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World J Radiol. May 28, 2016; 8(5): 513-517
Published online May 28, 2016. doi: 10.4329/wjr.v8.i5.513
Imaging of peritoneal deposits in ovarian cancer: A pictorial review
Sheragaru Hanumanthappa Chandrashekhara, Gowramma Sannanaik Triveni, Rahul Kumar
Sheragaru Hanumanthappa Chandrashekhara, Department of Radiology, Dr BRA IRCH, All India Institute of Medical Sciences, New Delhi 110029, India
Gowramma Sannanaik Triveni, Department of Obstetrics and Gynecology, Dr NC Joshi Hospital, New Delhi 110005, India
Rahul Kumar, Department of Radio-diagnosis, Metro Hospital, Faridabad 121001, India
Author contributions: All the authors contributed to manuscript preparation.
Conflict-of-interest statement: There is no conflict of interest.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Dr. Sheragaru Hanumanthappa Chandrashekhara, Assistant Professor, Department of Radiology, Dr BRA IRCH, All India Institute of Medical Sciences, Ansari Nagar, New Delhi 110029, India. drchandruaiims@yahoo.com
Telephone: +91-11-9818869308
Received: August 29, 2015
Peer-review started: September 5, 2015
First decision: November 27, 2015
Revised: January 14, 2016
Accepted: January 27, 2016
Article in press: January 29, 2016
Published online: May 28, 2016
Processing time: 262 Days and 16.8 Hours
Abstract

As per incidence, ovarian carcinoma is the second most common gynaecological malignancy in women. In spite of advanced technology, patient awareness and effective screening methods, epithelial ovarian cancer is usually diagnosed at an advanced stage (stage III). Surgical debulking of disease is mainstay of improving the patient survival even in advanced stages. Thus exact delineation of cancer spread in the abdominal cavity guides the surgeon prior to the surgery, help them to decide resectability of lesion and plan for further need of other surgical speciality or need of neoadjuvant chemotherapy. Imaging particularly well-planned contrast-enhanced computed tomography answers most of the queries raised by the treating surgeon. The aim of this article is to review the way ovarian carcinoma spread in the peritoneal cavity and to stress the accurate interpretation of cancer deposits on imaging which can help the treating team to reach optimal management of patients.

Keywords: Ovarian carcinoma; Computed tomography; Peritoneal deposits

Core tip: The extent of ovarian cancer spread in the abdominal cavity determines the treatment options. The exact delineation of cancer spread in the abdominal cavity guides the surgeon prior to the surgery, help them to decide resectability of lesion and plan for further need of other surgical speciality or need of neoadjuvant chemotherapy. Imaging particularly well-planned contrast-enhanced computed tomography answers most of the queries raised by the treating surgeon. This article highlights the role of computed tomography in evaluating the peritoneal spread of ovarian cancer, which help in optimal management of patients.