Goerg C, Schwerk W B
Department of Internal Medicine, Philipps-University, Marburg, Germany.
Eur J Cancer. 1991;27(6):720-3. doi: 10.1016/0277-5379(91)90173-b.
This study was performed in 65 patients with cytologically proved malignant ascites to describe and classify direct and indirect sonographic signs of peritoneal carcinomatosis. Abdominal sonography revealed tumour-associated abnormalities which account for malignant ascites in 60 cases (92%). This includes visualisation of peritoneal metastases (n = 16, 25%); matting together of bowel loops (17, 26%); distribution of fluid (19, 29%); echoes within the fluid space (3, 5%); omental matting (8, 12%); associated masses (21, 32%); lymphoadenopathy (31, 48%); and hepatic metastases (26, 40%). Sonography enables the physician to demonstrate direct and indirect signs of peritoneal carcinomatosis in almost all tumour patients with ascites and is therefore useful in determining whether the cause of ascites is malignant or benign disease.
本研究对65例经细胞学证实为恶性腹水的患者进行，以描述和分类腹膜癌病的直接和间接超声征象。腹部超声检查发现与肿瘤相关的异常，60例（92%）存在导致恶性腹水的情况。这包括腹膜转移灶的可视化（n = 16，25%）；肠袢粘连（17例，26%）；液体分布（19例，29%）；液腔内回声（3例，5%）；网膜粘连（8例，12%）；相关肿块（21例，32%）；淋巴结病（31例，48%）；以及肝转移（26例，40%）。超声检查使医生能够在几乎所有伴有腹水的肿瘤患者中显示腹膜癌病的直接和间接征象，因此有助于确定腹水的病因是恶性疾病还是良性疾病。
