172 patients with a primary cervical carcinoma have been examined using computerized axial tomography. CT-diagnosis was then analysed and compared with the results of the gynecological examination, cystoscopy, rectoscopy, lymphography, conventional radiological examination procedures and histology. CT is unsuitable for the primary diagnosis of cervical carcinoma and anyway unnecessary. In the case, where the carcinoma expands to the vagina, the diagnosis is quicker and more exact through inspection, palpation and biopsy rather than through CT. Moreover, to exclude a possible expansion of the carcinoma to the bladder and rectum, it is necessary that cystoscopy, rectoscopy as well as colon enema be performed. These examination procedures are in this case more effective than CT. Using CT, it is not feasible either to diagnose correctly the degree of infiltration of the parametria or to make definite predictions on the siting and operability. It is not necessary to use CT as a primary means of judging lymph node status, since other findings relevant to therapy (infiltration of the parametria, bladder, rectum) cannot be undertaken simultaneously with adequate safety. The use of CT in the diagnosis of the primary cervical carcinoma is therefore only of minimal importance.

150 patients were evaluated because of suspicion of recurrencies with computed tomography, lymphography and urography after treatment of carcinomas of the cervix respectively endometrial carcinomas. Size and localisation of recurrencies can be diagnosed with high security by application of computed tomography. Retroperitoneal lymphoma and distant metastasis can be demonstrated in many cases.

Prognosis of endometrial carcinoma depends essentially on stage, the lymphonode status, depth of myometrial infiltration and tumor grading. Computed tomography cannot give a decisive contribution to define these prognostic criteria pretherapeutically.

The clinical and CT appearances of the parametrium in 79 patients with carcinoma of the cervix were compared with the histological findings obtained at surgery. The accuracy of CT in stages T1/T2a was 46.6%, in category T2b 64.9% and in category T3b 66.6%. Clinical examination showed fewer errors. CT does not contribute to the evaluation of infiltration of the parametrium from carcinoma of the cervix, nor can it correct the findings on palpation. Tumour infiltration and operability are not demonstrated with sufficient accuracy by CT.

Lymph edema of leg following treated carcinoma of female genitals must not necessarily becaused by rising of a new tumor. Clarifying the reason does not succeed in every case, if the conventional examination methods are used. An accurate and early diagnosis is possible by computed tomography (CT). The diagnostic value of CT, lymphography, urography, isotope renography and sonography is discussed.