복강경검사로 진단된 복막암종증 = Carcinomatosis Peritonei diagnosed by Peritoneoscopy복강경검사로 진단된 복막암종증

다국어 초록 (Multilingual Abstract)

With developement of noninvasive diagnostic test such as computed tomography (CT), ultrasongraphy and image-guided biopsies, the role of peritoneoscopy for the diagnosis of peritoneal carcinomatosis has been questioned. Retrospective study including 42 patients who were diagnosed as carcinomatosis peritonei by peritoneoscopic biopsy from July, 1980 to July, 1992 at Dongsan Hospital was done. Sixth decade was the most common age and sex distribution was relatively equal. The most common chief complaint was abdorninal distension (57.1%) and the nature of ascitic fluid was exudate in all cases. Of the 19 cases who were examined ascitic cytology, 13 cases (68.5%) were aborre class 3. 18 case.; (72%) were diagnosed as carcinomatosis peritonei on abdominal CT, while 7 cases (28%) as benign among 25 cases. The latter percent was similar to the poercent of the cases with even sized multiple small miliary nodules or flat lesions on peritoneoscopy which could be missed on abclominal CT. In conclusion, peritoneoscopy is still the precedure of choice for diagnosing carcinomatosis peritonei with a negative finding an imaging diagnostic test.