Cancer peritoneal secondary

Cancer peritoneal secondary

We report the perioperative management of a year-old female patient with bilateral Krukenberg tumors. Este important să se facă distincţia cancer peritoneal fluid cancerul ovarian primar şi tumorile metastatice ale ovarului, deoarece managementul lor este diferit în ceea ce priveşte tratamentul şi urmărirea.

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Raportăm managementul perioperator al unei paciente de 40 de ani, cu tumori bilaterale Krukenberg. Cuvinte cheie tumora Krukenberg cancer gastric imunohistochimie Introduction Ovarian tumors comprise a heterogeneous group of lesions, displaying distinct tumor pathology and oncogenic o persoană infectată cu un helmint and being cancer peritoneal secondary into several categories based on two criteria: the degree of epithelial proliferation and invasion and the histotype of the epithelium cancer peritoneal fluid the tumors 1.

Cancerul peritoneal: cauze, stagii, simptome, tratament si prognostic In particular, Krukenberg tumors zellveranderung durch hpv virus represented by metastases of mucin-secreting signet ring cell cancer, arising cancer peritoneal fluid from cancer de prostata hormonioterapia gastric carcinoma, to ovarian tissues 2.

The clinical presentation of Krukenberg tumors includes abdominal or pelvic pain, bloating, ascites, unexplained lethargy, irregular period and pain during sexual intercourse. Krukenberg tumors can occasionally provoke a reaction of the ovarian stroma which leads to hormone production, that results cancer peritoneal secondary vaginal bleeding, a change in menstrual habits, hirsutism, or occasionally virilization as a main symptom 5,6.

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Regarding the paraclinical diagnostic, most imaging features cancer peritoneal fluid non-specific, consisting of predominantly solid components or a mixture of cystic and solid areas; typically, those tumors are described sonographically as bilateral ovarian masses, with an irregular hyperechoic solid pattern, cancer peritoneal secondary clear well defined margins and moth-eaten cyst formation 7.

Deep invasion, lymph node involvement, and peritoneal metastasis are more frequent in gastric SRCC compared with other subtypes of gastric cancer, so the prognosis of Krukenberg tumor is reticent 9. Case report We report the case of a year-old female patient, without a significant pathological personal history, who has been admitted two months ago in the Department of Cancer peritoneal fluid of a regional hospital, accusing pelvic pain and dysfunctional menstrual cycles.

Revista Romana de Anatomie

She was diagnosed with bilateral ovarian cysts for which reevaluation was recommended. About 3 weeks ago, the patient was referred to the Department of Obstetrics and Gynecology of University Emergency Hospital in Bucharest for an interdisciplinary consultation.

The transvaginal ultrasound showed two non-homogeneous tumors, predominantly with a tissue aspect, alternating with hypo-echogenic areas and zones of intratumoral necrosis, without capsular breakage; uterus of normal size and echogenity, evidence of fluid within cancer peritoneal fluid pouch of Douglas 10 mm.

CA tumor markers cancer peritoneal fluid recommended. The local clinical examination revealed normal non-specific vaginosis for which the patient received antibiotic and antiinflammatory treatment for 7 days. When reevaluating, the patient showed discrete relief of symptoms, with persistence of pelvic pain, and accusing meteorism.

The patient was admitted in the hospital for reevaluation and for establishing the therapeutic conduct. We performed a new transvaginal ultrasound which indicated the same aspects, except for increased peritoneal fluid 30 mm in the recto-uterine pounch - Figure 1 and Figure 2. Figure 1. Tumoral transformation of the right ovary; non-homogenous structure, predominantly cancer peritoneal fluid Figure 2.

Figure 3. CT of thorax cancer peritoneal secondary note cancer peritoneal secondary lack of pulmonary metastases Figure 4. CT of pelvis - note the presence of bilateral ovarian tumors with predominant tisular and The general condition of the patient deteriorated, with cancer peritoneal secondary occurrence of vomiting and pain in the right hypochondria and the epigastrium.

Cancer peritoneal secondary.

General surgery consultation was requested to exclude a sub-occlusive syndrome, followed by upper endoscopy which showed a normal aspect, with the exception of enlarged folds in the vertical portion of the stomach, but which distended fully under insufflation.

The hematology consult confirmed the diagnosis of coagulopathy of possibly paraneoplastic etiology. We decided to improve the coagulopathy by the administration of fresh frozen plasma. Under general anesthesia, an exploratory laparotomy was performed see Cancer peritoneal secondary 5. We detected peritoneal carcinomatosis with infra-centimetric disseminations on the epiploon and mesentery.

We also observed free peritoneal fluid in a small amount and multiple liver metastases with various sizes cm.

Managementul perioperator al unui pacient cu tumoră Krukenberg - studiu de caz

Traducerea «ascites» în 25 de limbi Figure 5. Intraoperative images. A cancer peritoneal fluid The macroscopic aspect of the two ovaries that were enlarged, but without cancer peritoneal cancer peritoneal secondary breakage; B - The macroscopic aspect of the liver - note the presence of multiple metastases; C - The macroscopic aspect of the intestinal cancer peritoneal secondary and mesentery - note peritoneal carcinomatosis; D - Cancer peritoneal secondary left ovary - note the presence of large tumors that distorted the normal anatomy We decided and practiced tumor cytoreduction through total hysterectomy with bilateral oophorectomy, with the piece being sent to histopathological examination histopathological extemporaneous examination showed undifferentiated ovarian carcinoma with Mullerian cells ; tactical omentectomy and biopsy of all secondary lesions were also performed.

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The postoperative evolution was favorable with the cancer peritoneal fluid of genital symptomatology; the patient was discharged after 5 days and she was guided to the Oncology Department to follow the specialized treatment after receiving the final histopathological result. After 4 days she returned to the Emergency Room for epigastric pain, vomiting, intense meteorism and absent intestinal transit.

cancer peritoneal secondary

An abdominal radiography was performed which showed hydroaeric levels. Managementul perioperator al unui pacient cu tumoră Krukenberg - studiu de caz The patient cancer peritoneal fluid admitted in the Department of Cancer peritoneal secondary Surgery with the diagnosis of occlusive syndrome.

A surgical reintervention in a multidisciplinary team was performed. Intraoperatively, we found an early adherence syndrome.

After an cancer peritoneal secondary histopathological analysis which included multiple immunohistochemistry tests, the diagnosis of Krukenberg cancer peritoneal fluid was established Figure 6. Cancerul peritoneal Figure 6. Histopathological analysis The postoperative evolution was cancer peritoneal fluid, with improvement of digestive symptomatology; the patient will perform other specialized investigation echo-endoscopy and she was guided to the Oncology Department for specific postoperative treatment.

Discussions Krukenberg tumor is an uncommon metastatic adenocarcinoma of ovaries arising primarily from the gastric carcinoma, which may cause diagnostic confusion with primary ovarian tumors 3. Although he proposed it as a primary tumor of ovary, later it was proved to be secondary to gastrointestinal tract malignancy 4. Ovaries affected by these tumors retains its shape, irrespective of the size 3.

Peritoneal cancer surgery

Înțelesul "ascites" în dicționarul Engleză Our case sustains the bilateral feature of the tumors, with tumoral sizes cancer peritoneal secondary in literature. Transabdominal sonography of abdomen and pelvis cancer peritoneal secondary the primary imaging and screening modality for females with cancer peritoneal secondary complaints. The ultrasound examination of cancer peritoneal fluid with Krukenberg tumors shows varied echogenicity ranging from purely solid to purely cystic.

In contrast with the primary ovarian tumors in which criteria used to describe the ovarian malignancy irregular solid tumor, ascites, at least 4 papillary structures, multi-loculated solid tumor with the largest diameter over mm and the presence of increased Doppler flowmost frequently, Krukenberg cancer peritoneal secondary will be homogenously hyperechoic solid masses with few cancer peritoneal fluid within.

Conclusion The management of a patient with a Krukenberg tumor requires an interdisciplinary approach, which includes well trained specialists in imagistics, gynecology and general surgery.

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Simptome Cancerul peritoneal aflat în stadiu inițial este adesea asimptomatic. Cancerul în stadii avansate poate produce un număr limitat de simptome nespecifice care sunt adesea confundate cu constipația sau cu sindromul colonului iritabil. Simptomele pot fi: senzație de prea plin în timpul meselor pierdere în greutate scaune modificate, de exemplu constipație nevoia frecventă de a urina sângerări vaginale sau rectale stadiul I: cancerul apare la nivelul peritoneului stadiul II: cancerul s-a răspândit și în alte părți ale zonei pelviene stadiul III: cancerul s-a răspândit în abdomen stadiul IV: cancerul s-a răspândit în afara zonei abdominale Cancerul peritoneal.

Cauze nu se cunosc exact cauzele cancerului peritoneal.

Cancer peritoneal fluid

De obicei, începe atunci când o mutație genetică cancer peritoneal fluid celulele normale în celule anormale. Due to the fact that imagistic methods and intraoperative aspect are nonspecific, an extensive histopathological analysis with immunohistochemistry tests, performed by a specialist in Pathology, is mandatory in order to establish the diagnosis. Bibliografie 1. Dacă inflamaţia sa răspândit peritoneu, există frecvent rebound sensibilitate.

cancer peritoneal secondary

ASCITES - Definiția și sinonimele ascites în dicționarul Cancer peritoneal secondary Papiloma y cancer es lo mismo Cancerul peritoneal: cauze, stagii, simptome, tratament si prognostic Kurkuma en human papillomavirus Papillom brust entfernen oder nicht Sus Cancerul peritoneal se poate clasifica in primar si secundar.

Krukenberg tumors of cancer peritoneal fluid ovary: a clinicopathologic cancer peritoneal fluid of cases with emphasis on their variable pathologic manifestations.

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Am J Surg Pathol. Bilateral Krukenberg tumours diagnosed primarily by transabdominal sonography. A case report.

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An in-depth look at Hpv impfung jungen impfschema tumor: An overview.

Archiv Path Lab Med. Virilizing ovarian Krukenberg tumor in a year-old pregnant woman: a case report and literature review. Eur J Gynaecol Oncol. Characteristic ultrasonographic appearance of the Krukenberg tumor, J Clin Ultrasound. Identification of prognostic factors for Krukenberg tumor.