Saiz Martínez Raquel, Dromain Clarisse, Vietti Violi Naik
MD Anderson Cancer Center Madrid, Department of Radiology, 28033 Madrid, Spain.
Department of Radiology, Lausanne University Hospital and University of Lausanne, 1015 Lausanne, Switzerland.
J Clin Med. 2021 Nov 14;10(22):5294. doi: 10.3390/jcm10225294.
Diagnosing the absence or presence of peritoneal carcinomatosis in patients with gastric cancer, including its extent and distribution, is an essential step in patients' therapeutic management. Such diagnosis still remains a radiological challenge. In this article, we review the strengths and weaknesses of the different imaging techniques for the diagnosis of peritoneal carcinomatosis of gastric origin as well as the techniques' imaging features. We also discuss the assessment of response to treatment and present recommendations for the follow-up of patients with complete surgical resection according to the presence of risk factors of recurrence, as well as discussing future directions for imaging improvement.
诊断胃癌患者是否存在腹膜癌转移,包括其范围和分布情况,是患者治疗管理中的关键步骤。目前,此类诊断仍是一项影像学挑战。在本文中,我们回顾了不同成像技术在诊断胃源性腹膜癌转移方面的优缺点及其成像特征。我们还讨论了治疗反应评估,并根据复发风险因素的存在情况,针对接受完整手术切除的患者随访提出建议,同时探讨成像技术改进的未来方向。