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Serous Surface Papillary Carcinoma of the Peritoneum: Clinical, Radiologic, and Pathologic Findings in 11 Patients

Hideo Morita1, Jun Aoki1, Ayako Taketomi1, Noriko Sato1 and Keigo Endo2

1 Department of Diagnostic and Interventional Radiology, Gunma University School of Medicine, 3-39-15 Showa-machi, Maebashi, Gunma 371-0034, Japan.
2 Department of Nuclear Medicine, Gunma University School of Medicine, Gunma 371-0034, Japan.



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Fig. 1A. 72-year-old woman with 4-month history of abdominal discomfort. Contrast-enhanced CT scans reveal peritoneal thickening in right subphrenic region (arrows, A) and moderate ascites in right subphrenic space (arrowheads, A) and pelvic cavity (arrows, B). Large cyst is seen in left hepatic lobe (A).

 


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Fig. 1B. 72-year-old woman with 4-month history of abdominal discomfort. Contrast-enhanced CT scans reveal peritoneal thickening in right subphrenic region (arrows, A) and moderate ascites in right subphrenic space (arrowheads, A) and pelvic cavity (arrows, B). Large cyst is seen in left hepatic lobe (A).

 


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Fig. 2. 55-year-old woman with 2-month history of abdominal enlargement. On T2-weighted MR image of pelvis, peritoneal thickening and metastases (arrows) show slightly high signal intensity. Moderate ascites is also seen.

 


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Fig. 3. 68-year-old woman who presented with abdominal pain. Enhanced CT scan shows diffuse omental enlargement (arrows) and paraaortic lymphadenopathy (arrowheads).

 


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Fig. 4A. 63-year-old woman with 6-month history of abdominal discomfort. Enhanced CT scans show ascites and lymphadenopathy (arrow) in left paraaortic (A) and iliac (B) regions.

 


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Fig. 4B. 63-year-old woman with 6-month history of abdominal discomfort. Enhanced CT scans show ascites and lymphadenopathy (arrow) in left paraaortic (A) and iliac (B) regions.

 


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Fig. 5A. 68-year-old woman with 2-month history of abdominal pain. CT scan shows bilateral ovaries (arrows, A) that are swollen and heterogeneously enhanced. In T2-weighted MR image, bilateral ovaries (arrows, B) show slightly high signal intensity. Omental mass (arrowhead, A and B) is also seen.

 


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Fig. 5B. 68-year-old woman with 2-month history of abdominal pain. CT scan shows bilateral ovaries (arrows, A) that are swollen and heterogeneously enhanced. In T2-weighted MR image, bilateral ovaries (arrows, B) show slightly high signal intensity. Omental mass (arrowhead, A and B) is also seen.

 


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Fig. 6. 55-year-old woman with 1-month history of abdominal discomfort. Enhanced CT scan shows ascites, multiple peritoneal nodules, and multiple low-density lesions in liver.

 

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