Peritoneal Cancer Indexes in Ovarian Carcinomatosis: Correlation Between CT and Intraoperative Results and Survival

Lombardo Galera Sagrario; Espejo Herrera Juan Jose; López Redondo Celia; Pérez Montilla Maria Eugenia; Muñoz Casares Francisco Cristobal; Zurera Tendero Luis Jesus

doi:doi:10.11648/j.ijcocr.20170204.11

Peritoneal Cancer Indexes in Ovarian Carcinomatosis: Correlation Between CT and Intraoperative Results and Survival

Lombardo Galera Sagrario, Espejo Herrera Juan Jose, López Redondo Celia, Pérez Montilla Maria Eugenia, Muñoz Casares Francisco Cristobal, Zurera Tendero Luis Jesus

Published in International Journal of Clinical Oncology and Cancer Research (Volume 2, Issue 4)

Received: 26 January 2017 Accepted: 27 May 2017 Published: 1 August 2017

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Abstract

The aim of this study is to value the performance of computed tomography (CT) for the detection of ovarian peritoneal carcinomatosis (PC). We review retrospectively abdominopelvic CT and compare them with surgical reports to value the correlation between surgical and radiological PC indexes and survey. We compare the peritoneal tumor implants detected on CT performed before surgery with pathology results obtained after surgery. 47 patients with an average age of 58 years are investigated. Tumor localization and size are documented applying Sugarbaker´s Peritoneal Carcinomatosis Index (PCI) in both, radiological and surgical investigations, which divide the entire abdominal and intestinal regions into 13 spaces. In each one, the bigger visible lesion is measured and scored between 0 and 3. In our study, the correlation of Pearson shows there is a moderate correlation between the findings of the PCI obtained in the TC and surgical findings, appreciating a general low correlation in all regions, although the better results belong to regions 1, 2, 0 and 10. Also we observed a lower survival to greater PCI regarding carcinomatosis index in both TC and surgery. All patients received systemic chemotherapy before surgery, so its effect on the size of the peritoneal implants could explain the low correlation. In conclusion, we can consider that TC is a useful tool for the planning of the surgery and the preoperative treatments. The peritoneal cancer index is a significant index of survival in ovarian cancer patients and by using PCI a detailed evaluation of the peritoneal spread is possible being useful as a prognostic factor.

Published in	International Journal of Clinical Oncology and Cancer Research (Volume 2, Issue 4)
DOI	10.11648/j.ijcocr.20170204.11
Page(s)	75-81
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2017. Published by Science Publishing Group

Keywords

Ovary, Carcinoma, Peritoneal Cavity, Computed Tomography, Surgery

References

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Lombardo Galera Sagrario, Espejo Herrera Juan Jose, López Redondo Celia, Pérez Montilla Maria Eugenia, Muñoz Casares Francisco Cristobal, et al. (2017). Peritoneal Cancer Indexes in Ovarian Carcinomatosis: Correlation Between CT and Intraoperative Results and Survival. International Journal of Clinical Oncology and Cancer Research, 2(4), 75-81. https://doi.org/10.11648/j.ijcocr.20170204.11

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Lombardo Galera Sagrario; Espejo Herrera Juan Jose; López Redondo Celia; Pérez Montilla Maria Eugenia; Muñoz Casares Francisco Cristobal, et al. Peritoneal Cancer Indexes in Ovarian Carcinomatosis: Correlation Between CT and Intraoperative Results and Survival. Int. J. Clin. Oncol. Cancer Res. 2017, 2(4), 75-81. doi: 10.11648/j.ijcocr.20170204.11

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AMA Style

Lombardo Galera Sagrario, Espejo Herrera Juan Jose, López Redondo Celia, Pérez Montilla Maria Eugenia, Muñoz Casares Francisco Cristobal, et al. Peritoneal Cancer Indexes in Ovarian Carcinomatosis: Correlation Between CT and Intraoperative Results and Survival. Int J Clin Oncol Cancer Res. 2017;2(4):75-81. doi: 10.11648/j.ijcocr.20170204.11

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@article{10.11648/j.ijcocr.20170204.11,
  author = {Lombardo Galera Sagrario and Espejo Herrera Juan Jose and López Redondo Celia and Pérez Montilla Maria Eugenia and Muñoz Casares Francisco Cristobal and Zurera Tendero Luis Jesus},
  title = {Peritoneal Cancer Indexes in Ovarian Carcinomatosis: Correlation Between CT and Intraoperative Results and Survival},
  journal = {International Journal of Clinical Oncology and Cancer Research},
  volume = {2},
  number = {4},
  pages = {75-81},
  doi = {10.11648/j.ijcocr.20170204.11},
  url = {https://doi.org/10.11648/j.ijcocr.20170204.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcocr.20170204.11},
  abstract = {The aim of this study is to value the performance of computed tomography (CT) for the detection of ovarian peritoneal carcinomatosis (PC). We review retrospectively abdominopelvic CT and compare them with surgical reports to value the correlation between surgical and radiological PC indexes and survey. We compare the peritoneal tumor implants detected on CT performed before surgery with pathology results obtained after surgery. 47 patients with an average age of 58 years are investigated. Tumor localization and size are documented applying Sugarbaker´s Peritoneal Carcinomatosis Index (PCI) in both, radiological and surgical investigations, which divide the entire abdominal and intestinal regions into 13 spaces. In each one, the bigger visible lesion is measured and scored between 0 and 3. In our study, the correlation of Pearson shows there is a moderate correlation between the findings of the PCI obtained in the TC and surgical findings, appreciating a general low correlation in all regions, although the better results belong to regions 1, 2, 0 and 10. Also we observed a lower survival to greater PCI regarding carcinomatosis index in both TC and surgery. All patients received systemic chemotherapy before surgery, so its effect on the size of the peritoneal implants could explain the low correlation. In conclusion, we can consider that TC is a useful tool for the planning of the surgery and the preoperative treatments. The peritoneal cancer index is a significant index of survival in ovarian cancer patients and by using PCI a detailed evaluation of the peritoneal spread is possible being useful as a prognostic factor.},
 year = {2017}
}

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TY  - JOUR
T1  - Peritoneal Cancer Indexes in Ovarian Carcinomatosis: Correlation Between CT and Intraoperative Results and Survival
AU  - Lombardo Galera Sagrario
AU  - Espejo Herrera Juan Jose
AU  - López Redondo Celia
AU  - Pérez Montilla Maria Eugenia
AU  - Muñoz Casares Francisco Cristobal
AU  - Zurera Tendero Luis Jesus
Y1  - 2017/08/01
PY  - 2017
N1  - https://doi.org/10.11648/j.ijcocr.20170204.11
DO  - 10.11648/j.ijcocr.20170204.11
T2  - International Journal of Clinical Oncology and Cancer Research
JF  - International Journal of Clinical Oncology and Cancer Research
JO  - International Journal of Clinical Oncology and Cancer Research
SP  - 75
EP  - 81
PB  - Science Publishing Group
SN  - 2578-9511
UR  - https://doi.org/10.11648/j.ijcocr.20170204.11
AB  - The aim of this study is to value the performance of computed tomography (CT) for the detection of ovarian peritoneal carcinomatosis (PC). We review retrospectively abdominopelvic CT and compare them with surgical reports to value the correlation between surgical and radiological PC indexes and survey. We compare the peritoneal tumor implants detected on CT performed before surgery with pathology results obtained after surgery. 47 patients with an average age of 58 years are investigated. Tumor localization and size are documented applying Sugarbaker´s Peritoneal Carcinomatosis Index (PCI) in both, radiological and surgical investigations, which divide the entire abdominal and intestinal regions into 13 spaces. In each one, the bigger visible lesion is measured and scored between 0 and 3. In our study, the correlation of Pearson shows there is a moderate correlation between the findings of the PCI obtained in the TC and surgical findings, appreciating a general low correlation in all regions, although the better results belong to regions 1, 2, 0 and 10. Also we observed a lower survival to greater PCI regarding carcinomatosis index in both TC and surgery. All patients received systemic chemotherapy before surgery, so its effect on the size of the peritoneal implants could explain the low correlation. In conclusion, we can consider that TC is a useful tool for the planning of the surgery and the preoperative treatments. The peritoneal cancer index is a significant index of survival in ovarian cancer patients and by using PCI a detailed evaluation of the peritoneal spread is possible being useful as a prognostic factor.
VL  - 2
IS  - 4
ER  -

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Author Information

Lombardo Galera Sagrario

Department of Interventional Radiology, Reina Sofia University Hospital, Córdoba, Spain
Espejo Herrera Juan Jose

Department of Interventional Radiology, Reina Sofia University Hospital, Córdoba, Spain
López Redondo Celia

Department of Radiology, Reina Sofia University Hospital, Córdoba, Spain
Pérez Montilla Maria Eugenia

Department of Interventional Radiology, Reina Sofia University Hospital, Córdoba, Spain
Muñoz Casares Francisco Cristobal
Zurera Tendero Luis Jesus

Department of Interventional Radiology, Reina Sofia University Hospital, Córdoba, Spain

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APA Style

Lombardo Galera Sagrario, Espejo Herrera Juan Jose, López Redondo Celia, Pérez Montilla Maria Eugenia, Muñoz Casares Francisco Cristobal, et al. (2017). Peritoneal Cancer Indexes in Ovarian Carcinomatosis: Correlation Between CT and Intraoperative Results and Survival. International Journal of Clinical Oncology and Cancer Research, 2(4), 75-81. https://doi.org/10.11648/j.ijcocr.20170204.11

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ACS Style

Lombardo Galera Sagrario; Espejo Herrera Juan Jose; López Redondo Celia; Pérez Montilla Maria Eugenia; Muñoz Casares Francisco Cristobal, et al. Peritoneal Cancer Indexes in Ovarian Carcinomatosis: Correlation Between CT and Intraoperative Results and Survival. Int. J. Clin. Oncol. Cancer Res. 2017, 2(4), 75-81. doi: 10.11648/j.ijcocr.20170204.11

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AMA Style

Lombardo Galera Sagrario, Espejo Herrera Juan Jose, López Redondo Celia, Pérez Montilla Maria Eugenia, Muñoz Casares Francisco Cristobal, et al. Peritoneal Cancer Indexes in Ovarian Carcinomatosis: Correlation Between CT and Intraoperative Results and Survival. Int J Clin Oncol Cancer Res. 2017;2(4):75-81. doi: 10.11648/j.ijcocr.20170204.11

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@article{10.11648/j.ijcocr.20170204.11,
  author = {Lombardo Galera Sagrario and Espejo Herrera Juan Jose and López Redondo Celia and Pérez Montilla Maria Eugenia and Muñoz Casares Francisco Cristobal and Zurera Tendero Luis Jesus},
  title = {Peritoneal Cancer Indexes in Ovarian Carcinomatosis: Correlation Between CT and Intraoperative Results and Survival},
  journal = {International Journal of Clinical Oncology and Cancer Research},
  volume = {2},
  number = {4},
  pages = {75-81},
  doi = {10.11648/j.ijcocr.20170204.11},
  url = {https://doi.org/10.11648/j.ijcocr.20170204.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcocr.20170204.11},
  abstract = {The aim of this study is to value the performance of computed tomography (CT) for the detection of ovarian peritoneal carcinomatosis (PC). We review retrospectively abdominopelvic CT and compare them with surgical reports to value the correlation between surgical and radiological PC indexes and survey. We compare the peritoneal tumor implants detected on CT performed before surgery with pathology results obtained after surgery. 47 patients with an average age of 58 years are investigated. Tumor localization and size are documented applying Sugarbaker´s Peritoneal Carcinomatosis Index (PCI) in both, radiological and surgical investigations, which divide the entire abdominal and intestinal regions into 13 spaces. In each one, the bigger visible lesion is measured and scored between 0 and 3. In our study, the correlation of Pearson shows there is a moderate correlation between the findings of the PCI obtained in the TC and surgical findings, appreciating a general low correlation in all regions, although the better results belong to regions 1, 2, 0 and 10. Also we observed a lower survival to greater PCI regarding carcinomatosis index in both TC and surgery. All patients received systemic chemotherapy before surgery, so its effect on the size of the peritoneal implants could explain the low correlation. In conclusion, we can consider that TC is a useful tool for the planning of the surgery and the preoperative treatments. The peritoneal cancer index is a significant index of survival in ovarian cancer patients and by using PCI a detailed evaluation of the peritoneal spread is possible being useful as a prognostic factor.},
 year = {2017}
}

Copy | Download

TY  - JOUR
T1  - Peritoneal Cancer Indexes in Ovarian Carcinomatosis: Correlation Between CT and Intraoperative Results and Survival
AU  - Lombardo Galera Sagrario
AU  - Espejo Herrera Juan Jose
AU  - López Redondo Celia
AU  - Pérez Montilla Maria Eugenia
AU  - Muñoz Casares Francisco Cristobal
AU  - Zurera Tendero Luis Jesus
Y1  - 2017/08/01
PY  - 2017
N1  - https://doi.org/10.11648/j.ijcocr.20170204.11
DO  - 10.11648/j.ijcocr.20170204.11
T2  - International Journal of Clinical Oncology and Cancer Research
JF  - International Journal of Clinical Oncology and Cancer Research
JO  - International Journal of Clinical Oncology and Cancer Research
SP  - 75
EP  - 81
PB  - Science Publishing Group
SN  - 2578-9511
UR  - https://doi.org/10.11648/j.ijcocr.20170204.11
AB  - The aim of this study is to value the performance of computed tomography (CT) for the detection of ovarian peritoneal carcinomatosis (PC). We review retrospectively abdominopelvic CT and compare them with surgical reports to value the correlation between surgical and radiological PC indexes and survey. We compare the peritoneal tumor implants detected on CT performed before surgery with pathology results obtained after surgery. 47 patients with an average age of 58 years are investigated. Tumor localization and size are documented applying Sugarbaker´s Peritoneal Carcinomatosis Index (PCI) in both, radiological and surgical investigations, which divide the entire abdominal and intestinal regions into 13 spaces. In each one, the bigger visible lesion is measured and scored between 0 and 3. In our study, the correlation of Pearson shows there is a moderate correlation between the findings of the PCI obtained in the TC and surgical findings, appreciating a general low correlation in all regions, although the better results belong to regions 1, 2, 0 and 10. Also we observed a lower survival to greater PCI regarding carcinomatosis index in both TC and surgery. All patients received systemic chemotherapy before surgery, so its effect on the size of the peritoneal implants could explain the low correlation. In conclusion, we can consider that TC is a useful tool for the planning of the surgery and the preoperative treatments. The peritoneal cancer index is a significant index of survival in ovarian cancer patients and by using PCI a detailed evaluation of the peritoneal spread is possible being useful as a prognostic factor.
VL  - 2
IS  - 4
ER  -

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