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伴有手术相关性的腹膜癌病的CT成像：图文综述

CT imaging of peritoneal carcinomatosis with surgical correlation: a pictorial review.

作者信息

Panagiotopoulou Panagiota Berta, Courcoutsakis Nikos, Tentes Apostolos, Prassopoulos Panos

机构信息

Department of Radiology, University Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece.

Department of Surgery, Euromedica "Kyanos Stavros" Hospital, Thessaloniki, Greece.

出版信息

Insights Imaging. 2021 Nov 12;12(1):168. doi: 10.1186/s13244-021-01110-6.

DOI:10.1186/s13244-021-01110-6
PMID:34767065
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8589944/
Abstract

Cytoreductive surgery in combination with hyperthermic intraperitoneal chemotherapy has revolutionized the survival and the quality of life in selected patients with peritoneal carcinomatosis. Preoperative CT is important for the selection of patients that may benefit from cytoreductive surgery and is useful for surgical planning. There are several tasks for the radiologist during CT interpretation: to describe cancerous implants on a "site-by-site" basis in the peritoneum, ligaments, mesenteries and visceral surfaces, to analyze patterns of involvement and to estimate the disease burden. Knowledge of the correlation between the CT and the surgical findings enhances the understanding of the disease and facilitates the communication between radiologists and surgeons.

摘要

细胞减灭术联合腹腔热灌注化疗已经彻底改变了部分腹膜转移癌患者的生存率和生活质量。术前CT对于选择可能从细胞减灭术中获益的患者很重要，并且有助于手术规划。在CT解读过程中，放射科医生有几项任务：在腹膜、韧带、肠系膜和脏层表面逐个部位描述癌性种植灶，分析受累模式并估计疾病负担。了解CT与手术结果之间的相关性可增强对疾病的理解，并促进放射科医生与外科医生之间的沟通。

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