Primary peritoneal carcinoma: computed tomography and magnetic resonance findings.
OBJECTIVE
To present computed tomography (CT) and magnetic resonance imaging (MRI) findings of primary peritoneal carcinoma (PPC) at initial presentation (IP) and recurrent disease (RD).


METHODS
We studied 15 consecutive female patients (age range, 47-83 years; mean, 66.2 years) with pathologically proven PPC who underwent CT and/or MRI between July 2000 and December 2005. Preoperative radiological evaluation and postoperative follow-up was done with CT and/or magnetic resonance studies. All CT and MRI studies were evaluated retrospectively, independently, and blindly by 2 radiologists for the imaging findings of PPC.


RESULTS
The imaging findings were as follows: ascites, 2 of 2 at IP, 9 of 10 at RD; peritoneal thickening and enhancement, 1 of 2 at IP, 9 of 10 at RD; peritoneal nodules or bulky mass lesions, 1 of 2 at IP, 8 of 10 at RD; lymph node involvement, 1 of 2 at IP, 3 of 10 at RD; and distant metastases, 1 of 10 at RD.


CONCLUSIONS
Ascites, peritoneal thickening and enhancement, and peritoneal nodules or bulky mass lesions were the most frequent findings of PPC. Recurrent disease revealed similar findings compared with the IP.
Voultsinos
Vasileios
V
Department of Radiology, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7510, USA.
Semelka
Richard C
RC
Elias
Jorge
J
Altun
Ersan
E
Huertas
Claudia
C
Woosley
John T
JT
Balci
N Cem
NC
D000368:Aged; D000369:Aged, 80 and over; D002291:Carcinoma, Papillary / Q000175:diagnosis* / Q000601:surgery; D003287:Contrast Media / Q000008:administration & dosage; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007089:Image Enhancement / Q000379:methods; D021621:Imaging, Three-Dimensional; D007472:Iohexol; D008279:Magnetic Resonance Imaging / Q000379:methods*; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000175:diagnosis*; D015588:Observer Variation; D010534:Peritoneal Neoplasms / Q000175:diagnosis* / Q000601:surgery; D010537:Peritoneum / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D015203:Reproducibility of Results; D012189:Retrospective Studies; D036542:Tomography, Spiral Computed / Q000379:methods; D014057:Tomography, X-Ray Computed / Q000379:methods*
D003287:Contrast Media; D007472:Iohexol