Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
Trauner, M; Klimpfinger, M; Stauber, RE; Schreiber, F; Stöger, H; Krejs, GJ.
Laparoscopic diagnosis of peritoneal serous papillary carcinoma.
Endoscopy. 1995; 27(4):337-341
Doi: 10.1055/s-2007-1005704
(- Case Report)
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- Führende Autor*innen der Med Uni Graz
- Krejs Günter Josef
- Trauner Michael
- Co-Autor*innen der Med Uni Graz
- Schreiber Florian
- Stauber Rudolf
- Stöger Herbert
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- Abstract:
- Peritoneal serous papillary carcinoma is a rare primary tumor of the peritoneum. We report here a case diagnosed by laparoscopy, and summarize the clinicopathological features previously reported in patients with this tumor. Laparoscopy was performed in a 66-year-old woman with high-protein ascites and a three-month history of lower abdominal pain. Macroscopically, the parietal and visceral peritoneum was studded with prominent white nodules up to 5 mm in diameter. Multiple biopsies revealed a tubulopapillary serous adenocarcinoma. After exclusion of metastatic peritoneal carcinomatosis (especially ovarian cancer) and malignant mesothelioma, the diagnosis of peritoneal serous papillary carcinoma was established. The patient was placed on chemotherapy (first-line: 5-fluorouracil, adriamycin, and mitomycin C; second-line: paclitaxel). She died 22 months after diagnosis. The present case is also remarkable for the coexistence of granulomatous peritonitis overshadowing the malignant nature of the process. This case report emphasizes the importance of laparoscopy with multiple biopsies in the workup of undetermined exudative ascites.
- Find related publications in this database (using NLM MeSH Indexing)
- Aged -
- Antineoplastic Combined Chemotherapy Protocols - therapeutic use
- Ascites - pathology
- Biopsy -
- Cystadenocarcinoma, Papillary - diagnosis
- Cystadenocarcinoma, Papillary - drug therapy
- Cystadenocarcinoma, Papillary - pathology
- Fatal Outcome -
- Female -
- Humans -
- Laparoscopy -
- Peritoneal Neoplasms - diagnosis
- Peritoneal Neoplasms - drug therapy
- Peritoneal Neoplasms - pathology