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Peritoneal inclusion cysts: clinical characteristics and imaging features
Wouter B Veldhuis1, Oguz Akin, Debra Goldman
1Department of Radiology, University Medical Center Utrecht, Heidelberglaan 100; Room E01.132, 3584 CX, Utrecht, The Netherlands. w.veldhuis@umcutrecht.nl
Peritoneal inclusion cysts (PICs) are more common than previously thought, particularly in women. Understanding their imaging features can help avoid misdiagnosis and inappropriate treatment.
Area of Science:
- Radiology
- Pathology
- Gynecologic Imaging
Background:
- Peritoneal inclusion cysts (PICs) are fluid collections within the peritoneum.
- Their frequency and typical imaging findings are not well-established in the literature.
Purpose of the Study:
- To determine the frequency of patient characteristics, causative factors, and imaging features of pathology-proven peritoneal inclusion cysts (PICs).
Main Methods:
- Retrospective review of 228 patients with pathology-proven PICs over 19 years.
- Descriptive statistics for demographic and clinical data.
- Analysis of imaging features on CT, MRI, and/or US in 77 pre-operative studies.
Main Results:
- PICs affect a wide age range (18-89 years), predominantly women (82.5%).
- A history of peritoneal insult is common (70.6%).
- Imaging varies from simple to complex fluid collections; thick walls, nodularity, or solid components exclude PICs.
Conclusions:
- PICs are more prevalent than previously reported.
- Recognizing patient demographics and characteristic imaging findings can prevent misdiagnosis and overly aggressive management.
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