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Diagnóstico por imagen del cáncer epitelial de ovario

Julio Fernández Mata, Clara M. Romero Martínez, Paula Molina Vigara, Paula Orenes Castrillo, Mar Jiménez de la Peña

Prepublicado: 2024-11-08

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El cáncer de ovario es una patología agresiva, generalmente de diagnóstico tardío en fases avanzadas de la enfermedad, dada su presentación clínica insidiosa. Las pruebas de imagen son exploraciones claves en el estudio integral del cáncer de ovario, que influyen significativamente en el manejo y en el pronóstico de estos pacientes. La evaluación de las lesiones ováricas suele llevarse a cabo inicialmente mediante ecografía y posteriormente, mediante resonancia magnética (RM) multiparamétrica, que permiten clasificarlas según el riesgo de malignidad mediante sistemas estandarizados de descripción (O-RADS). Por otro lado, la tomografía computarizada (TAC) y la RM son las pruebas más utilizadas en la valoración de la afectación peritoneal para el diagnóstico y la estadificación, en la que es recomendable recoger el índice de carcinomatosis peritoneal. Sin embargo, para el análisis de respuesta al tratamiento y la detección de recidivas, la tomografía de emisión de positrones fusionada con TAC (PET-TAC) sigue siendo la exploración de referencia..

Palabras Clave: Carcinoma epitelial de ovario. Imagen-RM. Imagen-difusión. Imagen-PET. O-RADS.



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