J Korean Radiol Soc.  1989 Feb;25(1):140-144. 10.3348/jkrs.1989.25.1.140.

Is excretory urography necessary in the staging work-up of uterine cervical carcinoma?

• Kim WH
• Kim SH
• Kim HJ
• Choi BI
• Han MC
• Kim CW

• KMID: 2383163
• DOI: http://doi.org/10.3348/jkrs.1989.25.1.140

Abstract

Excretory urography has been routinely included in the staging work-up of uterine cervical carcinoma in theera of popular use of CT. The purpose of this retrospective study was to evaluate the necessity of excretoryurography in the staging of uterine cervical carcioma in addition to the routine CT. In 143 patients withhistologically proven uterine cervical carcinoma, we compared excretory urography with CT, in respect to theability of each study to demonstrate the pelvocalyces and the ureters, the level and the cause of the ureteralobstruction, and the invasion of urinary bladder. The results were as follows: Pelvocalyces and proximal ureterswere demonstrated in 95% or more both on excretory urography and on CT, however, middle and distal ureters weredemonstrate on CT better than on excretory urography. In 6 patients with ureteral obstruction by the extension ofuterine cervical carcinoma, CT was more informative than excretory urography in respect to the level and the causeof the ureteral obstruction. CT was superior to excretory urography to confirm the presence or absence of thebladder invasion. From these results, we suggest that excretory urography can be omitted in the era of routineinclusion of CT in the staging work-up of uterine cervical carcinoma.

MeSH Terms

Humans
Retrospective Studies
Ureter
Ureteral Obstruction
Urinary Bladder
Urography*