Abstract:
Carcinoma of the cervix is a common disease in Sudanese
women. It is the cancer of lower part of the uterus. The kidneys
and other organs are affected in the late stage of the disease.
In this study a group of 120 patients with carcinoma of the
cervix confirmed by biopsy, were evaluated by ultrasound scan
and renal isotope scan (both Tc99m DMSA and Tc99m DTPA ) in
the Radiation and Isotope Centre of Khartoum during the year
2001-2003.
The aim of the study was to compare the diagnostic value of
the ultrasound scan compared with renal isotope scan for the
diagnosis of renal obstruction and parenchymal changes in women
with carcinoma of the cervix.
All the patients had renal isotope scan and whole abdomen
and pelvic ultrasound examination was performed for each
patient.
Renal isotope scan detected changes in about (45 %) of
patient compared with ultrasound scan which detected (50 %) of
patients, while in blood urea level there was (23.3 %) of patients
with high blood urea.
Because of the high prevalence of carcinoma of the cervix in Sudan (5.6 %) of
all cancers ,ultrasound scan is the most cheap and available tool for obstetrician and
oncologists as a guide to detect renal obstruction and changes, paraortic lymph nodes
enlargement, liver metastasis and other masses in carcinoma cervix patients.
