ABSTRACT
Ultrasound-guided procedures in gynecologic oncology are a common practice. These procedures include Tru-Cut biopsy or fine needle aspiration biopsy for diagnosing primary carcinomas or pelvic recurrences, aspiration and drainage for pelvic or abdominal fluid collections, catheter placement for treatment, and intraoperative guidance for surgical or radiotherapy procedures. Ultrasound can also be used for drainage. The main indications in gynecologic oncology are ascites drainage and lymphocele drainage. Ultrasound is a good method for diagnosing pelvic recurrence of gynecological cancers. Ultrasound is also considered as a good technique for placing intravaginal tandem for delivering interstitial brachytherapy for either primary or recurrent cervical, endometrial, or vaginal cancer. Ultrasound guidance can be performed through transvaginal, transabdominal, or transrectal routes. The aim of Tru-Cut biopsy is to obtain a representative tissue sample that will allow for a valid histological diagnosis. Main indications for Tru-Cut biopsy are histological diagnosis of primary cancer or cancer recurrence in the pelvis or abdomen.
