大腿ヘルニア嵌頓で発見された腹膜原発漿液性乳頭状腺癌の１例

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  • A CASE OF PERITONEAL SEROUS PAPILLARY CARCINOMA FOUND IN SURGERY FOR FEMORAL HERNIA

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A 69-year-old woman was admitted with a painful right groin mass. Under a diagnosis of incarcera-tion of femoral hernia, herniorrhaphy was performed. There was a tumor in the hernia sac, but it became necrotic making a proper diagnosis impossible. Thus, a redo operation was performed due to the suspected peritoneal dissemination of the malignant tumor. There were many tumors in the abdominal cavity, mainly in ileocecal and pelvic lesions. Bilateral ovaries were normal in size and shape. Debulking surgery was impossible, and only incisional biopsy was done. Histology of the resected specimen revealed peritoneal serous papillary adenocarcinoma.<br> Peritoneal serous papillary adenocarcinoma is relatively rare, and usually diagnosed from abdominal distention due to ascites. This is a very rare case of the kind, found from incarcerated femoral hernia. If the content of an incarcerated hernia is uncertain during surgery, the surgeon must keep in mind the possibility of a primary peritoneal neoplasm like peritoneal serous papillary adenocarcinoma.

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