腹膜原発漿液性乳頭腺癌の1例

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  • A CASE REPORT OF PRIMARY PERITONEAL SEROUS PAPILLARY ADENOCARCINOMA

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A case of primary peritoneal serous papillary adenocarcinoma is reported. A 63-year-old woman who underwent herniorrhaphy for a left inguinal hernia on February 16 1989, was found to have several hard nodules in the hernia sac and peritoneal cavity. Pathologic examination of these nodules revealed metastatic adenocarcinoma and the serum level of CA 125 was considerablly elevated. The patient had a ileocecal resection and a left oophrectomy for ileocecal and Douglas tumors on June 23, 1989. But at this time, primary site of the tumor was not determined by clinical and pathologic examinations.<br> The patient was followed by serum level of CA 125 and periodic CT scan. On May 23 1991, the patient underwent posterior pelvic exentration and splenectomy for Douglas tumor and metastasis of the spleen. By pathologic examination of twice surgical specimens and clinical findings of this patient, the tumor was finally diagnosed as primary peritoneal serous papillary adenocarcinoma.<br> No postoperative chemotherapy was given and the patient died of respiratory failure caused by pleuritis carcinomatosa on November 15, 1995.

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