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il tumore della prostata. ii. stadiazione - Università degli studi di Pavia

il tumore della prostata. ii. stadiazione - Università degli studi di Pavia

il tumore della prostata. ii. stadiazione - Università degli studi di Pavia

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PROSTATIC CANCER<br />

Clinical staging. V. MRI<br />

* MRI (st<strong>il</strong>l lacking sensitivity and specificity) ↑ lymph<br />

node detection, especially of endorectal co<strong>il</strong>;<br />

[- T1 - weighted images: periprostatic fat and venous<br />

plexus, perivesicular tissues, lymph nodes, and bone<br />

marrow;<br />

- T2 - weighted images: internal architecture of prostate<br />

and seminal vesicles (low signal in most cancers, high<br />

signal in normal peripheral zone)];<br />

- MRI also useful for planning of surgery and ra<strong>di</strong>ation<br />

therapy<br />

= neither TC nor MRI accurately pre<strong>di</strong>cts pathologic<br />

stage at surgery

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