Grimaldi F, Brindicci D, Ettorre G C, Francioso G, Angone G, Monteduro M
Istituto di Radiologia, Università degli Studi, Bari.
Radiol Med. 1991 May;81(5):660-5.
Abdominal CT yields several pieces of information for the diagnosis of secondary neoplastic involvement of the peritoneum (peritoneal carcinosis). Peritoneal carcinosis may be the first clinical sign of an occult primary tumor. CT scans of 120 patients with peritoneal carcinosis confirmed by pre/peri-operative biopsy or at autopsy, were retrospectively reviewed. The CT patterns of peritoneal carcinosis were detected in 20 of 44 patients with an occult malignancy. In 16 of 76 cases with a known malignancy there was no evidence of secondary peritoneal involvement. The incidence of CT findings and their correlation with the primary tumor are critically discussed. The authors have assessed the utility of CT in detecting peritoneal carcinosis, even though in their experience CT findings of secondary neoplastic peritoneal involvement could not be correlated with primary tumor.
腹部CT可为腹膜继发性肿瘤累及（腹膜癌）的诊断提供多项信息。腹膜癌可能是隐匿性原发性肿瘤的首个临床征象。对120例经术前/术中活检或尸检确诊为腹膜癌的患者的CT扫描结果进行了回顾性分析。44例隐匿性恶性肿瘤患者中有20例检测到腹膜癌的CT表现。76例已知恶性肿瘤患者中有16例未发现继发性腹膜受累的证据。对CT表现的发生率及其与原发性肿瘤的相关性进行了批判性讨论。作者评估了CT在检测腹膜癌方面的效用，尽管根据他们的经验，继发性肿瘤性腹膜受累的CT表现与原发性肿瘤并无关联。
