PERITONEOSCOPY AS A DIAGNOSTIC SUPPLEMENT TO LIVER-FUNCTION TESTS AND LIVER-SCAN IN PATIENTS WITH CARCINOMA

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  • 1 January 1977
    • journal article
    • research article
    • Vol. 145  (6) , 821-825
Abstract
Liver function tests, liver scintigraphy and peritoneoscopy were done in 240 patients with carcinoma. Hepatic invasion was demonstrated by peritoneoscopy essentially when both of the other tests were positive. In 1/3 of the patients, peritoneoscopy revealed the presence of other pathologic changes which could account for the positivity of either of the other diagnostic procedures. The status of the liver, with regard to presence or absence of metastases, could be microscopically documented in 59 patients. False-negative findings of liver chemistry tests, liver scan and peritoneoscopy were seen in 27, 42 and 36%, respectively, of the patients while the rate of false-positive results was 15, 10 and 3%, respectively. The rate of false-negative peritoneoscopy examinations in the absence of simultaneous positivity of the 2 other investigations was insignificant. Liver chemistry tests, liver scan and peritoneoscopy play a major and complementary role in the screening of patients with carcinoma.

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