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Peritoneal Carcinomatosis
Jade Wong-You-Cheong, MBChB, MRCP, FRCR
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • 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
              • Krukenberg tumor: Bilateral ovarian metastases from hematogenous or lymphatic spread from signet ring gastric carcinoma (less commonly breast)

            IMAGING

            • General Features

              • Ultrasonographic Findings

                • Nuclear Medicine Findings

                  • CT Findings

                    • MR Findings

                      • Nonvascular Interventions

                        • Imaging Recommendations

                          DIFFERENTIAL DIAGNOSIS

                            PATHOLOGY

                            • General Features

                              • Staging, Grading, & Classification

                                • Gross Pathologic & Surgical Features

                                  • Microscopic Features

                                    CLINICAL ISSUES

                                    • Presentation

                                      • Demographics

                                        • Natural History & Prognosis

                                          • Treatment

                                            DIAGNOSTIC CHECKLIST

                                            • Consider

                                              Selected References

                                              1. 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
                                              2. Diop AD et al: CT imaging of peritoneal carcinomatosis and its mimics. Diagn Interv Imaging. ePub, 2014
                                              3. 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
                                              4. Vicens RA et al: Multimodality imaging of common and uncommon peritoneal diseases: a review for radiologists. Abdom Imaging. ePub, 2014
                                              5. 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
                                              6. Nougaret S et al: Ovarian carcinomatosis: how the radiologist can help plan the surgical approach. Radiographics. 32(6):1775-800; discussion 1800-3, 2012
                                              7. Oei TN et al: Peritoneal sarcomatosis versus peritoneal carcinomatosis: imaging findings at MDCT. AJR Am J Roentgenol. 195(3):W229-35, 2010
                                              8. Levy AD et al: Secondary tumors and tumorlike lesions of the peritoneal cavity: imaging features with pathologic correlation. Radiographics. 29(2):347-73, 2009
                                              9. Park CM et al: Recurrent ovarian malignancy: patterns and spectrum of imaging findings. Abdom Imaging. 28(3):404-15, 2003
                                              10. Pavlidis N et al: Diagnostic and therapeutic management of cancer of an unknown primary. Eur J Cancer. 39(14):1990-2005, 2003
                                              11. 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

                                                    • Pathology

                                                      • 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
                                                          • Krukenberg tumor: Bilateral ovarian metastases from hematogenous or lymphatic spread from signet ring gastric carcinoma (less commonly breast)

                                                        IMAGING

                                                        • General Features

                                                          • Ultrasonographic Findings

                                                            • Nuclear Medicine Findings

                                                              • CT Findings

                                                                • MR Findings

                                                                  • Nonvascular Interventions

                                                                    • Imaging Recommendations

                                                                      DIFFERENTIAL DIAGNOSIS

                                                                        PATHOLOGY

                                                                        • General Features

                                                                          • Staging, Grading, & Classification

                                                                            • Gross Pathologic & Surgical Features

                                                                              • Microscopic Features

                                                                                CLINICAL ISSUES

                                                                                • Presentation

                                                                                  • Demographics

                                                                                    • Natural History & Prognosis

                                                                                      • Treatment

                                                                                        DIAGNOSTIC CHECKLIST

                                                                                        • Consider

                                                                                          Selected References

                                                                                          1. 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
                                                                                          2. Diop AD et al: CT imaging of peritoneal carcinomatosis and its mimics. Diagn Interv Imaging. ePub, 2014
                                                                                          3. 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
                                                                                          4. Vicens RA et al: Multimodality imaging of common and uncommon peritoneal diseases: a review for radiologists. Abdom Imaging. ePub, 2014
                                                                                          5. 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
                                                                                          6. Nougaret S et al: Ovarian carcinomatosis: how the radiologist can help plan the surgical approach. Radiographics. 32(6):1775-800; discussion 1800-3, 2012
                                                                                          7. Oei TN et al: Peritoneal sarcomatosis versus peritoneal carcinomatosis: imaging findings at MDCT. AJR Am J Roentgenol. 195(3):W229-35, 2010
                                                                                          8. Levy AD et al: Secondary tumors and tumorlike lesions of the peritoneal cavity: imaging features with pathologic correlation. Radiographics. 29(2):347-73, 2009
                                                                                          9. Park CM et al: Recurrent ovarian malignancy: patterns and spectrum of imaging findings. Abdom Imaging. 28(3):404-15, 2003
                                                                                          10. Pavlidis N et al: Diagnostic and therapeutic management of cancer of an unknown primary. Eur J Cancer. 39(14):1990-2005, 2003
                                                                                          11. Sugarbaker PH: Review of a personal experience in the management of carcinomatosis and sarcomatosis. Jpn J Clin Oncol. 31(12):573-83, 2001