal air was present in 35 patients and was absent in 50. Although
the mere presence of vaginal air or multiplicity of CT slices showing vaginal air did
not signify the presence of vaginal involvement, vaginal air with irregular margin or
vaginal air adjacent to uterine cervical mass was suggestive of vaginal involvement.
CONCELUSION: These observation of vaginal air in interpreting CT may be helpful
in the preoperative staging of uterine cervical carcinoma.