Reuter K, Raptopoulos V, Reale F, Krolikowski F J, D'Orsi C J, Graham S, Smith E H
AJR Am J Roentgenol. 1983 Jun;140(6):1189-94. doi: 10.2214/ajr.140.6.1189.
The diagnosis of peritoneal mesothelioma was made prospectively and noninvasively in four patients with the use of sonography, computed tomography, and sonographically guided fine-needle aspiration biopsy. The imaging methods revealed information similar to the operative findings, with clear superiority of computed tomography over sonography. These noninvasive methods may be used as screening tools, especially among groups or in regional areas with a high risk for asbestos exposure. The findings included soft-tissue masses with invariable involvement of the omentum; small intraperitoneal nodules; thickened peritoneum, mesentery, and bowel wall; pleural plaques; and usually minimal, if any, ascites. Since the differential diagnosis from peritoneal carcinomatosis may be difficult, sonographically (or CT) guided aspiration biopsy is needed to produce diagnostic cytologic specimens. The use of this type of biopsy should obviate surgical exploration.
通过超声检查、计算机断层扫描以及超声引导下细针穿刺活检，前瞻性且无创地诊断出了4例腹膜间皮瘤患者。成像方法所显示的信息与手术所见相似，计算机断层扫描明显优于超声检查。这些无创方法可用作筛查工具，尤其是在石棉暴露风险高的人群或地区。检查结果包括软组织肿块，大网膜无一例外受累；腹腔内小结节；腹膜、肠系膜和肠壁增厚；胸膜斑；通常腹水极少，即便有也很少。由于腹膜癌病的鉴别诊断可能困难，因此需要超声（或CT）引导下穿刺活检以获取诊断性细胞学标本。采用这种活检类型应可避免手术探查。
