STEPHEN H. ROSENOFF, M.D.; ROBERT C. YOUNG, M.D., F.A.C.P.; TOM ANDERSON, M.D.; CHARLES BAGLEY, M.D.; BRUCE CHABNER, M.D., F.A.C.P.; PHILIP S. SCHEIN, M.D., F.A.C.P.; SUSAN HUBBARD, R.N.; VINCENT T. DeVITA, M.D., F.A.C.P.
Peritoneoscopy was done within 1 month of exploratory laparotomy in 30 consecutive patients, with ovarian carcinoma as part of their pretreatment evaluation. Six of the 7 patients who were thought to have ovarian carcinoma localized to the pelvis (stages I and II) were found to have advanced disease (stage III) at peritoneoscopy and thus required a change in therapy. Metastatic diaphragmatic involvement in ovarian carcinoma is common and was found in 77% of all patients studied. The routine shielding of the liver area ordinarily used with total abdominal radiotherapy would select these patients for therapeutic failure. Peritoneoscopy supplied reevaluate findings in 2 of the 7 patients having normal physical, roentgenologic, and laboratory examinations, as well as in 93% of all patients studied. "Second look" peritoneoscopy precluded the need for laparotomy in 5 of 13 patients achieving an apparent clinical remission.
ROSENOFF SH, YOUNG RC, ANDERSON T, BAGLEY C, CHABNER B, SCHEIN PS, et al. Peritoneoscopy: A Valuable Staging Tool in Ovarian Carcinoma. Ann Intern Med. 1975;83:37–41. doi: 10.7326/0003-4819-83-1-37
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Published: Ann Intern Med. 1975;83(1):37-41.
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