Yasin DURMUŞ, Derman BAŞARAN, Alper KARALÖK, Günsu Kimyon CÖMERT, İsmet Çiğdem KILIÇ, Osman TÜRKMEN, Ahmet Taner TURAN, Nurettin BORAN

PRİMER VAJİNAL KANSERDE VAJİNAL SU-BAZLI JEL YARDIMLI MANYETİK REZONANS GÖRÜNTÜLEME

İki vajinal squamoz hücreli karsinom olgusunun, vajene su-bazlı jel doldurularak alınan manyetik rezonans görüntülemelerinin, genel anestezi altında yapılan fizik muayene bulgularına yapabileceği ek katkıları değerlendirdik. Sunduğumuz iki olgu da genel anestezi altında yapılan fizik muayeneye göre evre 1 olarak değerlendirildi. Ardından her iki hastaya da vajene su-bazlı jel ile doldurup vajen duvarlarının kollapsını engelleyen, bu sayede vajendeki tümör anatomisini ve yayılımını daha iyi gösteren bir teknikle manyetik rezonans görüntüleme(MRG) yapıldı. Olgulardan birinin MRG bulgularında subvajinal dokulara infiltrasyon izlendi. Bu nedenle bu hastada cerrahi tedaviden vazgeçtik ve primer kemoradyasyon ile tedaviye karar verdik. Vajinal su-bazlı jel ile yapılan pelvik MRG’nin vajinal kanser olgularında tümör anatomisini ve paravajinal dokulara infiltrasyonu göstermede genel anestezi altında yapılan fizik muayeneye üstün olduğuna ve bu nadir jinelkolojik kanserlerin daha ideal yönetimine katkı sağlayacağına inanmaktayız.

Anahtar Kelimeler:

Vajinal kanser, Manyetik rezonans görüntüleme, Su-bazlı jel

MAGNETIC RESONANCE IMAGING GUIDES THE MANAGEMENT OF PRIMARY VAGINAL CANCER

We report two cases of vaginal squamoz cell carcinoma with magnetic resonance imaging findings. Both of the patients were staged as stage 1 with physical examination findings under general anesthesia. We performed magnetic resonance imaging for these patients filling water-based gel to their vagina during the scan for preventing collapse of vaginal walls so that we could reveal the tumor anatomy and extension more accurately. One of the patients MRI findings showed an infiltration through subvaginal tissues. So we abandoned surgical treatment for this patient and choose radiotherapy. We think that, pelvic MRI performed with vaginal water-based gel can demonstrate tumor infiltration to paravaginal tissues better than physical examination, which helps well-directed management of this rare gynecological cancer

Keywords:

Vaginal cancer, Magnetic resonance imaging, Water-based gel,

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