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A prospective trial of computed tomography in the staging of ovarian malignancy
Author(s) -
SHIELS R. A.,
PEEL K. R.,
MACDONALD H. N.,
THOROGOOD J.,
ROBINSON P. J.
Publication year - 1985
Publication title -
bjog: an international journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.157
H-Index - 164
eISSN - 1471-0528
pISSN - 1470-0328
DOI - 10.1111/j.1471-0528.1985.tb01116.x
Subject(s) - laparotomy , medicine , pelvis , radiology , mesentery , abdomen , computed tomography , computed tomographic , malignancy , peritoneum , ovary , surgery , pathology
Summary. Thirty patients, thought clinically to have ovarian tumours, were studied prospectively by pre‐operative computed tomographic (CT) scans of the abdomen and pelvis. In six patients (20%) small metastases in mesentery, omentum and on subdiaphragmatic peritoneum were not detected by the scans. CT did not improve the accuracy of staging or assist the surgeons by drawing their attention to disease which they might otherwise have missed. Although CT gives an elegant demonstration of anatomy, it is not an alternative to extended laparotomy in patients with ovarian tumours.