Spinelli P, Pilotti S, Luini A, Spatti G B, Pizzetti P, de Palo G
Tumori. 1979 Oct 31;65(5):601-10. doi: 10.1177/030089167906500509.
The merits of laparoscopy, with inspection of the diaphragmatic leaves, and of peritoneal cytology (free fluid or washing) in staging and restaging were studied in 153 patients with ovarian carcinoma. Of 153 patients examined, 83 were new cases, 34 were restaging in patients without clinical and/or radiological signs of disease, and 36 in patients with evident disease. The conversion rate for diaphragmatic metastases alone was 6%. Information about the spread of disease (diaphragmatic metastases) was obtained in 33 new cases (39.7%). In pretreated patients, laparoscopy was positive in 4 of 34 NED restaging and in 24 of 36 ED restaging. The conversion rate for peritoneal cytology was 6.6%, but information about the cellular intraperitoneal spread of the disease was obtained in 31 new cases (37.8%). In pretreated patients, peritoneal cytology was positive in 4 of 34 NED restaging and in 13 of 36 ED restaging.
在153例卵巢癌患者中，研究了腹腔镜检查膈肌叶以及腹膜细胞学检查（游离液体或冲洗液）在分期和再分期中的价值。在接受检查的153例患者中，83例为新发病例，34例为在无临床和/或影像学疾病迹象的患者中进行再分期，36例为在有明显疾病的患者中进行再分期。仅膈肌转移的中转开腹率为6%。在33例新发病例（39.7%）中获得了有关疾病扩散（膈肌转移）的信息。在接受过治疗的患者中，34例无疾病证据（NED）再分期中有4例腹腔镜检查呈阳性，36例有疾病证据（ED）再分期中有24例呈阳性。腹膜细胞学检查的中转开腹率为6.6%，但在31例新发病例（37.8%）中获得了有关疾病细胞在腹腔内扩散的信息。在接受过治疗的患者中，34例NED再分期中有4例腹膜细胞学检查呈阳性，36例ED再分期中有13例呈阳性。
