A comparison of findings at second-look laparotomy with preoperative computed tomography in patients with ovarian cancer

Frederick Stehman, Alison R. Calkins, Justin L. Wass, Lynda R. Smirz, Gregory P. Sutton, Clarence E. Ehrlich

Research output: Contribution to journalArticle

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Abstract

Prior to undergoing second-look laparotomy, 57 patients with ovarian cancer were evaluated with computed axial tomography (CT). All patients were clinically free of disease following chemotherapy. At laparotomy, 25 patients had visible evidence of disease, 9 had microscopic disease only, and 23 were free of cancer. Tumor was correctly identified on CT in 9 of the 25 patients (36%) with macroscopic disease. Tumors smaller than 2 cm in size were not detected by CT. CT suggested disease in 8 of the 32 patients (25%) who were free of macroscopic disease. CT provides useful information when it is abnormal. Fine needle aspiration of suspicious areas can spare some patients laparotomy. However, CT has a significant false-negative rate due to its inability to detect small volume disease. Patients with negative CT will continue to require reexploration and tissue confirmation to assess the need for further therapy.

Original languageEnglish
Pages (from-to)37-42
Number of pages6
JournalGynecologic Oncology
Volume29
Issue number1
DOIs
StatePublished - 1988

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Ovarian Neoplasms
Laparotomy
Tomography
Neoplasms
Fine Needle Biopsy
Drug Therapy

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Oncology

Cite this

A comparison of findings at second-look laparotomy with preoperative computed tomography in patients with ovarian cancer. / Stehman, Frederick; Calkins, Alison R.; Wass, Justin L.; Smirz, Lynda R.; Sutton, Gregory P.; Ehrlich, Clarence E.

In: Gynecologic Oncology, Vol. 29, No. 1, 1988, p. 37-42.

Research output: Contribution to journalArticle

Stehman, Frederick ; Calkins, Alison R. ; Wass, Justin L. ; Smirz, Lynda R. ; Sutton, Gregory P. ; Ehrlich, Clarence E. / A comparison of findings at second-look laparotomy with preoperative computed tomography in patients with ovarian cancer. In: Gynecologic Oncology. 1988 ; Vol. 29, No. 1. pp. 37-42.
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