Background: Cervical cancer is one of the most common cancers, requiring a precise complementary assessment. The aim of this study was to contribute to the improvement of the management of cervical cancer by describing the MRI aspects of cervical cancer according to the IFOG-MRI classification. Material and Methods: This was a cross-sectional study, conducted in patients who came for clinical suspicion, extension assessment of histologically confirmed cervical cancer, from October 2020 to March 2021, in Yaoundé (Cameroon). Results: 54 patients were selected, with an average age of 50.4 years. Genital hemorrhage was the most frequent symptom (92%). The mean tumor size was 52.9 mm. According to IFOG staging, stages Ia, Ib, IIa, IIb, IIIa, IIIb, and IV accounted for 9.10%, 10.20%, 12.50%, 29.50%, 5.70%, 12.50%, and 20% respectively. No patient had known metastasis at the time of examination. Conclusion: MRI allows non-invasive, satisfactory tumor staging examination by providing information on tumor size, parametrium invasion, adjacent organ involvement, and the presence of lymph node metastasis.
Muteganya, D., Bigayi, T., Bigirimana, V., Sindayirwanya, J.B. and Marerwa, G. (1999) Cervical Cancer at Kamenge University Hospital about 35 Cases. Médecine d’Afrique Noire, 46, 153-156. http://www.santetropicale.com/Resume/34606.pdf
[3]
Tebeu, P.M., Antaon, J.S.S., Adjeba, M., Pikop, F., Fouogue, J.T. and Ndom, P. (2020) Knowledge, Attitudes and Practices of Health Professionals on Cervical Cancer in Cameroon. Public Health, 32, 489-496. https://doi.org/10.3917/spub.205.0489
[4]
Thille, A. (2004) Cervical Cancers: What Can MRI Do? Journal of Radiology, 85, 1366.
https://doi.org/10.1016/S0221-0363(04)77185-1
[5]
IGOF Classification of Cervical Carcinomas. https://screening.iarc.fr
[6]
El Ghorfi, S. (2020) Contribution of MRI in the Assessment of Loco-Regional Extension of Cervical Cancer in 28 Cases.
http://ao.um5.ac.ma/jspui/bitstream/123456789/18711/1/MS1762020.pdf
[7]
Balleyguier, C., Kinkel, K., Haie-Meder, C., Morice, P., Lhomme, C., Lumbroso, J., et al. (2004) Which Examinations Should Be Proposed for the Assessment of Extension and Follow-Up of Uterine Cervical Cancers: MRI, CT, PET-CT. Journal of Radiology, 85, 1190. https://doi.org/10.1016/S0221-0363(04)76605-6
[8]
Keita, A. (2020) Cervical Cancer: Therapeutic Aspect in the Radiotherapy Department of the Hôpital du Mali.
https://www.bibliosante.ml/bitstream/handle/123456789/3797/20M24.pdf
[9]
Alliance of Francophone African and Mediterranean Leagues against Cancer (2017) Cancer in Francophone Africa.
https://www.iccp-portal.org/system/files/resources/LivreCancer.pdf
[10]
Faye, A., Mbengue, E.T. and Tal-Tal, A. (2017) Factors Associated with Cervical Cancer Screening in Rural Senegal. Journal of Epidemiology and Public Health, 65, S77.
https://doi.org/10.1016/j.respe.2017.03.063
Shweel, M.A., Abdel-Gawad, E.A., Abdelghany, H.S., Abdel-Rahman, A.M. and Ibrahim, E.M. (2012) Uterine Cervical Malignancy: Diagnostic Accuracy of MRI with Histopathologic Correlation. Journal of Clinical Imaging Science, 2, 42.
https://doi.org/10.4103/2156-7514.99175
[13]
Jena, A., Oberoi, R., Rawal, S., Das, S.K. and Pandey, K.K. (2005) Parametrial Invasion in Carcinoma of Cervix: Role of MRI Measured Tumour Volume. British Journal of Radiology, 78, 1075-1077. https://doi.org/10.1259/bjr/36116150
[14]
Nicolet, V., Carignan, L., Bourdon, F. and Prosmanne, O. (2000) MR Imaging of Cervical Carcinoma: A Practical Staging Approach. Radiographics, 20, 1539-1549.
https://doi.org/10.1148/radiographics.20.6.g00nv111539
[15]
Sala, E., Wakely, S., Senior, E. and Lomas, D. (2007) MRI of Malignant Neoplasms of the Uterine Corpus and Cervix. American Journal of Roentgenology, 188, 1577-1587.
https://doi.org/10.2214/AJR.06.1196
[16]
Sahdev, A., Sohaib, S.A., Wenaden, A.E.T., Shepherd, J.H. and Reznek, R.H. (2007) The Performance of Magnetic Resonance Imaging in Early Cervical Carcinoma: A Long-Term Experience. International Journal of Gynecological Cancer, 17, 629-636.
https://doi.org/10.1111/j.1525-1438.2007.00829.x
[17]
Batoum, V.M., Sando, Z. and Nkegoum, B. (2020) Opportunistic Screening for Pre-Invasive Cervical Lesions and Cervical Cancer in Cameroonian Pregnant Women. Health Sciences and Disease. https://www.hsd-fmsb.org/index.php/hsd/article/view/1973
