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6 of those with endometrial carcinoma, and in 13. 9 of those with ovarian carcinoma (Table 4). However, the incidence of metastases at the time of presentation was low (4). Xviideos The spine was the most common area of involvement, followed by the pelvic bones. Distant bony metastases were uncommon, and most of the bones had been involved by direct extension. The lesions were usually lytic.

(Data from Henriksen E: The lymphatic spread of carcinoma of the cervix and of the body XnXX und Beeg the uterus.

Am J Obstet Gynecol 58:924, 1949; and Bergman F: Carcinoma of the ovary. Acta Obstet Gynecol Scand 45:211, 1966) Bone scintigraphy and radiographic skeletal bone survey are the standard XnXX und Beeg procedures for skeletal metastases. Neither imaging modality is indicated in Bottle in Pussy, Cock in Ass - Mobile Porn at Homexvideo patients.

In patients hdsm bone pain, bone scintigraphy should be obtained first in order to identify areas of metastases. Bone radiography is obtained for correlation with positive bone scans. Currently, bone scintigraphy is more sensitive than skeletal survey for detecting early skeletal metastasis. 120 The abnormal bone is usually visualized as areas of increased radiotracer activity (Fig.

47A and Fig. Xviideos however, in a few cases, the abnormality is imaged as an area of decreased activity (Fig. 47C and Fig. 47D). 121 The radiotracer uptake depends on the amount of new osteoid tissue formation. Although CT and MRI are not XnXX und Beeg screening techniques for bone metastases, they can detect tumor spread to bone in the pelvis or spine when used for staging of gynecologic malignancies (Fig. 48). Fig. Bone scan shows increased radioisotope uptake in left acetabulum and ilium.

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12), a fat plane of less than 3 mm between these muscles and the tumor, muscle encasement by the tumor, and ureteral obstruction.

23 CT is much more accurate than clinical examination in detecting pelvic sidewall invasion. Its reported accuracy ranges from 66 to 80.



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