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Peritoneal carcinosis of ovarian origin

World Journal of Gastrointestinal Oncology 2010年第2期2卷 102-108页

作者： Anna Fagotti Valerio Gallotta Federico Romano Francesco Fanfani Cristiano Rossitto Angelica Naldini Massimo Vigliotta Giovanni Scambia Department of Obstetrics and Gynecology Catholic University of the Sacred Heart

Epithelial ovarian cancer (EOC) is the second most common genital malignancy in women and is the most lethal gynecological malignancy,with an estimated five-year survival rate of 39%.Despite efforts to develop an effective ovarian cancer screening method,60% of patients still present with advanced *** management using surgical cytoreduction to decrease the tumor load to aminimum,and intraperitoneal chemotherapy to eliminate microscopic disease on peritoneal surface,has the potential to greatly improve quality of life and to have an impact on survival in ovarian cancer *** achieving clinical remission after completion of initial treatment,most patients (60%) with advanced EOC will ultimately develop recurrent disease or show drug resistance;the eventual rate of curability is less than 30%.Given the poor outcome of women with advanced EOC,it is imperative to continue to explore novel therapies.

关键词： Peritoneal carcinosis Ovarian cancer Intraperitoneal hyperthermic chemotherapy Cytoreduction

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Pelvic Tuberculosis Simulating an Ovarian Tumor at a Stage of Peritoneal carcinosis

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Open Journal of Obstetrics and Gynecology 2021年第10期11卷 1317-1322页

作者： Mohameth Mbodj Idrissa D. Ba Yaay Dior K. B. Dieng Fatim Tall Amadou Sow Serigne T. Ndiaye Guilaye Diagne Khadim Bop Pape S. Sow Sofiatou Dieye Sadio Konaté Ibrahima Diop Aziz Faye Amadou L. Fall Ousmane Ndiaye Albert Royer National Children Hospital Dakar Senegal Cheikh Anta DIOP University Dakar Senegal Abass Ndao Hospital Center Dakar Senegal

Tuberculosis is a global public health problem with 10 million people developing an active form each year. The exact incidence of the pelvic form of tuberculosis is not known due to under-reporting of asymptomatic cases, vague symptomatology and lack of reliable diagnosis. We report a case of ovarian tuberculosis mimicking cancer and peritoneal carcinosis. The case involved a 15-year-old girl, hospitalized for severe pelvic pain and secondary amenorrhea. The examination showed an altered general state, a fever, a sensitive distended abdomen. The biology showed an elevation of Ca125 to 357 IU/ml. The CT scan showed a latero-uterine mass taking contrast in a heterogeneous way with an irregular and nodular thickening of the peritoneum making evoke a peritoneal carcinosis. Exploratory laparotomy found a bilateral ovarian mass with ileo-ileal, ileo-parietal and ileo-ovarian adhesions. Biopsy of the mass and the peritoneum showed a caseo-follicular gigantocellular epitheloid granulomatosis.

关键词： Tuberculosis Granulomatosis carcinosis Ca125

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Peritoneal carcinomatosis

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World Journal of Gastroenterology 2013年第41期19卷 6979-6994页

作者： Federico Coccolini Federico Gheza Marco Lotti Salvatore Virzì Domenico Iusco Claudio Ghermandi Rita Melotti Gianluca Baiocchi Stefano Maria Giulini Luca Ansaloni Fausto Catena Department of General Surgery Papa Giovanni ⅩⅩⅢ Hospital24127 BergamoItaly Surgical Clinic University of Brescia25123 BresciaItaly Department of General Surgery Bentivoglio Hospital40010 BentivoglioItaly Department of Anesthesiology Sant’ Orsola-Malpighi Hospital40100 BolognaItaly Regional Health Agency of Emilia Romagna 40100 BolognaItaly Department of Emergency Surgery Ospedale Maggiore43100 ParmaItaly

Several gastrointestinal and gynecological malignancies have the potential to disseminate and grow in the peritoneal *** occurrence of peritoneal carcinomatosis(PC)has been shown to significantly decrease overall survival in patients with liver and/or extraperitoneal metastases from gastrointestinal *** the last three decades,the understanding of the biology and pathways of dissemination of tumors with intraperitoneal spread,and the understanding of the protective function of the peritoneal barrier against tumoral seeding,has prompted the concept that PC is a loco-regional disease:in absence of other systemic metastases,multimodal approaches combining aggressive cytoreductive surgery,intraperitoneal hyperthermic chemotherapy and systemic chemotherapy have been proposed and are actually considered promising methods to improve loco-regional control of the disease,and ultimately to increase *** aim of this review article is to present the evidence on treatment of PC in different tumors,in order to provide patients with a proper surgical and multidisciplinary treatment focused on optimal control of their locoregional disease.

关键词： carcinosis Peritoneal Ovarian Gastric Colorectal Hipec Intraperitoneal chemotherapy Cytoreductive surgery Cancer Advanced

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