Serosal cytologic study to determine free mesothelial penetration of intraperitoneal colon cancer Journal Article


Authors: Zeng, Z.; Cohen, A. M.; Hajdu, S.; Sternberg, S. S.; Sigurdson, E. R.; Enker, W.
Article Title: Serosal cytologic study to determine free mesothelial penetration of intraperitoneal colon cancer
Abstract: Background. The presence of complete transmural penetration with tumor cells at the free mesothelial surface in patients with intraperitoneal colon cancer is an important prognostic feature and may alter the decision regarding adjuvant chemotherapy. Methods. In this prospective study of 65 patients, specimens obtained by scraping the serosa overlying the primary tumor mass were analyzed by routine Papani‐colaou cytologic study. Results. Malignant cells were present in 23.1% of patients. In 46 patients with histologic pT3 tumors through the muscularis propria but not through serosal, serosal cytologic study results were positive in 26.1% of patients. Serosal cytologic results were positive from an area of normal colon at least 10 cm proximal or distal to the primary tumor in one patient. Conclusions. Serosal cytologic study appeared to be a simple and reliable method to detect serosal penetration and the presence of tumor cells at the mesothelial surface. Cancer 1992; 70:737–740. Copyright © 1992 American Cancer Society
Keywords: cancer survival; human tissue; human cell; major clinical study; histopathology; cancer staging; neoplasm staging; prospective studies; cytology; peritoneal neoplasms; colonic neoplasms; cancer cytodiagnosis; colon cancer; cancer infiltration; neoplasm invasiveness; epithelium; mesothelium cell; prognosis; human; priority journal; article; colon cancer staging
Journal Title: Cancer
Volume: 70
Issue: 4
ISSN: 0008-543X
Publisher: Wiley Blackwell  
Date Published: 1992-08-15
Start Page: 737
End Page: 740
Language: English
DOI: 10.1002/1097-0142(19920815)70:4<737::Aid-cncr2820700404>3.0.Co;2-s
PUBMED: 1643606
PROVIDER: scopus
DOI/URL:
Notes: Article -- Export Date: 30 July 2019 -- Source: Scopus
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MSK Authors
  1. Alfred M Cohen
    244 Cohen
  2. Zhaoshi Zeng
    87 Zeng
  3. Warren E. Enker
    70 Enker
  4. Steven I. Hajdu
    80 Hajdu