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Evaluation, par la laparoscopie, de la tomographie computée (TC) et de l'ultrasonographie (US) dans le diagnostic des métastases hépatiques et abdominales

par Bleiberg, Harry ;Osteaux, Michel Jean ;Peetrons, Philippe
Référence Acta endoscopica, 12, 1, page (51-60)
Publication Publié, 1982-01

Article révisé par les pairs

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Résumé :

Seventy-three patients with histologically proven malignant disease were submitted to laparoscopy with guided needle biopsy, computed tomography (CT) and/or ultrasonography (US). Laparoscopy was used as reference test. False negative CT and US was 4 and 8% respectively. Most of these cases were observed among lymphomas and hematologic malignancies which are better investigated by laparoscopy and guided needle biopsy. Peritoneal dissemination and response to chemotherapy were not disclosed using these methods. False positive CT and US was 4 and 14%, respectively. These results are probably overestimated since negative laparoscopy cannot ascertain the lack of metastase. These preliminary data, although difficult to interpret in term of accuracy of the methods, point to the possible contributions of CT and US in detecting liver metastases. © 1982 Springer-Verlag.