PATTERNS OF PERITONEAL INVOLVEMENT IN PATIENTS WITH ABDOMINO-PELVIC MALIGNANCIES ON MULTI DETECTOR COMPUTED TOMOGRAPHY

• Main Authors: Faryal Asmat, Javed Ahmad Khan, Hina Mehwish Khan
• Format: Article
• Language: English
• Published: Gomal Medical College, D.I.Khan, Pakistan 2017-01-01
• Series: Gomal Journal of Medical Sciences
• Subjects: ovarian cancer; omentum; ascites; computed tomography.
• Online Access: http://gjms.com.pk/ojs24/index.php/gjms/article/view/1441

Background: Peritoneal carcinomatosis is a relatively common metastatic manifestation of a variety of organ-based malignancies, particularly of the ovaries and gastrointestinal tract. Objective of this study was to determine the patterns of peritoneal involvement in patients with abdomino-pelvic malignancies. Material & Methods: This was a record basis cross-sectional study conducted at Radiology Department of Kuwait Teaching Hospital, Peshawar, Pakistan from June 5, 2016 to June 30, 2016. Electronic data identified 127 cases from December 2015 to May 2016. Those with histo-pathological diagnosis of primary malignancy and documented peritoneal disease on CT scan were included. Patients with tuberculosis and lymphoproliferative disorders were excluded. Demographic variables were gender and age in years while research variables were types of primary abdomino-pelvic malignancies causing peritoneal carcinomatosis, patterns of peritoneum involvement, common peritoneal sites of involvement and associated findings of ascites, lymphadenopathy and metastasis. Results: Out of 127 patients, males were 42 (33.08%) and females 85 (66.92%). The mean age of patients was 49±14 years. The most common type of malignancy showing peritoneal involvement was ovarian cancer in 38 (30%) cases. The most common pattern of peritoneal involvement was mixed in 43 (34%) patients. The most common site of involvement was greater omentum in 71 (56%). The most common associated finding was ascites in 65 (51%) patients. Conclusion: The most common type of malignancy showing peritoneal involvement was ovarian cancer. The most common pattern of peritoneal involvement was mixed. The most common site of involvement was greater omentum. Most common associated finding was ascites.