卵巢外腹膜浆液性乳头状癌：一例报告

Extraovarian peritoneal serous papillary carcinoma: a case report.

作者信息

Veroni Sophia, Terzopoulou Kalliopi, Anagnostopoulou Irene, Vassilakaki Thivi, Grammatoglou Xanthippi, Rammou Rea

机构信息

Department of Cytopathology, "Tzanio" General Hospital of Pireas, Afentouli and Zanni, 18536 Pireas, Greece.

出版信息

Acta Cytol. 2010 Sep-Oct;54(5 Suppl):879-84.

PMID:21053561

Abstract

BACKGROUND

Extraovarian peritoneal serous papillary carcinoma (EPSPC) is a rare cancer closely related to ovarian carcinoma and characterized by abdominal carcinomatosis without an identifiable abdominal primary tumor.

CASE

A woman presented with ascites. She had an elevated serum CA-125. Peritoneal carcinomatosis without involvement of the ovaries was found. Paracentesis of the ascitic fluid resulted in a positive cytologic report not further suggestive of the malignancy origin, balancing between a mesothelioma and an adenocarcinoma. The histologic and immunohistochemical study of peritoneal biopsy specimens resulted in the diagnosis of EPSPC.

CONCLUSION

The combination of cytology, histology, immunohistochemistry and clinical data is a reliable method for the preoperative diagnosis of EPSPC, allowing prompt chemotherapy as surgery may not be indicated in most cases.

摘要