Diagnostic flow-chart to identify bowel involvement in patients with stage IIIC-IV ovarian cancer: Can laparoscopy improve the accuracy of CT scan?
Gynecologic Oncology Nov 12, 2019
Tozzi R, Traill Z, Campanile RG, et al. - In patients with stage IIIC-IV primary Epithelial Ovarian Cancer (EOC), researchers explored the diagnostic power of CT scan combined with exploratory laparoscopy (EXL) at identifying large bowel involvement by comparing with the macroscopic surgical findings at laparotomy. Among 177 patients with FIGO Stage IIIC-IV EOC who had Visceral Peritoneal Debulking (VPD), 94 (53.2%) had a bowel resection during VPD. In patients with stage IIIC-IV EOC, CT-scan alone shows limited diagnostic power to detect large bowel involvement. The combination of CT scan with EXL increases the diagnostic capacity and helps patients to better schedule the resection of the bowel and consent.
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