000 02549nam a22003857a 4500
008 210628s20212021 xxu||||| |||| 00| 0 eng d
022 _a0022-4790
024 _a10.1002/jso.26520 [doi]
040 _aOvid MEDLINE(R)
099 _a33961696
245 _aPeritoneal cytology as an indicator of peritoneal metastases in colorectal cancer.
251 _aJournal of Surgical Oncology. 2021 May 07
252 _aJ Surg Oncol. 2021 May 07
253 _aJournal of surgical oncology
260 _c2021
260 _fFY2021
260 _p2021 May 07
265 _saheadofprint
266 _d2021-06-28
520 _aBACKGROUND: In the management of peritoneal metastases from colon and rectal cancer, the most favorable results are reported with an aggressive combined treatment on patients who have a small extent of the disease. A test to detect occult peritoneal metastases would greatly facilitate the management of this component of colorectal dissemination.
520 _aCONCLUSION: Peritoneal cytology identified patients with mucinous histology and a large extent of disease but was consistently negative in patients who had a small extent of disease compatible with a favorable response to treatment. Copyright (c) 2021 Wiley Periodicals LLC.
520 _aMETHODS: Currently, the standard test by which to confirm the diagnosis of the peritoneal spread of colorectal cancer is peritoneal cytology. To study the utility of this test, we gathered information from patients with biopsy-proven peritoneal metastases. The clinical, histologic, and treatment-related features of these patients at the time of a cytoreductive surgery were statistically correlated with the results of the peritoneal cytology test.
520 _aRESULTS: Forty-nine patients with colorectal cancer peritoneal metastases and a peritoneal cytology determination at the time of a cytoreductive surgery were available for analysis. Twenty-eight patients (55.1%) had a positive test. Patients with a high peritoneal cancer index and mucinous histology were most likely to have positive peritoneal cytology.
546 _aEnglish
650 _aIN PROCESS -- NOT YET INDEXED
651 _aMedStar Washington Hospital Center
651 _aWashington Cancer Institute
656 _aPathology
657 _aJournal Article
700 _aDeng, Tom
700 _aSugarbaker, Paul H
790 _aChang D, Deng T, Sugarbaker PH
856 _uhttps://dx.doi.org/10.1002/jso.26520
_zhttps://dx.doi.org/10.1002/jso.26520
942 _cART
_dArticle
999 _c6475
_d6475