Department of Radiology, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
Department of Hepatobiliary and Pancreatic Surgery, Mayo Clinic, Rochester, MN, USA.
Abdom Radiol (NY). 2019 May;44(5):1686-1702. doi: 10.1007/s00261-018-01888-y.
Recent advances, specifically cytoreductive surgery and hyperthermic intraperitoneal chemotherapy (CRS/HIPEC), offer advantages compared to the traditional therapeutic approach of systemic chemotherapy in the treatment of peritoneal carcinomatosis from mucinous appendiceal neoplasms (MAN). This review provides an up-to-date, comprehensive summary of the histologic classification of MAN, reviews common imaging findings of mucoceles and pseudomyxoma peritonei, and describes the radiologist's role in the multidisciplinary care team in quantifying disease and in helping select patients for definitive surgery.
最近的进展，特别是细胞减灭术和腹腔内热灌注化疗（CRS/HIPEC），与黏液性阑尾肿瘤（MAN）引起的腹膜癌病的传统治疗方法——全身化疗相比具有优势。本文综述了 MAN 的组织学分类，回顾了黏液肿和假性腹膜间皮瘤的常见影像学表现，并描述了放射科医生在疾病定量和帮助选择确定性手术患者的多学科治疗团队中的作用。
