Preoperative abdominopelvic computed tomography and cytoreduction in advanced epithelial ovarian cancer

Optimal primary or interval cytoreductive surgery in the advanced epithelia l ovarian cancer (AEOC) is correlated to an improved disease free and overa ll survival. Interesting results with combination of primary chemotherapy a nd interval surgical cytoreduction has been reported in AEOC. A retrospecti ve analysis was performed to predict with preoperative computed tomography (CT) sub-optimal primary cytoreductive surgery. CT findings of 74 patients affected by AEOC were collected and compared with surgical results. The sen sitivity of CT proposed criteria was 89.7% and the specificity 88.5%. The p ositive predictive value was 81.3% and the negative predictive value was 87 .0%. The CT exam was reasonably accurate in the evaluation of operative unr esectability.