The value of CT in diagnosing cervical cancer lymph node metastasis: Select 50 patients who received treatment at our hospital from March 2021 to March 2022, and organize preoperative CT data of the patients. Determine lymph node metastasis from four aspects: size, shape, enhancement, and distribution, and compare them with postoperative pathological results of the patients. A total of 22 out of 50 patients showed lymph node metastasis. (1) There were statistically significant differences between the groups in terms of length to diameter, short length to diameter ratio, morphology, edge, and enhancement performance of lymph nodes (P<0.05), while the difference in enhancement density was not statistically significant (P=0.715). The comprehensive analysis results of statistically significant manifestations in each group showed that the sensitivity of ≥ 3 CT manifestations was 81.23%, and the specificity was 83.17%. (2) According to the drainage pathway of pelvic lymph nodes, lymph nodes are divided into three stations, with the second station having the highest metastasis rate (15.63%, 29.78%, 9.68%, respectively). Conclusion: When the length to diameter of lymph nodes is ≥ 10mm, the ratio of short length to diameter is ≥ 0.7, the shape is circular or approximately circular or irregular, the edge is blurry, or there is adhesion, uneven en hancement, or circular enhancement with surrounding tissues, the diagnostic value of lymph node metastasis is higher. More than 3 features indicate a higher likelihood of lymph node metastasis. The distribution of lymph node metastasis in cervical cancer has a certain pattern.

Xiaolong Chen. The Value Analysis of CT Diagnosis of Lymph Node Metastasis in Cervical Cancer. International Journal of Frontiers in Medicine (2024), Vol. 6, Issue 1: 36-41. https://doi.org/10.25236/IJFM.2024.060105.

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