title: Image-guided biopsy in women with breast cancer presenting with peritoneal carcinomatosis.
abstract: When women with a history of breast cancer present with peritoneal carcinomatosis, the differential diagnosis lies between recurrent breast cancer or a new primary tumor. This scenario is of particular relevance to women with a BRCA gene mutation, who have a genetic predisposition to develop second primary tumors of the ovary, fallopian tube, and peritoneum. We describe the use of image-guided core biopsy as an alternative to laparoscopy or exploratory laparotomy in providing minimally invasive diagnosis in this increasingly common clinical dilemma.
authors.affiliation: Department of Gynaecology, St. James's University Hospital, Leeds, England. matt.hewit@doctors.org.uk
authors.forename: M J
authors.initials: MJ
authors.lastname: Hewitt
authors.forename: G D
authors.initials: GD
authors.lastname: Hall
authors.forename: N
authors.initials: N
authors.lastname: Wilkinson
authors.forename: T J
authors.initials: TJ
authors.lastname: Perren
authors.forename: G
authors.initials: G
authors.lastname: Lane
authors.forename: J A
authors.initials: JA
authors.lastname: Spencer
mesh_terms: D000230:Adenocarcinoma / Q000473:pathology*; D001706:Biopsy; D001943:Breast Neoplasms / Q000473:pathology*; D005260:Female; D006801:Humans; D018200:Mixed Tumor, Mullerian / Q000473:pathology*; D010534:Peritoneal Neoplasms / Q000473:pathology*; D010537:Peritoneum / Q000473:pathology*; D025321:Surgery, Computer-Assisted