Peritoneal Carcinomatosis Index in Advanced Ovarian Malignancy either by Multislice CT verus Laparotomy: A Comparative Study

Meleis, Mahmoud Hanafy; El-Agwany, Ahmed Samy

doi:10.1007/s40944-015-0028-y

Cited by 4 publications

(3 citation statements)

References 41 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…MDCT-PCI has a good correlation with surgical-PCI in OC (11,28,(37)(38)(39)(40)(41)(42)(43)(44)(45)(46)(47)(48). In a prospective study including 85 patients with OC, MDCT and laparoscopy correctly diagnosed PMs in 88.2% and 90.6% of patients, respectively.…”

Section: Role Of Mdctmentioning

confidence: 88%

Multidetector computed tomography in diagnosing peritoneal metastases in ovarian carcinoma

2020

View full text Add to dashboard Cite

Multidetector computed tomography (MDCT) of the abdomen is currently the imaging examination of choice for the staging and follow-up of ovarian carcinoma (OC). Peritoneal metastases (PMs) represent the most common pathway for the metastatic spread of OC. MDCT scanners, due to several advantages—including increased volume coverage, reduced scanning time, acquisition of thin slices and creation of multiplanar reformations, and three-dimensional reconstructions—provide useful information regarding the early and accurate detection of PMs. Detailed mapping of peritoneal carcinomatosis is feasible, with improved detection of sub-centimeter peritoneal implants and thorough evaluation of curved peritoneal surfaces.

show abstract

Section: Role Of Mdctmentioning

confidence: 88%

Multidetector computed tomography in diagnosing peritoneal metastases in ovarian carcinoma

2020

View full text Add to dashboard Cite

show abstract

“…Disadvantages of laparoscopy are absence of a direct tactile evaluation by palpation and the presence of fixed masses in Douglas pouch and upper abdominal adhesions hindering the visualization of certain anatomical spaces. [ 4 ]…”

Section: Discussionmentioning

confidence: 99%

“…Lesion size scores in the individual regions are summed up to the PCI score which can assume a minimum score of 0 and maximum score of 39. [ 1 2 3 4 5 ] Patients with PCI score less than 20 were included in our study. Patients underwent laparoscopy.…”

Section: S Tudymentioning

confidence: 99%

Laparoscopy and computed tomography imaging in advanced ovarian tumors: A roadmap for prediction of optimal cytoreductive surgery

El-Agwany

2018

Gynecol Minim Invasive Ther

View full text Add to dashboard Cite

Introduction:Comprehensive staging laparotomy and cytoreductive surgery followed by chemotherapy has been the standard of care in advanced ovarian cancer. Neoadjuvant chemotherapy is an alternative in inoperable advanced cases. To select patients amenable for successful cytoreduction, major determinants including CT imaging and laparoscopy could be of value. There is no general accepted model for selection and reproducibility of techniques are a major challenge due to different clinical practice and complexity of scoring systems. Some lesions as small size (<5 mm) peritoneal deposits and mesenteric affection are hard to see on CT so, complementary laparoscopy may play a role in the preoperative assessment. The aim of this study was evaluation of the role of laparoscopy in advanced ovarian tumors for prediction of optimal cytoreductive surgery in relation to CT and surgical peritoneal carcinomatosis index (PCI).Aim:Was to evaluate laparoscopic assessment in advanced ovarian tumors for prediction of optimal cytoreductive surgery in relation to CT and surgical peritoneal carcinomatosis index (PCI).Setting:Gyne-oncology specialized center, El-Shatby maternity university hospital, Alexandria Egypt.Methods:From January 2016 to December 2016, 15 patients were recruited from gyne-oncology specialized center, Alexandria, Egypt. Patients underwent a special design described later then laparoscopy using palmar point entry was done for assessing small lesions and the extent of affection in surface peritoneal, mesentery, serosa of the gut especially small intestine (terminal ileum affection, more or less than 50% affection) mainly with evaluating other sites as liver surface and diaphragm peritoneal surface affection after removal of ascites by aspiration. Findings were correlated with laparotomy and CT scan findings. Surgery was performed in the same setting which is better or with in two weeks.Results:There were two cases with upper abdominal surgeries (cholecystectomy and splenectomy) where no visualization of liver and stomach on laparoscopy but were free on CT scan and surgical evaluation. Douglas pouch was not assessed in two patients with large fixed bilateral ovarian masses on laparoscopy. Two cases with diaphragmatic affection on CT scan related to the posterior surface were not detected on laparoscopy. These findings were correlated with surgical findings as the gold standard. The pathology was ranging from low grade to high grade serous cyst adenocarcinoma.Conclusions:Laparoscopic evaluation is a useful adjunct with CT prior to performing ovarian cancer cytoreductive surgery for assessment of operability. Laparoscopy is better for evaluating extent of serosal affection in advanced tumors in cases with omental cakes on CT. A roadmap for prediction of operability in advanced ovarian cancer can be used by combing CT PCI and laparoscopic assessment.

show abstract

Omentectomy in Early Ovarian Cancer: Role of the Gross Appearance of the Omentum in Surgery

El-Agwany

2019

Journal of Gynecologic Surgery

View full text Add to dashboard Cite

Peritoneal Carcinomatosis Index in Advanced Ovarian Malignancy either by Multislice CT verus Laparotomy: A Comparative Study

Cited by 4 publications

References 41 publications

Multidetector computed tomography in diagnosing peritoneal metastases in ovarian carcinoma

Multidetector computed tomography in diagnosing peritoneal metastases in ovarian carcinoma

Laparoscopy and computed tomography imaging in advanced ovarian tumors: A roadmap for prediction of optimal cytoreductive surgery

Omentectomy in Early Ovarian Cancer: Role of the Gross Appearance of the Omentum in Surgery

Contact Info

Product

Resources

About