The recurrence rates are in the range of 10% to 20%, and the majority of recurrences occur within 2 to 3 years after the initial treatment [5]. Cervix, parametrium, vaginal vault, pelvic sidewall, or retroperitoneal lymph nodes are the most common sites of recurrence. Patients with recurrent disease are often symptomatic. As a result, the Society of Gynecologic Oncology recommends against routine imaging surveillance of posttreatment cervical cancer patients [5]. CT Abdomen and Pelvis With IV Contrast For stage I patients who undergo nonfertility sparing treatment, use of imaging for surveillance of cervical cancer in asymptomatic patients should be based on symptomatology and degree of clinical concern such as clinical examination findings or pelvic, abdominal, or pulmonary symptoms [37]. For stage II to IV patients, CT of the abdomen and pelvis may be used within 3 to 6 months after completion of therapy; however, NCCN guidelines indicate a preference for PET/CT for this purpose [37]. Use of IV contrast is generally preferred. Imaging of the chest, abdomen, and pelvis is often concurrently performed. CT Abdomen and Pelvis Without and With IV Contrast For stage I patients who undergo nonfertility sparing treatment, use of imaging for surveillance of cervical cancer in asymptomatic patients should be based on symptomatology and the degree of clinical concern such as clinical examination findings or pelvic, abdominal, or pulmonary symptoms [37]. For stage II to IV patients, CT of the abdomen and pelvis may be used within 3 to 6 months after completion of therapy; however, NCCN guidelines indicate a preference for PET/CT for this purpose [37]. Dual-phase study without and with IV contrast is unnecessary.
Pretreatment Evaluation and Follow up of Invasive Cancer of the Cervix. The recurrence rates are in the range of 10% to 20%, and the majority of recurrences occur within 2 to 3 years after the initial treatment [5]. Cervix, parametrium, vaginal vault, pelvic sidewall, or retroperitoneal lymph nodes are the most common sites of recurrence. Patients with recurrent disease are often symptomatic. As a result, the Society of Gynecologic Oncology recommends against routine imaging surveillance of posttreatment cervical cancer patients [5]. CT Abdomen and Pelvis With IV Contrast For stage I patients who undergo nonfertility sparing treatment, use of imaging for surveillance of cervical cancer in asymptomatic patients should be based on symptomatology and degree of clinical concern such as clinical examination findings or pelvic, abdominal, or pulmonary symptoms [37]. For stage II to IV patients, CT of the abdomen and pelvis may be used within 3 to 6 months after completion of therapy; however, NCCN guidelines indicate a preference for PET/CT for this purpose [37]. Use of IV contrast is generally preferred. Imaging of the chest, abdomen, and pelvis is often concurrently performed. CT Abdomen and Pelvis Without and With IV Contrast For stage I patients who undergo nonfertility sparing treatment, use of imaging for surveillance of cervical cancer in asymptomatic patients should be based on symptomatology and the degree of clinical concern such as clinical examination findings or pelvic, abdominal, or pulmonary symptoms [37]. For stage II to IV patients, CT of the abdomen and pelvis may be used within 3 to 6 months after completion of therapy; however, NCCN guidelines indicate a preference for PET/CT for this purpose [37]. Dual-phase study without and with IV contrast is unnecessary.