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128 CT can detect psammomatous calcification and plaque-like peritoneal metastases from papillary cystadenocarcinoma of the ovary. 129130 Despite the ability of CT to detect extrapelvic extent of tumor, 40 to 45 of patients with a negative CT are later found to have disease at exploratory light bondage porn videos 131132 In patients with leiomyosarcomas and high-grade endometrial carcinomas, CT is capable of detecting unsuspected metastases to the peritoneum and omentum that are greater than 2 cm (see Fig.

38A and Fig. 38B). Ascites can also be easily detected by this technique. Abdominal ascites, which can be associated with peritoneal spread, is also detected with high accuracy by MRI. MRI is less sensitive than CT in detecting small serosal and mesenteric implants because of motion artifact. Metastases to the mesentery and omentum can also be identified by ultrasound if larger than 2 cm.

In the presence of ascites, ultrasound may be able to detect smaller peritoneal implants (Fig. 51). In their study of 32 patients with malignant ovarian tumors, Requard and colleagues 77 found ultrasound to be 20 accurate in detecting omental and peritoneal metastases.

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