Bailly C, Bailly-Glatre A, Alfidja A, Vincent C, Dauplat J, Pomel C
Centre de Lutte Contre le Cancer d'Auvergne Jean-Perrin, Service de Radiologie, 58 Rue Montalembert, BP 392, 63011 Clermont-Ferrand Cedex 01, France.
Bull Cancer. 2009 Dec;96(12):1155-62. doi: 10.1684/bdc.2009.0981.
Ovarian cancer is usually diagnosed at an advanced stage with peritoneal extension which often occurs early on. Imaging plays an important role in the pretherapeutic assessment of peritoneal extension. Carcinomatosis involving the hepatic hilum, the cavo-supra-hepatic confluence, the mesentery, and/or the intestinal wall precludes optimal surgery and may be an indication for neoadjuvant chemotherapy. Abdominal and pelvic MDCT scan is the best imaging technique for the preoperative staging of peritoneal carcinomatosis. MRI can be useful in some cases. Conventional imaging however sometimes underestimates peritoneal carcinomatosis and therefore cannot always be a substitute for surgical staging.
卵巢癌通常在出现腹膜播散的晚期阶段被诊断出来,而腹膜播散往往在疾病早期就会发生。影像学在腹膜播散的治疗前评估中起着重要作用。累及肝门、腔静脉-肝上汇合处、肠系膜和/或肠壁的癌性腹膜炎会妨碍进行最佳手术,可能是新辅助化疗的指征。腹部和盆腔MDCT扫描是腹膜癌术前分期的最佳影像学技术。MRI在某些情况下可能有用。然而,传统影像学有时会低估腹膜癌,因此并不总是能替代手术分期。