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Obstetrics & Gynecology 1983;62:630-634
© 1983 by The American College of Obstetricians and Gynecologists
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Computed Tomography Prior to Second-Look Operation in Advanced Ovarian Cancer

ARON GOLDHIRSCH, MD, JÜRGEN K. TRILLER, MD, RICHARD GREINER, MD, EKKEHARD DREHER, MD and BEN W. DAVIS, MD

Ludwig Institute for Cancer Research, (Bern Branch); Institute for Diagnostic Radiology, University of Bern; Department for Radiation Therapy, University of Bern, Inselspital, Bern; and Department of Obstetrics and Gynecology, University of Bern, Switzerland.

Abstract

Twenty-six patients treated with chemotherapy for ovarian cancer underwent a second-look laparotomy after clinical response (or in the absence of evidence of progressive disease). Abdominopelvic computed tomography (CT) was performed before this operation. Five patients (19%) who had been demonstrated as being free of disease by computed tomography were found to have a tumor larger than 1 cm. Computed tomography sensitivity was good in detection of lymph node metastases (83%), average for pelvic residual tumor (63%) and the omentum (50%), and low for other peritoneal locations (11%). Before second-look operation, the computed tomography scan provides useful surgical information about residual disease in retroperitoneal lymph nodes. However, negative computed tomography findings do not exclude residual tumor or confirm complete remission and therefore cannot replace the second-look laparotomy at this time.




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S.-M. Cho, H. K. Ha, J. Y. Byun, J. M. Lee, C. J. Kim, S. E. Nam-Koong, and J. M. Lee
Usefulness of FDG PET for Assessment of Early Recurrent Epithelial Ovarian Cancer
Am. J. Roentgenol., August 1, 2002; 179(2): 391 - 395.
[Abstract] [Full Text] [PDF]


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