Tischoff I, Tannapfel A
Institut für Pathologie der Ruhr-Universität Bochum, BG Universitätsklinik Bergmannsheil, Bürkle-de-la-Camp-Platz 1, 44789, Bochum.
Chirurg. 2007 Dec;78(12):1085-6, 1088-90. doi: 10.1007/s00104-007-1427-0.
Peritoneal metastases are secondary tumours of the peritoneum and the most common tumours at this location. Ovarian carcinoma, colorectal cancer, and gastric cancer are the most frequent ones that show peritoneal involvement, along with carcinomas of the pancreas, gallbladder, uterus, and lung. Primary tumours originating in the peritoneum such as malignant peritoneal mesothelioma, primary peritoneal carcinoma, and benign peritoneal tumours along with inflammatory and reactive lesions must be differentiated from peritoneal metastases. Especially in cancer of unknown primary tumour, the discrimination between primary peritoneal tumours and peritoneal metastases is difficult and often requires immunohistochemical identification.
腹膜转移瘤是腹膜的继发性肿瘤，也是该部位最常见的肿瘤。卵巢癌、结直肠癌和胃癌是最常出现腹膜受累的肿瘤，此外还有胰腺癌、胆囊癌、子宫癌和肺癌。起源于腹膜的原发性肿瘤，如恶性腹膜间皮瘤、原发性腹膜癌、良性腹膜肿瘤以及炎症性和反应性病变，必须与腹膜转移瘤相鉴别。特别是在原发肿瘤不明的癌症中，区分原发性腹膜肿瘤和腹膜转移瘤很困难，通常需要进行免疫组化鉴定。
