Total Pageviews

Wednesday 4 July 2012

CASE 128: PERITONEAL CARCINOMATOSIS (EOPPC), Dr PHAN THANH HẢI- Dr LÊ ĐÌNH TÍN, MEDIC MEDICAL CENTER, HCMC, VIETNAM

Woman 56 yo, 3 months ago went through a distension of her abdomen.
Ultrasound of abdomen detected an amount of ascitis of known origine, no tumor intra abdomen detectable. Liver was normal, at surface of right kidney had some small round structures like rice grain. In pelvic region the uterus is free of tumor.



Ascites was yellowish fluid, cell bloc cytology was inflammatory cell no malignant cell. ADA test was of 17.8 UI, amylasemia of 684.2 UI which showed very high positive of Roma blood tests.



MRI abdomen was done , the report suspected peritoneal carcinomatosis of unknown origine.



Laparoscopic biopsy showed that many seeding tumor intraperitoneum.



MICROSCOPY RESULT OF  BIOPSY FOR NODULE WAS  CANCER METASTASIS FROM  SUSPECTED OVARY.  IT  WAS  A CASE OF  EOPPC (extraovary primary peritoneal carcinoma).


Reading: 2 cases of EOPPC in MEDIC CENTER