CT imaging of peritoneal carcinomatosis and its mimics

Diagn Interv Imaging. 2014 Sep;95(9):861-72. doi: 10.1016/j.diii.2014.02.009. Epub 2014 Mar 14.

Abstract

Invasive peritoneal disease includes more than just peritoneal carcinomatosis. Although this is the most common aetiology, especially when a primary is found, other conditions may be responsible for peritoneal invasion. A rigorous analysis of CT features taken together with the clinical and biological context usually allows the main differential diagnoses, which entail different types of management, to be drawn out. Pseudomyxoma peritonei, peritoneal lymphomatosis, tuberculosis, peritoneal mesothelioma, diffuse peritoneal leiomyomatosis, and benign splenosis are the main differential diagnoses.

Keywords: CT scan; Hyperthermic intraperitoneal chemotherapy (HIPEC); Peritoneal carcinomatosis; Peritoneum; Scalloping.

Publication types

  • Review

MeSH terms

  • Carcinoma / diagnostic imaging*
  • Carcinoma / secondary*
  • Diagnosis, Differential
  • Humans
  • Peritoneal Neoplasms / diagnostic imaging*
  • Peritoneal Neoplasms / secondary*
  • Peritoneum / diagnostic imaging
  • Sensitivity and Specificity
  • Tomography, X-Ray Computed / methods*