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Friday, 11 September 2015

CASE 332 : PERITONEAL CARCINOMATOSIS, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

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Woman 68 yo with abdomen distension and pain.
Ultrasound  scan detected  ascites  with   pelvic mass ( US images) suspected  peritoneal carcinomatosis.





CT  scan of abdomen with CE with  radiologist  report  was   peritoneal carcinomatosis,
unknown  primary cancer (CUP).





Blood tests:   raised CEA and  CA-125 markers.


Abdomen tap removed gelatineous fluid that analysis of  this fluid no cancer cell revealed.


Laparoscopy biopsy of  peritoneal  vegetation reported  mucinous carcinoma.

Discussion:  In this case  of  68 yo female ascites  like  jelly, CT and ultrasound  cannot detected ovary tumor. Blood tests  pointed  CEA  very high in comparison to CA-125.  The most common cause is  from rupture of appendiceal.carcinoma and  spreading  intraperitoneum.




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