Abdominopelvic CT scan findings after surgery for ovarian cancer.

2.50
Hdl Handle:
http://hdl.handle.net/10541/91670
Title:
Abdominopelvic CT scan findings after surgery for ovarian cancer.
Authors:
Razzaq, R; Carrington, Bernadette M; Hulse, Paul; Kitchener, Henry C
Abstract:
AIMS: To evaluate abdomino-pelvic changes in patients who had total abdominal hysterectomy (TAH) and bilateral salpingo-oophorectomy (BSO) for stage I ovarian cancer. METHOD: The postoperative computed tomographic (CT) scans of 23 patients who had undergone TAH and BSO for stage I ovarian tumours between 3 and 14 weeks previously were assessed, providing there had been no treatment with chemotherapy or radiotherapy and that each patient had normal tumour marker (CA125) levels after surgery. After the CT scan patients were followed up and had no clinical or biochemical (CA125) evidence of relapse for a median of 27 months (range 11 to 78 months). The following sites were assessed by two observers: the vaginal vault, round ligaments, bladder, rectum, perirectal fat, pelvic sidewalls, omentum, surgical scar and abdominal wall. Any abnormality was recorded, with re-evaluation on follow-up CT scans in ten patients (between three and 17 months). RESULTS: The following abnormalities were seen: (1) Thickened round ligaments (n=12) with bulbous masses at the surgically transected ends (n=7). This was bilateral in eight patients. (2) Vaginal vault thickening (n=11) either uniform (n=6) or bulbous bilaterally (n=2) or unilaterally (n=3). (3) Subtle omental bed stranding or nodularity (n=11). (4) Peritoneal thickening underlying the scar (n=4). (5) Asymmetrical rectus abdominis muscles (n=3) adjacent to the surgical scar or thickened scar tissue in the anterior abdominal wall (n=4). No significant bladder, rectal, perirectal or nodal abnormalities were found. CONCLUSION: Pseudotumours at the transected ends of the round ligaments, or uniformly swollen round ligaments, may be identified in patients who have had TAH and BSO, as may vaginal vault thickening. Other changes which may be observed in the abdomen and pelvis are peritoneal thickening adjacent to the scar and omental bed stranding.
Affiliation:
Department of Diagnostic Radiology, Christie Hospital NHS Trust, Manchester, UK.
Citation:
Abdominopelvic CT scan findings after surgery for ovarian cancer. 1998, 53 (11):820-4 Clin Radiol
Journal:
Clinical Radiology
Issue Date:
Nov-1998
URI:
http://hdl.handle.net/10541/91670
DOI:
10.1016/S0009-9260(98)80193-1
PubMed ID:
9833785
Type:
Article
Language:
en
ISSN:
0009-9260
Appears in Collections:
All Christie Publications

Full metadata record

DC FieldValue Language
dc.contributor.authorRazzaq, Ren
dc.contributor.authorCarrington, Bernadette Men
dc.contributor.authorHulse, Paulen
dc.contributor.authorKitchener, Henry Cen
dc.date.accessioned2010-02-09T17:00:38Z-
dc.date.available2010-02-09T17:00:38Z-
dc.date.issued1998-11-
dc.identifier.citationAbdominopelvic CT scan findings after surgery for ovarian cancer. 1998, 53 (11):820-4 Clin Radiolen
dc.identifier.issn0009-9260-
dc.identifier.pmid9833785-
dc.identifier.doi10.1016/S0009-9260(98)80193-1-
dc.identifier.urihttp://hdl.handle.net/10541/91670-
dc.description.abstractAIMS: To evaluate abdomino-pelvic changes in patients who had total abdominal hysterectomy (TAH) and bilateral salpingo-oophorectomy (BSO) for stage I ovarian cancer. METHOD: The postoperative computed tomographic (CT) scans of 23 patients who had undergone TAH and BSO for stage I ovarian tumours between 3 and 14 weeks previously were assessed, providing there had been no treatment with chemotherapy or radiotherapy and that each patient had normal tumour marker (CA125) levels after surgery. After the CT scan patients were followed up and had no clinical or biochemical (CA125) evidence of relapse for a median of 27 months (range 11 to 78 months). The following sites were assessed by two observers: the vaginal vault, round ligaments, bladder, rectum, perirectal fat, pelvic sidewalls, omentum, surgical scar and abdominal wall. Any abnormality was recorded, with re-evaluation on follow-up CT scans in ten patients (between three and 17 months). RESULTS: The following abnormalities were seen: (1) Thickened round ligaments (n=12) with bulbous masses at the surgically transected ends (n=7). This was bilateral in eight patients. (2) Vaginal vault thickening (n=11) either uniform (n=6) or bulbous bilaterally (n=2) or unilaterally (n=3). (3) Subtle omental bed stranding or nodularity (n=11). (4) Peritoneal thickening underlying the scar (n=4). (5) Asymmetrical rectus abdominis muscles (n=3) adjacent to the surgical scar or thickened scar tissue in the anterior abdominal wall (n=4). No significant bladder, rectal, perirectal or nodal abnormalities were found. CONCLUSION: Pseudotumours at the transected ends of the round ligaments, or uniformly swollen round ligaments, may be identified in patients who have had TAH and BSO, as may vaginal vault thickening. Other changes which may be observed in the abdomen and pelvis are peritoneal thickening adjacent to the scar and omental bed stranding.en
dc.language.isoenen
dc.subjectCancer Stagingen
dc.subjectResidual Canceren
dc.subjectOvarian Canceren
dc.subjectPelvic Canceren
dc.subject.meshAdult-
dc.subject.meshAged-
dc.subject.meshDiagnosis, Differential-
dc.subject.meshFallopian Tubes-
dc.subject.meshFemale-
dc.subject.meshFollow-Up Studies-
dc.subject.meshHumans-
dc.subject.meshHysterectomy-
dc.subject.meshMiddle Aged-
dc.subject.meshNeoplasm Staging-
dc.subject.meshNeoplasm, Residual-
dc.subject.meshOvarian Neoplasms-
dc.subject.meshOvariectomy-
dc.subject.meshPelvic Neoplasms-
dc.subject.meshPelvis-
dc.subject.meshPostoperative Period-
dc.subject.meshRadiography, Abdominal-
dc.subject.meshTomography, X-Ray Computed-
dc.titleAbdominopelvic CT scan findings after surgery for ovarian cancer.en
dc.typeArticleen
dc.contributor.departmentDepartment of Diagnostic Radiology, Christie Hospital NHS Trust, Manchester, UK.en
dc.identifier.journalClinical Radiologyen

Related articles on PubMed

All Items in Christie are protected by copyright, with all rights reserved, unless otherwise indicated.