E1336. Surgical Complications of Gynecological Malignancies
  1. Mohammed Saleh; MD Anderson Cancer Center
  2. Jane Shin; University of Texas Health Science Center at Houston
  3. Juan Rovira; MD Anderson Cancer Center
  4. Sanaz Javadi; MD Anderson Cancer Center
  5. Sarah Palmquist; MD Anderson Cancer Center
  6. Wui Chong; MD Anderson Cancer Center
  7. Priyah Bhosale; MD Anderson Cancer Center
Surgical intervention remains one of the most valuable treatment modalities in the management of genitourinary (GU) malignancies. it is becoming increasingly evident that more aggressive surgical debridement is associated with better survival, the greatest example being ovarian malignancies. However, this also increases the risk of surgical complications. Although certain complications may be detected clinically, often times, radiological studies are required. The primary purpose of this abstract is to describe the radiological presentation of several complications arising due to gynecological surgery, while also discussing their differential diagnoses and the differentiating imaging features.

Educational Goals / Teaching Points
This presentation aims at describing the most common types of surgery used for gynecological (Gyn) malignancy, discuss the complications that may arise, describe the complications' imaging features, describe imaging features that discriminate these complications from other pathologies, and discuss the radiologist’s role in managing these complications.

Key Anatomic/Physiologic Issues and Imaging Findings/Techniques
This presentation will be focusing on gynecological malignancies, however the complications arising from surgical intervention may affect any organ system. In this presentation, we will be discussing the role of X-rays, ultrasonography, computed tomography, magnetic resonance imaging, and Positron Emission Tomography/ Computed Tomography in detecting surgical complications.

Surgical resection remains one of the main treatment modalities for gynecological malignancies. However, extensive surgical intervention may lead to several complications. Radiological assessment of suspected complications is vital to differentiate benign from severe conditions. As such, radiologists should become familiar with the imaging presentations of different surgical complications as well as the subtle findings that help differentiate them from other pathologies with a similar clinical presentation.