Clinical Imaging
Volume 34, Issue 3 , Pages 191-195, May 2010

Computed tomographic peritoneography prior to intraperitoneal chemotherapy in advanced müllerian cancer: a pilot study

Department of Gynecology and Obstetrics, Johns Hopkins Medical Institutions, Baltimore, MD, USA

Received 20 March 2009; accepted 1 May 2009. published online 12 August 2009.

Abstract 

Objective

The objective of this study was to utilize computed tomographic peritoneography (CTP) to assess distribution prior to intraperitoneal chemotherapy for advanced müllerian cancer.

Methods

Nineteen patients were submitted to CTP. A novel 6-point peritoneal distribution index was developed and applied to the patients prospectively.

Results

The median peritoneal distribution index was 6 (range, 4–6). The most common region for incomplete peritoneal distribution correlated to the right subphrenic space.

Conclusion

Further studies are needed to determine the impact of inadequate distribution on recurrence and survival.

Keywords: Computed tomographic peritoneography, Intraperitoneal chemotherapy, Müllerian cancer

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PII: S0899-7071(09)00116-8

doi:10.1016/j.clinimag.2009.05.009

Clinical Imaging
Volume 34, Issue 3 , Pages 191-195, May 2010