Peritoneal cancer with ascites

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Managementul perioperator al unui pacient cu tumoră Krukenberg - studiu de caz Peritoneal cancer with ascites Ovarian high-grade serous carcinoma is a type of malignancy that is rare among young adult women, being more frequent in postmenopausal wo­men.

We present the case of a young woman with this type of malignant tumor, who in addition already had extension beyond the pelvis at the time of diagnosis, which is a poor prognostic factor.

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Case report. We repot the case of peritoneal cancer with ascites year-old woman who was admitted in our hospital with pelvic pain and ascites and also with suspicion of peritoneal carcinomatosis. After complex surgery, the histopathological result was bilateral ova­rian high-grade serous carcinoma with invasion of the perivesical peritoneum, mesoappendix, multiple omental involvement and peritoneal cancer lymph nodes regional lymph node me­tastasis.

If inflammation has spread to the peritoneumthere is frequently rebound tenderness.

Afterwards, she was submitted for oncologic treatment. The follow-up, three years later, revealed patient survival, but with peritoneal carcinomatosis status on abdominal-pelvic CT scan.

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Our work brings together reports of young women worldwide facing this form of cancer and underlines the fact that, regardless of age, reproductive women are peritoneal cancer with ascites risk of developing an aggressive and deadly disease, and that clinical, biological and imaging screening should be increased from peritoneal cancer with ascites early age.

High-grade ovarian serous carcinoma in a young woman - case report and literature review Keywords high-grade serous carcinoma, young women, screening Rezumat Obiectiv.

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Carcinomul ovarian seros cu grad înalt de peritoneal cancer with ascites este un tip de cancer rar întâlnit la femeile tinere, fiind mai frecvent la femeile în postmenopauză. Vă prezentăm cazul unei femei tinere cu această formă de tumoră malignă, care se afla deja într-un stadiu avansat cu extensie extrapelviană la momentul diagnosticului, ceea ce reprezintă un factor de prognostic negativ.

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Prezentare de caz. Raportăm cazul unei femei de 36 de ani care s-a prezentat la spitalul nostru cu dureri pelviene și ascită, suspicionându-se carcinomatoză peritoneală. După intervenția chirurgicală histerectomie totală cu anexectomie bilaterală, apendicetomie și evidare ganglionară radicalărezultatul histopatologic a fost: carcinom ovarian seros de grad înalt, bilateral, cu invazia peritoneului perivezical, mezoapendice, omentală, precum și a unui limfoganglion regional.

Pacienta a supraviețuit și s-a prezentat periodic la control, însă la trei ani de la operație, la examenul CT abdomino-pelvian, s-au identificat semne de carcinomatoză peritoneală.

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Lucrarea noastră aduce în prim plan raportări de cazuri ale unor paciente tinere din peritoneal cancer lymph nodes lume suferind de această formă de cancer și subliniază faptul că, indiferent de vârstă, femeile aflate în perioada reproductivă sunt peritoneal cancer lymph nodes risc de a anamie klassifikation o afecțiune ovariană agresivă și letală, de aceea este important ca screeningul clinic, biologic și imagistic să fie început de la o vârstă timpurie.

Diagnosis is often delayed because symptoms are non-specific and include: abdominal pain, distension, gastrointestinal symptoms nausea, anorexia, constipationhigh urinary frequency, vaginal bleeding 1,3.

The treatment is represented by surgery and chemotherapy, and although most of them initially respond to chemotherapy, the response is not durable, compared with low-grade serous carcinomas, which are less likely to respond to chemotherapy, but have a more favorable prognosis, based on their indolent growth 4.

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Case report We report the case of a year-old woman with previous complains of abdominal pain and moderate abdominal distension who was admitted in our hospital. Following ultrasound examination Figure 1we detected a large left ovarian tumor multiple septa with intense vascularity during Doppler inspection and ascites. After CT examination of the abdomen and pelvis, peritoneal carcinomatosis was suspected.

CA and HE4 markers were slightly elevated. Figure 1.

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Can all hpv cause cancer 2. Human papillomavirus genomics past present and future Cancer de prostata porque se produce Macroscopic peritoneal cancer with ascites of peritoneal cancer lymph nodes left ovary; note the presence of multiple solid and cystic areas with yellow-brown fluid On macroscopy, both ovaries were enlarged, the left one measuring 90 mm in diameter and the other 5 cm.

On cut section the left ovary presented multiple solid and cystic areas with yellow-brown fluid Figure 2 ; similar appearance was also detected in the lateral margin of the right ovary.

Figure 3.

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Solid area with severe pleomorphism and numerous mitosis H. Perioperative management of a patient with Krukenberg tumor - a case report Peritoneal cancer with ascites area with papillary and micropapillary structures H. Estrogen receptor positivity - IHC x40 The histopathological examination concluded bilateral ovarian high-grade serous carcinoma with invasion of the perivesical peritoneum, mesoappendix, multiple omental involvement and one regional lymph node metastasis stage IIICwith peritoneal cancer lymph nodes evidence of metastasis to extraabdominal organs or parenchymal metastasis.

The patient was peritoneal cancer with ascites for further oncologic treatment.

Peritoneal cancer lymph nodes. Much more than documents.

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Malpica et al. The two-tier system of classification of serous carcinoma is composed of low-grade and high-grade tumors. Material and methods: A retrospective study was carried out on series of patients admitted in the period June - March The duration of hospitalization was between 1 and 61 days, with an average of The data from peritoneal cancer lymph nodes files, the operating protocols, pathology reports and follow-up files were collected and analyzed.

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The most common complication was septic shock and mortality was 9. Average survival was peritoneal cancer lymph nodes. The criteria for sub-classifying to one or the other are histological, represented by nuclear atypia and mitotic activity 3,6. According to age incidence, the low-grade tumors occur at peritoneal cancer lymph nodes age, with statistically declared one decade peritoneal cancer with ascites than high-grade counterpart 1,6.

More than their histological differences, the two serous­ malignant entities have been described in literature to come along different development pathways.

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Managementul perioperator al unui pacient cu tumoră Krukenberg - studiu de caz Type I carcinoma low-grade progresses from borderline or benign tumors and are thought to retain their low-grade appearance even after disease recurrence, peritoneal cancer with ascites type II carcinoma high-grade were described mostly as de novo tumors, although peritoneal cancer lymph nodes small percent appear to have evolved from a low-grade tumor 6,7.