épaississement en \"galette\"

English translation: Peritoneal caking

GLOSSARY ENTRY (DERIVED FROM QUESTION BELOW)
French term or phrase:épaississement en \\\"galette\\\"
English translation:Peritoneal caking
Entered by: Susan McDonald

07:40 Mar 2, 2019
French to English translations [PRO]
Medical - Medical: Health Care
French term or phrase: épaississement en \"galette\"
This appears in a CT scan report (chest, abdomen and pelvis) for a patient where there is a suspected peritoneal carcinosis. Here's the context:

Épaississement tumoral du plancher vésical ainsi que de la paroi latérale droite de la vessie jusqu'à
20 mm d'épaisseur environ.
Confirmation d'un épaississement en "galette" du péritoine antérieur sus-ombilical, jusqu'à 30 mm.


I am assuming this refers to the shape or form of the thickening, but I couldn't find any references to "wafer-like" or "cake-like" thickening anywhere - does anyone have any insights for me? Thanks in advance!
Susan McDonald
France
Local time: 15:51
Peritoneal caking
Explanation:
https://www.ncbi.nlm.nih.gov/pubmed/24551689

J Clin Diagn Res. 2013 Dec;7(12):2958-9. doi: 10.7860/JCDR/2013/6284.3806. Epub 2013 Dec 15.
Desmoplastic small round cell tumour in a young woman with widespread metastasis and peritoneal caking.
Monappa V1, Bhat SS2, Valiathan M2.
Author information
Abstract
Desmoplastic Small Round Cell Tumour (DSRCT) is a rare, highly aggressive, mesenchymal tumour that arises from the peritoneal cavity. It is commonly seen in adolescent and young adult males and its occurrence in females is uncommon. We are reporting here a rare case of DSRCT in a young woman, which clinically masqueraded as an ovarian malignancy, with metastasis to liver, lung, spleen and peritoneum. The cytologic findings, Histomorphological and immunohistochemical features have been discussed, with a brief review of literature

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Note added at 5 hrs (2019-03-02 13:04:06 GMT)
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http://www.clinicalimagingscience.org/article.asp?issn=2156-...

When a tumor extends beyond the serosal tumor seedling, a peritoneal implant occurs. Most of the peritoneal spread is by the tumor seedling during surgery / biopsy. Peritoneal deposits are often large discrete masses that look like the primary tumor and can extend up to the pelvis [Figure 1] and [Figure 4]. The attenuation and enhancement pattern is similar to that of the primary lesion. A hyperattenuating enhancing mass, with areas of necrosis, hemorrhage, and cystic degeneration are seen. Tumor vessels may be seen. They may appear as large discrete masses / multiple nodules, involving the peritoneal surface and sub- peritoneal spaces, and less commonly it may be a diffuse hypervascular omental / peritoneal caking [Figure 5].

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Note added at 5 hrs (2019-03-02 13:05:36 GMT)
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https://www.cancerresearchuk.org/about-cancer/cancer-chat/th...

Last week my father had a CT scan due to elevated CEA levels (190) in his blood. The image reader said he has evidence of peritoneal disease with peritoneal caking.

His history is colorectal cancer 6 years ago, he had chemo then went into remission and it came back to his small bowel after two years. He had chemo from January - August last year and his markers went down then sadly went back up again three months later, so he started on more chemo this January - April, which completely has weakened his bone marrow and minerals.

--------------------------------------------------
Note added at 5 hrs (2019-03-02 13:07:36 GMT)
--------------------------------------------------

https://posterng.netkey.at/esr/viewing/index.php?module=view...

See Figs 1 and 2

--------------------------------------------------
Note added at 5 hrs (2019-03-02 13:08:18 GMT)
--------------------------------------------------

Figure 2 is an axial image at the level of the pelvic inlet of a different patient, who, similarly to the above described case, has ovarian adenocarcinoma with peritoneal disease. However, in comparison to the case above, the peritoneal involvement is focal rather than diffuse. The focal area of peritoneal caking is outlined in pink.

--------------------------------------------------
Note added at 5 hrs (2019-03-02 13:20:51 GMT)
--------------------------------------------------

There is also widespread reference to omental cake/caking eg https://radiopaedia.org/articles/omental-cake

Omental cake refers to infiltration of the omental fat by material of soft-tissue density. The appearances refer to the contiguous omental mass simulating the top of a cake. Masses on the peritoneal surfaces and malignant ascites may also be present.


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Note added at 5 hrs (2019-03-02 13:21:56 GMT)
--------------------------------------------------

The greater omentum is basically a peritoneal extension, though not referred to in this case.

All the above refs deal with cancer

--------------------------------------------------
Note added at 5 hrs (2019-03-02 13:26:08 GMT)
--------------------------------------------------

There is a definition of peritoneal caking here - https://www.flashcardmachine.com/peritoneal-abdominal-wallpa...

Peritoneal Metastases - Cellular implantation throughout the peritoneal cavity
Most common primary sources are ovary, stomach and colon
US findings of nodular, sheet-like,irregular configuration of the peritoneal sheath
May be known as peritoneal ‘caking

Therefore I don't think it refers to the shape of the lesion

--------------------------------------------------
Note added at 5 hrs (2019-03-02 13:30:20 GMT)
--------------------------------------------------

This French ref refers to "épaississement en galette du grand épiploon" ie omental caking

https://www.google.com/search?q="épaissement en galette"&rlz...
Selected response from:

Sue Davis
France
Local time: 15:51
Grading comment
Thanks for this. After I consulted the scans and the patient asked his second-opinion specialist, it was confirmed that this is, indeed, "caking". Thank you for your time and diligent refs.
4 KudoZ points were awarded for this answer



Summary of answers provided
4 +2peritoneal ("pancake" pattern) thickening
Drmanu49
3 +1Peritoneal caking
Sue Davis
Summary of reference entries provided
smooth arrowed thickening
José Patrício

Discussion entries: 2





  

Answers


1 hr   confidence: Answerer confidence 4/5Answerer confidence 4/5 peer agreement (net): +2
épaississement en "galette"
peritoneal ("pancake" pattern) thickening


Explanation:
US of the Peritoneum | RadioGraphics - RSNA Publications Online
https://pubs.rsna.org/doi/full/10.1148/rg.233025712
- Traduire cette page
de AE Hanbidge - ‎2003 - ‎Cité 110 fois - ‎Autres articles
Peritoneal nodules, plaques, and thickening may be detected on the visceral or parietal peritoneal surfaces, especially when high-frequency probes are used.

CN102596982A - Agent for inhibiting thickening of peritoneal ...
https://patents.google.com/patent/CN102596982A/en
- Traduire cette page
... stimulus, collagen synthesis material forming the outer cytoskeletal protein, thereby causing fibroblast proliferation, collagen or peritoneal layer thickening.

Neoplastic and inflammatory processes of the peritoneum, omentum ...
https://pubs.rsna.org/doi/pdf/10.1148/radiographics.12.6.143...
- Traduire cette page
de JE Hamrick-Turner - ‎1992 - ‎Cité 123 fois - ‎Autres articles
nodular peritoneal or omental masses. (Fig 4). As the disease progresses, the nodular masses merge to form ... a “pancake” of tissue anterior ..... thickened or smudged. (20). Infectious and. Inflammatory. Pro- cesses. -Abdominal involvement.

Clinical Imaging of the Small Intestine
https://books.google.fr/books?isbn=0387953884
- Traduire cette page
Hans Herlinger, ‎Dean Maglinte, ‎Bernard A. Birnbaum - 2001 - ‎Medical
... of the hyperechoic submucosal layer and thickening of the muscularis (Fig. ... Peritoneal Carcinomatosis (PC) US can be very useful in the detection of PC ... is considered abnormal if it presents a nodular, interstitial, or pancake pattern.

--------------------------------------------------
Note added at 1 heure (2019-03-02 09:10:17 GMT)
--------------------------------------------------

Also suggested below: a thickened biscuit or diskshaped opaque area.

Drmanu49
France
Local time: 15:51
Specializes in field
Native speaker of: Native in EnglishEnglish, Native in FrenchFrench
PRO pts in category: 736

Peer comments on this answer (and responses from the answerer)
agree  José Patrício: a thickened biscuit or diskshaped opaque area. - https://books.google.pt/books?id=OiVWAgAAQBAJ&pg=PT4&lpg=PT4...
23 mins
  -> Thank you.

agree  Dr. Elmehdi Hakkou (X)
14 hrs
  -> Thank you.
Login to enter a peer comment (or grade)

5 hrs   confidence: Answerer confidence 3/5Answerer confidence 3/5 peer agreement (net): +1
Peritoneal caking


Explanation:
https://www.ncbi.nlm.nih.gov/pubmed/24551689

J Clin Diagn Res. 2013 Dec;7(12):2958-9. doi: 10.7860/JCDR/2013/6284.3806. Epub 2013 Dec 15.
Desmoplastic small round cell tumour in a young woman with widespread metastasis and peritoneal caking.
Monappa V1, Bhat SS2, Valiathan M2.
Author information
Abstract
Desmoplastic Small Round Cell Tumour (DSRCT) is a rare, highly aggressive, mesenchymal tumour that arises from the peritoneal cavity. It is commonly seen in adolescent and young adult males and its occurrence in females is uncommon. We are reporting here a rare case of DSRCT in a young woman, which clinically masqueraded as an ovarian malignancy, with metastasis to liver, lung, spleen and peritoneum. The cytologic findings, Histomorphological and immunohistochemical features have been discussed, with a brief review of literature

--------------------------------------------------
Note added at 5 hrs (2019-03-02 13:04:06 GMT)
--------------------------------------------------

http://www.clinicalimagingscience.org/article.asp?issn=2156-...

When a tumor extends beyond the serosal tumor seedling, a peritoneal implant occurs. Most of the peritoneal spread is by the tumor seedling during surgery / biopsy. Peritoneal deposits are often large discrete masses that look like the primary tumor and can extend up to the pelvis [Figure 1] and [Figure 4]. The attenuation and enhancement pattern is similar to that of the primary lesion. A hyperattenuating enhancing mass, with areas of necrosis, hemorrhage, and cystic degeneration are seen. Tumor vessels may be seen. They may appear as large discrete masses / multiple nodules, involving the peritoneal surface and sub- peritoneal spaces, and less commonly it may be a diffuse hypervascular omental / peritoneal caking [Figure 5].

--------------------------------------------------
Note added at 5 hrs (2019-03-02 13:05:36 GMT)
--------------------------------------------------

https://www.cancerresearchuk.org/about-cancer/cancer-chat/th...

Last week my father had a CT scan due to elevated CEA levels (190) in his blood. The image reader said he has evidence of peritoneal disease with peritoneal caking.

His history is colorectal cancer 6 years ago, he had chemo then went into remission and it came back to his small bowel after two years. He had chemo from January - August last year and his markers went down then sadly went back up again three months later, so he started on more chemo this January - April, which completely has weakened his bone marrow and minerals.

--------------------------------------------------
Note added at 5 hrs (2019-03-02 13:07:36 GMT)
--------------------------------------------------

https://posterng.netkey.at/esr/viewing/index.php?module=view...

See Figs 1 and 2

--------------------------------------------------
Note added at 5 hrs (2019-03-02 13:08:18 GMT)
--------------------------------------------------

Figure 2 is an axial image at the level of the pelvic inlet of a different patient, who, similarly to the above described case, has ovarian adenocarcinoma with peritoneal disease. However, in comparison to the case above, the peritoneal involvement is focal rather than diffuse. The focal area of peritoneal caking is outlined in pink.

--------------------------------------------------
Note added at 5 hrs (2019-03-02 13:20:51 GMT)
--------------------------------------------------

There is also widespread reference to omental cake/caking eg https://radiopaedia.org/articles/omental-cake

Omental cake refers to infiltration of the omental fat by material of soft-tissue density. The appearances refer to the contiguous omental mass simulating the top of a cake. Masses on the peritoneal surfaces and malignant ascites may also be present.


--------------------------------------------------
Note added at 5 hrs (2019-03-02 13:21:56 GMT)
--------------------------------------------------

The greater omentum is basically a peritoneal extension, though not referred to in this case.

All the above refs deal with cancer

--------------------------------------------------
Note added at 5 hrs (2019-03-02 13:26:08 GMT)
--------------------------------------------------

There is a definition of peritoneal caking here - https://www.flashcardmachine.com/peritoneal-abdominal-wallpa...

Peritoneal Metastases - Cellular implantation throughout the peritoneal cavity
Most common primary sources are ovary, stomach and colon
US findings of nodular, sheet-like,irregular configuration of the peritoneal sheath
May be known as peritoneal ‘caking

Therefore I don't think it refers to the shape of the lesion

--------------------------------------------------
Note added at 5 hrs (2019-03-02 13:30:20 GMT)
--------------------------------------------------

This French ref refers to "épaississement en galette du grand épiploon" ie omental caking

https://www.google.com/search?q="épaissement en galette"&rlz...

Sue Davis
France
Local time: 15:51
Specializes in field
Native speaker of: Native in EnglishEnglish
PRO pts in category: 35
Grading comment
Thanks for this. After I consulted the scans and the patient asked his second-opinion specialist, it was confirmed that this is, indeed, "caking". Thank you for your time and diligent refs.

Peer comments on this answer (and responses from the answerer)
agree  Rachel Fell: good refs/comments. https://pdfs.semanticscholar.org/afa1/95372f244e2f6ca7418ff3...
7 hrs
  -> Thanks Rachel!
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Reference comments


1 hr
Reference: smooth arrowed thickening

Reference information:
A crêpe or crepe is a type of very thin pancake similar to jianbing - https://en.wikipedia.org/wiki/Crêpe
Smooth peritoneal thickening (thin arrows) and enhancement with central fixation (thickarrow) of small bowel loops and ascites (stars) noted - https://en.wikipedia.org/wiki/Peritoneal_carcinomatosis
CT showed esophagus thickening (arrowed). - https://www.researchgate.net/figure/CT-showed-esophagus-thic...

José Patrício
Portugal
Native speaker of: Native in PortuguesePortuguese

Peer comments on this reference comment (and responses from the reference poster)
neutral  Tony M: Yes, but please note that 'arrowed' refers to the diagram accompanying the text, NOT the thickening itself
32 mins
  -> thanks
Login to enter a peer comment (or grade)



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