期刊名称：Annals of Agricultural and Environmental Medicine
印刷版ISSN：1232-1966
电子版ISSN：1898-2263
出版年度：2017
卷号：24
期号：3
页码：527-531
DOI：10.5604/12321966.1230729
出版社：Institute of Agricultural Medicine in Lublin
摘要：Introduction and objective. Cervical squamous cell carcinoma is one of the most common malignancies of women. Itsincidence and morphology was analyzed based on the magnetic resonance (MR) data among rural and urban residents.Materials and method. The study involved 61 Caucasian women (58.26±9.63 years) preliminary diagnosed with a cervicalcancer without any previous treatment. Standard MR examination, including diffusion weighted imagining, apparentdiffusion coefficient (ADC) value measurement and dynamic contrast enhancement, was performed.Results. The rural residents (n=22) were insignificantly older. Their first and last menstruation were observed later andnumber of pregnancy was higher than in urban women (n=39). However, the incidence of miscarriage was insignificantlyrarer. All the tumour linear diameters as well as its volume were insignificantly higher in rural women. The ADC value of thecervical tumor was insignificantly lower, while ADC of lymphatic nodules was higher in rural women. Insignificant changesin tumour grade between both examined groups were found in histological, clinical and radiological examinations. Placeof residence did not influence any clinical symptoms nor tumour volume and its ADC. Colporrhoea and colpodynia wereinsignificantly more often observed in urban women, while parametrium, urinary bladder and rectal infiltrations were morecommonly seen in rural residents. Higher risk of lymphatic spread to the internal iliac and parametral lymphatic nodes wasreported in the rural community.Conclusion. Cervical cancer had similar morphology and growth pattern, regardless of the place of residence. However, ainsignificantly larger tumour size among rural residents may suggest a higher incidence of lymphatic spread, probably asa result of less aaccess to modern health care.
关键词：cervical cancer; rural-urban differences; magnetic resonance; oncology
