International Journal of Clinical Oncology and Cancer Research

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Peritoneal Cancer Indexes in Ovarian Carcinomatosis: Correlation Between CT and Intraoperative Results and Survival

Received: 26 January 2017    Accepted: 27 May 2017    Published: 01 August 2017
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Abstract

The aim of this study is to value the performance of computed tomography (CT) for the detection of ovarian peritoneal carcinomatosis (PC). We review retrospectively abdominopelvic CT and compare them with surgical reports to value the correlation between surgical and radiological PC indexes and survey. We compare the peritoneal tumor implants detected on CT performed before surgery with pathology results obtained after surgery. 47 patients with an average age of 58 years are investigated. Tumor localization and size are documented applying Sugarbaker´s Peritoneal Carcinomatosis Index (PCI) in both, radiological and surgical investigations, which divide the entire abdominal and intestinal regions into 13 spaces. In each one, the bigger visible lesion is measured and scored between 0 and 3. In our study, the correlation of Pearson shows there is a moderate correlation between the findings of the PCI obtained in the TC and surgical findings, appreciating a general low correlation in all regions, although the better results belong to regions 1, 2, 0 and 10. Also we observed a lower survival to greater PCI regarding carcinomatosis index in both TC and surgery. All patients received systemic chemotherapy before surgery, so its effect on the size of the peritoneal implants could explain the low correlation. In conclusion, we can consider that TC is a useful tool for the planning of the surgery and the preoperative treatments. The peritoneal cancer index is a significant index of survival in ovarian cancer patients and by using PCI a detailed evaluation of the peritoneal spread is possible being useful as a prognostic factor.

DOI 10.11648/j.ijcocr.20170204.11
Published in International Journal of Clinical Oncology and Cancer Research (Volume 2, Issue 4, August 2017)
Page(s) 75-81
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Ovary, Carcinoma, Peritoneal Cavity, Computed Tomography, Surgery

References
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[2] Archer AG, Sugarbaker PH, Jelinek JS. Radiology of peritoneal carcinomatosis. Cancer Treat Res. 1996; 82: 263-88.
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[6] Mazzei MA, Khader L, Cirigliano A, Cioffi Squitieri N, Guerrini S, Forzoni B, et al. Accuracy of MDCT in the preoperative definition of Peritoneal Cancer Index (PCI) in patients with advanced ovarian cancer who underwent peritonectomy and hyperthermic intraperitoneal chemotherapy (HIPEC). Abdom Imaging. 2013; 38: 1422– 30.
[7] Muñoz-Casares FC, Rufián S, Rubio MJ, Lizárraga E, Díaz-Iglesias C, Aranda E, et al. Treatment of peritoneal carcinomatosis from ovarian cancer. Present, future directions and proposals. Clin Transl Oncol. 2007; 9; 652-62.
[8] Nougaret S, Addley HC, Colombo PE, Fujii S, Al Sharif SS, Tirumani SH, et al Ovarian carcinomatosis: how the radiologist can help plan the surgical approach. Radiographics. 2012; 32: 1775-800.
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Author Information
  • Department of Interventional Radiology, Reina Sofia University Hospital, Córdoba, Spain

  • Department of Interventional Radiology, Reina Sofia University Hospital, Córdoba, Spain

  • Department of Radiology, Reina Sofia University Hospital, Córdoba, Spain

  • Department of Interventional Radiology, Reina Sofia University Hospital, Córdoba, Spain

  • Department of Interventional Radiology, Reina Sofia University Hospital, Córdoba, Spain

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    Lombardo Galera Sagrario, Espejo Herrera Juan Jose, López Redondo Celia, Pérez Montilla Maria Eugenia, Muñoz Casares Francisco Cristobal, et al. (2017). Peritoneal Cancer Indexes in Ovarian Carcinomatosis: Correlation Between CT and Intraoperative Results and Survival. International Journal of Clinical Oncology and Cancer Research, 2(4), 75-81. https://doi.org/10.11648/j.ijcocr.20170204.11

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    ACS Style

    Lombardo Galera Sagrario; Espejo Herrera Juan Jose; López Redondo Celia; Pérez Montilla Maria Eugenia; Muñoz Casares Francisco Cristobal, et al. Peritoneal Cancer Indexes in Ovarian Carcinomatosis: Correlation Between CT and Intraoperative Results and Survival. Int. J. Clin. Oncol. Cancer Res. 2017, 2(4), 75-81. doi: 10.11648/j.ijcocr.20170204.11

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    AMA Style

    Lombardo Galera Sagrario, Espejo Herrera Juan Jose, López Redondo Celia, Pérez Montilla Maria Eugenia, Muñoz Casares Francisco Cristobal, et al. Peritoneal Cancer Indexes in Ovarian Carcinomatosis: Correlation Between CT and Intraoperative Results and Survival. Int J Clin Oncol Cancer Res. 2017;2(4):75-81. doi: 10.11648/j.ijcocr.20170204.11

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  • @article{10.11648/j.ijcocr.20170204.11,
      author = {Lombardo Galera Sagrario and Espejo Herrera Juan Jose and López Redondo Celia and Pérez Montilla Maria Eugenia and Muñoz Casares Francisco Cristobal and Zurera Tendero Luis Jesus},
      title = {Peritoneal Cancer Indexes in Ovarian Carcinomatosis: Correlation Between CT and Intraoperative Results and Survival},
      journal = {International Journal of Clinical Oncology and Cancer Research},
      volume = {2},
      number = {4},
      pages = {75-81},
      doi = {10.11648/j.ijcocr.20170204.11},
      url = {https://doi.org/10.11648/j.ijcocr.20170204.11},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ijcocr.20170204.11},
      abstract = {The aim of this study is to value the performance of computed tomography (CT) for the detection of ovarian peritoneal carcinomatosis (PC). We review retrospectively abdominopelvic CT and compare them with surgical reports to value the correlation between surgical and radiological PC indexes and survey. We compare the peritoneal tumor implants detected on CT performed before surgery with pathology results obtained after surgery. 47 patients with an average age of 58 years are investigated. Tumor localization and size are documented applying Sugarbaker´s Peritoneal Carcinomatosis Index (PCI) in both, radiological and surgical investigations, which divide the entire abdominal and intestinal regions into 13 spaces. In each one, the bigger visible lesion is measured and scored between 0 and 3. In our study, the correlation of Pearson shows there is a moderate correlation between the findings of the PCI obtained in the TC and surgical findings, appreciating a general low correlation in all regions, although the better results belong to regions 1, 2, 0 and 10. Also we observed a lower survival to greater PCI regarding carcinomatosis index in both TC and surgery. All patients received systemic chemotherapy before surgery, so its effect on the size of the peritoneal implants could explain the low correlation. In conclusion, we can consider that TC is a useful tool for the planning of the surgery and the preoperative treatments. The peritoneal cancer index is a significant index of survival in ovarian cancer patients and by using PCI a detailed evaluation of the peritoneal spread is possible being useful as a prognostic factor.},
     year = {2017}
    }
    

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  • TY  - JOUR
    T1  - Peritoneal Cancer Indexes in Ovarian Carcinomatosis: Correlation Between CT and Intraoperative Results and Survival
    AU  - Lombardo Galera Sagrario
    AU  - Espejo Herrera Juan Jose
    AU  - López Redondo Celia
    AU  - Pérez Montilla Maria Eugenia
    AU  - Muñoz Casares Francisco Cristobal
    AU  - Zurera Tendero Luis Jesus
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    T2  - International Journal of Clinical Oncology and Cancer Research
    JF  - International Journal of Clinical Oncology and Cancer Research
    JO  - International Journal of Clinical Oncology and Cancer Research
    SP  - 75
    EP  - 81
    PB  - Science Publishing Group
    SN  - 2578-9511
    UR  - https://doi.org/10.11648/j.ijcocr.20170204.11
    AB  - The aim of this study is to value the performance of computed tomography (CT) for the detection of ovarian peritoneal carcinomatosis (PC). We review retrospectively abdominopelvic CT and compare them with surgical reports to value the correlation between surgical and radiological PC indexes and survey. We compare the peritoneal tumor implants detected on CT performed before surgery with pathology results obtained after surgery. 47 patients with an average age of 58 years are investigated. Tumor localization and size are documented applying Sugarbaker´s Peritoneal Carcinomatosis Index (PCI) in both, radiological and surgical investigations, which divide the entire abdominal and intestinal regions into 13 spaces. In each one, the bigger visible lesion is measured and scored between 0 and 3. In our study, the correlation of Pearson shows there is a moderate correlation between the findings of the PCI obtained in the TC and surgical findings, appreciating a general low correlation in all regions, although the better results belong to regions 1, 2, 0 and 10. Also we observed a lower survival to greater PCI regarding carcinomatosis index in both TC and surgery. All patients received systemic chemotherapy before surgery, so its effect on the size of the peritoneal implants could explain the low correlation. In conclusion, we can consider that TC is a useful tool for the planning of the surgery and the preoperative treatments. The peritoneal cancer index is a significant index of survival in ovarian cancer patients and by using PCI a detailed evaluation of the peritoneal spread is possible being useful as a prognostic factor.
    VL  - 2
    IS  - 4
    ER  - 

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