Martingano Daniel, Gurm Hashroop, Oliff Andrew, Martingano Francis X, Aglialoro George
J Am Osteopath Assoc. 2016 Jul 1;116(7):480-4. doi: 10.7556/jaoa.2016.092.
The fifth leading cause of cancer-related deaths among women in the United States is ovarian cancer. An estimated 21,980 new cases and 14,270 estimated deaths occurred nationwide in 2014. More than two-thirds of cases of ovarian cancer are diagnosed at stage III or IV when the peritoneal cavity or other organs are affected. Primary appendiceal malignant neoplasms may mimic advanced-stage ovarian cancer and can be misdiagnosed because of its presentation as a palpable adnexal mass. The authors describe a 42-year-old woman who was admitted to the department of obstetrics and gynecology to receive treatment for presumed advanced-stage ovarian cancer. She subsequently received a diagnosis of primary pseudomyxoma peritonei metastatic to the ovaries, mimicking a primary ovarian cancer by osteopathic structural examination findings, serum tumor markers, surgical exploration, and histopathologic confirmation.
在美国，卵巢癌是女性癌症相关死亡的第五大主要原因。2014年，全国估计有21,980例新发病例，预计死亡14,270例。超过三分之二的卵巢癌病例在腹腔或其他器官受到影响的III期或IV期被诊断出来。原发性阑尾恶性肿瘤可能会模仿晚期卵巢癌，并且由于其表现为可触及的附件肿块而可能被误诊。作者描述了一名42岁的女性，她因疑似晚期卵巢癌入住妇产科接受治疗。随后，通过整骨结构检查结果、血清肿瘤标志物、手术探查和组织病理学确认，她被诊断为原发性腹膜假黏液瘤转移至卵巢，酷似原发性卵巢癌。
