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Peritoneal Carcinomatosis
Tara A. Morgan, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          TERMINOLOGY

          • Synonyms

            • Peritoneal implants, omental caking
          • Definitions

            • Peritoneal spread of tumor from epithelial malignancy resulting in peritoneal thickening, omental infiltration, serosal implants, and ascites

          IMAGING

          • General Features

            • Ultrasonographic Findings

              • Nuclear Medicine Findings

                • CT Findings

                  • MR Findings

                    • Imaging Recommendations

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          • Staging, Grading, & Classification

                            • Gross Pathologic & Surgical Features

                              • Microscopic Features

                                CLINICAL ISSUES

                                • Presentation

                                  • Natural History & Prognosis

                                    • Treatment

                                      DIAGNOSTIC CHECKLIST

                                      • Consider

                                        Selected References

                                        1. De Blasis I et al: Role of ultrasound in advanced peritoneal malignancies. Minerva Med. 110(4):292-300, 2019
                                        2. Qi Z et al: Peritoneal carcinomatosis in primary ovarian cancer: ultrasound detection and comparison with computed tomography. Ultrasound Med Biol. 43(9):1811-9, 2017
                                        3. Vicens RA et al: Multimodality imaging of common and uncommon peritoneal diseases: a review for radiologists. Abdom Imaging. 40(2):436-56, 2015
                                        4. Wasnik AP et al: Primary and secondary disease of the peritoneum and mesentery: review of anatomy and imaging features. Abdom Imaging. 40(3):626-42, 2015
                                        5. Diop AD et al: CT imaging of peritoneal carcinomatosis and its mimics. Diagn Interv Imaging. 95(9):861-72, 2014
                                        6. O'Neill AC et al: Differences in CT features of peritoneal carcinomatosis, sarcomatosis, and lymphomatosis: retrospective analysis of 122 cases at a tertiary cancer institution. Clin Radiol. 69(12):1219-27, 2014
                                        7. Cabral FC et al: Peritoneal lymphomatosis: CT and PET/CT findings and how to differentiate between carcinomatosis and sarcomatosis. Cancer Imaging. 13:162-70, 2013
                                        8. Nougaret S et al: Ovarian carcinomatosis: how the radiologist can help plan the surgical approach. Radiographics. 32(6):1775-800; discussion 1800-3, 2012
                                        9. Oei TN et al: Peritoneal sarcomatosis versus peritoneal carcinomatosis: imaging findings at MDCT. AJR Am J Roentgenol. 195(3):W229-35, 2010
                                        10. Levy AD et al: Secondary tumors and tumorlike lesions of the peritoneal cavity: imaging features with pathologic correlation. Radiographics. 29(2):347-73, 2009
                                        11. Park CM et al: Recurrent ovarian malignancy: patterns and spectrum of imaging findings. Abdom Imaging. 28(3):404-15, 2003
                                        12. Pavlidis N et al: Diagnostic and therapeutic management of cancer of an unknown primary. Eur J Cancer. 39(14):1990-2005, 2003
                                        13. Sugarbaker PH: Review of a personal experience in the management of carcinomatosis and sarcomatosis. Jpn J Clin Oncol. 31(12):573-83, 2001
                                        Related Anatomy
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                                        Related Differential Diagnoses
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                                        References
                                        Tables

                                        Tables

                                        KEY FACTS

                                        • Terminology

                                          • Imaging

                                            • Top Differential Diagnoses

                                              • Clinical Issues

                                                TERMINOLOGY

                                                • Synonyms

                                                  • Peritoneal implants, omental caking
                                                • Definitions

                                                  • Peritoneal spread of tumor from epithelial malignancy resulting in peritoneal thickening, omental infiltration, serosal implants, and ascites

                                                IMAGING

                                                • General Features

                                                  • Ultrasonographic Findings

                                                    • Nuclear Medicine Findings

                                                      • CT Findings

                                                        • MR Findings

                                                          • Imaging Recommendations

                                                            DIFFERENTIAL DIAGNOSIS

                                                              PATHOLOGY

                                                              • General Features

                                                                • Staging, Grading, & Classification

                                                                  • Gross Pathologic & Surgical Features

                                                                    • Microscopic Features

                                                                      CLINICAL ISSUES

                                                                      • Presentation

                                                                        • Natural History & Prognosis

                                                                          • Treatment

                                                                            DIAGNOSTIC CHECKLIST

                                                                            • Consider

                                                                              Selected References

                                                                              1. De Blasis I et al: Role of ultrasound in advanced peritoneal malignancies. Minerva Med. 110(4):292-300, 2019
                                                                              2. Qi Z et al: Peritoneal carcinomatosis in primary ovarian cancer: ultrasound detection and comparison with computed tomography. Ultrasound Med Biol. 43(9):1811-9, 2017
                                                                              3. Vicens RA et al: Multimodality imaging of common and uncommon peritoneal diseases: a review for radiologists. Abdom Imaging. 40(2):436-56, 2015
                                                                              4. Wasnik AP et al: Primary and secondary disease of the peritoneum and mesentery: review of anatomy and imaging features. Abdom Imaging. 40(3):626-42, 2015
                                                                              5. Diop AD et al: CT imaging of peritoneal carcinomatosis and its mimics. Diagn Interv Imaging. 95(9):861-72, 2014
                                                                              6. O'Neill AC et al: Differences in CT features of peritoneal carcinomatosis, sarcomatosis, and lymphomatosis: retrospective analysis of 122 cases at a tertiary cancer institution. Clin Radiol. 69(12):1219-27, 2014
                                                                              7. Cabral FC et al: Peritoneal lymphomatosis: CT and PET/CT findings and how to differentiate between carcinomatosis and sarcomatosis. Cancer Imaging. 13:162-70, 2013
                                                                              8. Nougaret S et al: Ovarian carcinomatosis: how the radiologist can help plan the surgical approach. Radiographics. 32(6):1775-800; discussion 1800-3, 2012
                                                                              9. Oei TN et al: Peritoneal sarcomatosis versus peritoneal carcinomatosis: imaging findings at MDCT. AJR Am J Roentgenol. 195(3):W229-35, 2010
                                                                              10. Levy AD et al: Secondary tumors and tumorlike lesions of the peritoneal cavity: imaging features with pathologic correlation. Radiographics. 29(2):347-73, 2009
                                                                              11. Park CM et al: Recurrent ovarian malignancy: patterns and spectrum of imaging findings. Abdom Imaging. 28(3):404-15, 2003
                                                                              12. Pavlidis N et al: Diagnostic and therapeutic management of cancer of an unknown primary. Eur J Cancer. 39(14):1990-2005, 2003
                                                                              13. Sugarbaker PH: Review of a personal experience in the management of carcinomatosis and sarcomatosis. Jpn J Clin Oncol. 31(12):573-83, 2001