Bacalbasa Nicolae, Balescu Irina, Brezean Iulian, Vilcu Mihaela, Brasoveanu Vladislav
"Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.
"Ponderas" Academic Hospital, Bucharest, Romania
In Vivo. 2018 Jul-Aug;32(4):967-971. doi: 10.21873/invivo.11336.
Peritoneal carcinomatosis from ovarian cancer is unfortunately a very common finding, especially in patients diagnosed in very late stages of the disease. Nonetheless, it is not the only pathological condition inducing a diffuse involvement of the peritoneum; other entities can have an infectious or miscellaneous origin. However, the association of peritoneal carcinomatosis and parasitic infection has never been reported so far. We present the case of a 50-year-old patient who had been submitted to surgery for a hepatic hydatid cyst. Four years later, the patient was diagnosed with disseminated peritoneal lesions, which proved to have both parasite and neoplastic origin. The patient was re-submitted to surgery, and debulking resection of all pathological lesions was achieved. Although it is very rare, the association of peritoneal carcinomatosis and peritoneal hydatidosis should be taken into consideration whenever the patient reports a suggestive medical history for those two pathological findings.
不幸的是，卵巢癌引起的腹膜癌转移是一种非常常见的情况，尤其是在疾病晚期才被诊断出来的患者中。尽管如此，它并不是导致腹膜弥漫性受累的唯一病理状况；其他病症可能有感染性或其他多种原因。然而，迄今为止，腹膜癌转移与寄生虫感染的关联从未有过报道。我们报告一例50岁患者，该患者曾因肝包虫囊肿接受手术。四年后，该患者被诊断为弥漫性腹膜病变，结果显示病变同时有寄生虫和肿瘤起源。患者再次接受手术，并成功对所有病理病变进行了减瘤切除。尽管这种情况非常罕见，但只要患者报告有提示这两种病理表现的病史，就应考虑腹膜癌转移与腹膜包虫病的关联。
