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Discrepancy Between Preoperative Imaging and Surgical Findings in Patients With Advanced Ovarian Cancer: A Study of Initial False-Negative Lesions

Authors
 Seok Min Ko  ;  Dae Chul Jung  ;  Young Taik Oh  ;  Sun Ho Kim 
Citation
 Journal of Computer Assisted Tomography, Vol.37(4) : 568-571, 2013 
Journal Title
 Journal of Computer Assisted Tomography 
ISSN
 0363-8715 
Issue Date
2013
MeSH
False Negative Reactions ; Female ; Humans ; Ovarian Neoplasms/diagnosis* ; Ovarian Neoplasms/diagnostic imaging* ; Ovarian Neoplasms/epidemiology ; Peritoneum/diagnostic imaging* ; Peritoneum/surgery* ; Preoperative Care ; Prevalence ; Prostheses and Implants/statistics & numerical data* ; Radiography ; Reproducibility of Results ; Republic of Korea/epidemiology ; Retrospective Studies ; Risk Assessment ; Sensitivity and Specificity
Keywords
False Negative Reactions ; Female ; Humans ; Ovarian Neoplasms/diagnosis* ; Ovarian Neoplasms/diagnostic imaging* ; Ovarian Neoplasms/epidemiology ; Peritoneum/diagnostic imaging* ; Peritoneum/surgery* ; Preoperative Care ; Prevalence ; Prostheses and Implants/statistics & numerical data* ; Radiography ; Reproducibility of Results ; Republic of Korea/epidemiology ; Retrospective Studies ; Risk Assessment ; Sensitivity and Specificity
Abstract
OBJECTIVE: The objective of this study was to determine the patterns of erroneous interpretation of preoperative computed tomography (CT) for detection of peritoneal lesions in advanced ovarian cancer. METHODS: Between 2007 and 2011, 148 patients with International Federation of Gynecology and Obstetrics stage IIIC-IV ovarian cancer, who underwent multi-detector-row CT before primary cytoreduction, were enrolled. We reviewed the preoperative CT and compared the findings with the surgical findings. For the discrepant cases, false-negative cases were reevaluated after revealing of surgical findings and were categorized as either absence or presence of lesion (missed case). We performed region-based comparisons according to predefined peritoneal lesion locations. RESULTS: Sixty-eight false-negative cases were identified, of which 43 were revealed to be initially missed cases. The most common locations were found to be the small-bowel mesentery (21%), subdiaphragmatic space (19%), and porta hepatis (16%). CONCLUSIONS: The missed peritoneal implants commonly resided in the same sites of preoperative imaging criteria that could predict suboptimal primary cytoreduction.
Full Text
http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00004728-201307000-00014&LSLINK=80&D=ovft
DOI
10.1097/RCT.0b013e31828b683b
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
Yonsei Authors
Oh, Young Taik(오영택) ORCID logo https://orcid.org/0000-0002-4438-8890
Jung, Dae Chul(정대철) ORCID logo https://orcid.org/0000-0001-5769-5083
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/87502
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